After Wisdom Tooth Removal

The surgery that you had requires your cooperation to provide the best possible results for your comfort and safety.

THERE ARE 3 MAIN THINGS THAT YOU CAN DO TO DECREASE PAIN AND LESSEN YOUR DISCOMFORT IMMEDIATELY FOLLOWING YOUR SURGERY:

  1. Take 600mg of Ibuprofen right away and 600mg every 6 hrs for the next 2 days, then every 6 hrs only as needed. This will help reduce swelling and pain.
  2. Keep your head elevated.Sleep with your head up on 2 pillows and rest during the day with yoru head elevated. This will help reduce swelling and pain.
  3. Use your ice packs, 20 mins on 20 mins off immediately after surgery, for the remainder of that day and for the following 24 hours.

Do Not Disturb the Wound: Keep your fingers and tongue away from the area; you may cause irritation and bleeding.

Bleeding:Bite firmly on the gauze pack that has been placed n your mouth. These may be removed 30-60 minutes after surgery. If there is still some bleeding noted you can replace the gauze with some of the extra gauze that we will provide you. Place a moist gauze pack in the back corner of your mouth and close for 30 minutes. Do not change every 5 minutes or the bleeding will continue. If this does not work, try using a moist tea bag. The tannin in it is a good clotting agent and works well. It is normal to bleed for up to 24 hours after surgery. Normally it is mainly saliva, with just a little blood to turn the saliva red. Do not panic. Place a towel on your pillow tonight to protect it. Do not suck through a straw or forcefully spit or you may start to bleed again.

Swelling:Place ice on both sides of your face, 20 minutes on, 20 minutes off, for the remained of the day of your surgery and the following day. This will help with the pain and swelling. It is normal to continue to get worse for the first 2-3 days before the swelling and pain starts to resolve. Sleep on several pillows, or in a reclining chair tonight to keep your head up. this will help reduce the swelling. If you are able to take Ibuprofen*, it is important that you take 600mg every 6 hours for the first 24-48 hours after surgery, even if you are not having pain. This will reduce the chance of swelling *Do not take any medication which your medical doctor has advised you against taking.

Pain: If you are able, take Ibuprofen 600mg every 6 hours for at least 3 days, longer if needed. If you continue to have pain after taking the Ibuprofen you can take the additional pain medication that was prescribed for you (Tylenol 3/ Percocet/ Toradol) as needed. Prescriptions should only be taken as prescribed. Medications should not be taken with alcohol, especially medications to relieve pan. While taking pain medication, you are impaired and should not drive, operate any machinery, or be home alone with young children.

Hygiene: Starting tomorrow, morning and night after brushing your teeth, rinse your mouth with the prescribed mouth rinse. Use a salt water rinse (1/2 teaspoon salt in 1 cup of warm water) after eating. This will help keep your wound sites clean and prevent infection. Brush your teeth normally but avoid the surgical sites. 

Diet: When you get home, start to drink fluids.DO NOT DRINK FROM A STRAW, (for approximately 7-10 days) the sucking motion will dislodge the blood clot and will lead to a bleeding longer. It is important to drink a lot of fluids so you don’t get dehydrated. Do not drink anything hot or very cold as you will be frozen.  Nutrition is very important to your healing process. It is important that you eat. Start with a soft diet for the first day or two, but go slowly or nausea and vomiting may occur. By the second day you should  be comfortable eating solid foods. Avoid taco chips or anything that may impact into the wound. Diabetics need to check blood glucose levels and adjust intake accordingly. It is important to eat to maintain nourishment; this will make you feel better, give you more strength and will lessen the pain as well as promote faster healing.

Smoking: DO NOT SMOKE. Smoking will cause delayed healing and increase the risk of infection or dry socket. It is suggested that you do not smoke for 7 days after surgery to minimize the chances of complications.

Boney Edges: During the healing process, tiny sharp splinters of bone may work up through the gum. These are called boney sequestrums and usually work themselves out over time. If it is uncomfortable, please call our office so we can schedule an appointment for removal.

Stiffness:Stiffness of the jaw is not uncommon after surgery. You may find that you have limitations on opening. This should resolve itself in 4-6 days. You may begin massaging the area with moist heat (heating bag, hot water bottle, or a warm moist towel) 24 hours AFTER surgery, do use moist heat during the first 24 hours after surgery. If the stiffness persists please call our office and we will arrange for an appointment.

Dry Socket: If a blood clot does not form properly in the socket or a clot is disturbed following surgery, the socket remains “dry” for a period of time and heals more slowly than usual. A dry socket can be quite painful because it leaves the bone within the socket exposed to air, food, saliva and fluids. Things to avoid for one or two weeks that may help prevent a dry socket include:  Smoking, sucking fluids with a stra, vigorous rinsing, vigorous exercise (during the first 3-5 days after surgery), spitting (including toothpaste).

Important: If given any form of sedation, you are now legally impaired for 24 hours. The medication can impair your judgement; even if you think you are OK, don’t risk it. You cannot drive, operate any heavy machinery, make any important decisions or consume alcohol.

Other: The stitches placed will dissolve in 7-14 days. If you have been prescribed an antibiotic, start this right away and continue to take it until ALL the medication is gone. Try to eat plenty of yogurt (probiotics) while taking the antibiotic to increase its effectiveness. Bruising is normal  after surgery and resolves in 7-14 days. It is normal to run a low grade fever after surgery. However if your temperature is greater than 40.0 C (104F) please call. If you have any questions, concern. or problems, please do not hesitate to call the clinic or, if necessary, Dr. Chamberlain can be reached at 452-5033.

If you are able, take 600mg of Ibuprofen every 6 hours for 24-48 hours. If you continue to have pain after taking the Ibuprofen, start taking the additional pain medication prescribed (Percocet/Endocet/Oxycet) as needed. DO NOT stop taking the Ibuprofen; they work best together. Prescriptions should only be taken as prescribed. Medications should not be taken with alcohol, especially medications to relieve pain. While taking pain medication, you are impaired and should not drive, operate any machinery or be home alone with young children.SmoSm

*Sucking fluids with a straw

*Vigorous rinsing

*Vigorous exercise (during the first 3-5 days after surgery)

*Spitting (including toothpaste – just allow this to fall from your mouth after brushing)

Important:If given any form of sedation, you are now legally impaired for 24 hrs. The medication can impair your judgment; even if you think you are OK, don’t risk it. You cannot drive, operate any heavy machinery, make and important decisions or consume any alcohol.