After Oral Surgery and Dental Extractions


The following information provides some useful tips to help aid the healing process post surgery including Dental Extractions, Exposure and Bonding of Impacted Teeth, Removal of Impacted teeth, and Pre-Prosthetic Oral Surgery.

Gauze Packs: Gauze packs placed at the time of surgery should remain in place for about half and hour.

Ice Packs: A cold icepack should be applied externally over the treated area as needed or desired. Alternate icepacks on/off every 20 minutes for up to 24 hours. This helps reduce swelling. Use beyond 24 hours will not help swelling; however it may minimize pain.

Food & Drink: Avoid very hot drinks; do not eat hard, crusty, sticky, or grainy foods for two weeks as this can result in food being trapped in the extraction sites. You should only eat soft nutritious food for two weeks.  Avoid the use of straws, carbonated drinks or alcoholic beverages.  Drink plenty of fluids.

Hygiene: Beginning the day after surgery, gently rinse with warm salt water. (¼ teaspoon salt to 6 ounces of water.)  Avoid vigorous swishing.  Avoid brushing the area for two days, then brush gently with a soft toothbrush.  Rinse with Peridex mouthwash twice a day for two weeks; thereafter, discontinue using Peridex.  If you were given a cleaning syringe, begin using it 5 days after your surgery in lower sites only.  Use warm salt water in the syringe on the lower sockets three times a day until your gums heal.  If you were given Socket™ Oral Pain Gel, you may begin using it 4 hours after surgery in and on the surgical site as instructed for topical pain relief and healing.

Medication: You may resume routine medications immediately following surgery. Take antibiotics and pain medication as prescribed.  Only take pain medication as needed.

Sutures: Will dissolve in about a week. There is no cause for concern if it is earlier unless bleeding occurs.

Activity:  Keep your head elevated on 2-3 pillows for 24 hours after surgery to minimize swelling.  Avoid flying for 5 days if upper back teeth were removed.  If you had IV Sedation or General Anesthesia, a responsible adult is to remain with you for 24 hours. You may not drive or operate machinery for a minimum of 24 hours.  Avoid flying for 5 days if upper back teeth were removed.

In case of bleeding:

  • A gauze compress has been placed over the wound.  Apply modest pressure with biting. This should remain for one-half hour.
  • Should slight bleeding continue, place another gauze compress and bite for an additional one-half hour. This may need to be repeated 3-4 times.
  • If bleeding continues, moisten a small tea bag and place it over the wound while biting for 30 minutes. Repeat if necessary.
  • Slight oozing may continue for 1-2 days.

Symptoms that may occur:

  • Swelling of the face is common, and usually is maximized at day three and is resolved by day four to six.  This does not imply infection is present. If swelling increases after the fifth day, notify the office.
  • Pain is normal after your procedure. Pain medications are often necessary for two to three days. After this the discomfort is often subsided with Advil. You may take two to three Advil every six hours.
  • Stiffness of the jaws is common and usually relaxes within one week.
  • Bruising may appear by the 2nd or 3rd day and often resolves by day ten.
  • A dry socket is when the blood clot gets dislodged prematurely from the tooth socket. Symptoms of throbbing pain at the surgical site and even pain radiated to the ear may occur 3-4 days following surgery. Call the office if this occurs.
  • Slight numbness of the lip and/or tongue may occur as was previously explained.  If the numbness persists for longer than one week, please inform your doctor at the follow-up appointment or by telephone.
  • After anesthesia, drowsiness may persist up to 24-36 hours.  If this occurs do not drive or remain without supervision.

Instructions From your Doctor

Different people recover from wisdom tooth extractions at different rates. Depending on the nature of the surgery, your age, and your individual recovery capacity, you should expect to get back to regular work in 2-4 days.

We have made every effort to give you all the information you will need for a rapid recovery.  If you have any additional questions or concerns or in case of an emergency please call the office at 817.552.3223.  Thank you for trusting our office with your treatment.

 

Post Operative Instruction PDF Downloads:
After Dental Implants Non-Resorbable Membranes Sedation & General