After Exposure of an Impacted Tooth
Do not disturb the wound. If surgical packing was placed, leave it alone. The packing helps to keep the tooth exposed. If it gets dislodged or falls out, do not get alarmed but please contact our office for instructions. If a Gold chain was bonded to the impacted tooth avoid toughing it or manipulating it with your tongue.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding that rapidly fills your mouth with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes and repeat as necessary. If bleeding continues, please call for further instructions.
Swelling is a normal occurrence after surgery. To minimize swelling apply an ice bag or a plastic bag filled with ice cubes on your cheek near the area of surgery. Apply the ice as much as possible for the first 24 hours, 20 minutes on and 20 minutes off.
Drink plenty of fluids. Avoid hot liquids or hard foods. Only consume soft creamy food and liquids in the first days following surgery (yogurt, scrambled eggs, soup, well-cooked pasta). Return to a normal diet as soon as possible unless otherwise directed.
You should begin taking pain medication as soon as you are able before the local anesthetic wears off. For minor pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. For more moderate pain you may choose to take Ibuprofen (Motrin or Advil) as soon as you are able unless there is a contraindication (such as bleeding disorder, kidney disease or stomach problems). If there are no contraindications you should take one to two 200 mg tablets every 3-4 hours.
For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. If taking Ibuprofen is not contraindicated you can take it in between doses of the pain medicine prescribed which can enhance pain relief but also works on inflammation. Do not take any additional Tylenol (Acetaminophen) when using the prescribed pain medication because it contains Acetaminophen. Pain or discomfort following surgery should subside more and more every day. Eventually you will find that you can manage your pain with over-the-counter meds only. If pain persists, it may require attention and you should call the office.
Oral cleanliness is essential to good healing. Clean your mouth thoroughly after each meal, beginning the day after surgery. Brush your teeth normally if possible. Rinse with warm salt water (1 teaspoon of salt in a cup of warm water) six times a day. Continue this procedure until healing is complete.
REMEMBER: A clean wound heals better and faster.
Keep physical activities to a minimum for a day or two following surgery. When you resume exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.