After Wisdom Tooth Removal in San Diego

The removal of impacted teeth can be a complex surgical procedure. Post–operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully.

Immediately Following Surgery

1. Eat COLD, SOFT FOOD as soon as possible and take medications as instructed.

2. Change your GAUZE every 30-60 minutes until there is no more bleeding and then remove.

3. REST, APPLY ICE and ELEVATE your head with pillows

4. Evaluate need for PAIN MEDICINE in 2 to 3 hours. Take medications as prescribed with food.

GAUZE PACKS

Remove gauze packs from your mouth when you eat. Continue to replace them every 30-60 minutes until bleeding has stopped. Then remove gauze.

ORAL HYGIENE

Continue to floss your teeth and brush thouroughly at least twice a day with a soft bristled brush so that you do not injure the tissues in your mouth. Following extraction, clean the teeth next to the healing tooth socket very gently for two days, carefully avoiding the surgical area.

MOUTHWASH AND RINSING

You may use rinse your mouth gently with water or mouth rinse. After the first 24 hours, frequent rinsing with a warm dilute salt solution will aid in your healing.

ICE

You may use an ice bag over the operated area for the first 24-48 hours following surgery. Apply to the affected area for 20 minutes and remove for 20 minutes; repeat as necessary. Elavate your head with 2-3 pilllows. This will help minimize swelling, bleeding and disccomfort.

PAIN

Ibuprofen (includes Motrin and Advil) may be recommended by your doctor to help control your discomfort. A stronger pain medication may also be prescribed for severe discomfort. If the pain medication makes you feel nauseated,discontiue and substitute with Tylenol or Ibuprofen. Discomfort usually subsides three to five days following surgery.

BLEEDING

Some bleeding following extraction of teeth is normal. Tooth sockets may continue to ooze a little during the night and even through the next day. If bleeding seems excessive,rinse the mouth thouroughly with cold water, removing any superficial masses of clottted blood. Then place a tightly folded piece of clean gauze over the bleeding area using enough gauze to apply firm pressure to the tissues when the jaw is closed. Maintain pressure with the gauze pack for 30-60 minutes,keeping head elevated. Should this not control bleeding, wrap a moist tea bag in gauze, place this over the socket and bite firmly.

SUTURES (STITCHES)

If sutures are present, most of them dissolve. Any remaining sutrues will be removed at the postoperative appointment.

SWELLING

Swelling is common after oral surgery. It will usually peak at approximately 48-72 hours and resolve 7- 10 days following surgery. Should the swelling persist for an exteded time, please call our office.

NUMBNESS

Numbness of the facial region following surgery is normal. Take care not to chew or bite your lips

ANTIBIOTICS

If you have been placed on antibiotics, take them as directed with food.

******Warning for Women****** While taking antibiotics, your birth control pills may become ineffective. It is recommended that you use an assitonal form of birth control for the remainder of your current cycle.

REST AND NOURISHMENT

Frequent small meals are recommended: cold, soft foods (yogurt, ice cream, Ensure, applesauce, milshakes, smoothies etc.) the first day of your surgery, progressing to warm, soft foods (pasta,soup, oatmeal,scrambled eggs, etc.) the following days. Hydration is essential with non acidic juices and water.

NAUSEA

Nausea can occur after surgery. Make sure to take medications with food.

DISCOLORATION

Discloration of the skin frequently seen in patients who "bruise" easily. It is due to bleeding from the operative site into the tissues. This often present two to three days after surgery and may take five or more days to fade.

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