After Exposure of an Impacted Tooth
The following information applies when you have had a tooth surgically exposed to facilitate in eruption. It is important to not disturb the wound.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding which results in your mouth filling rapidly with blood can typically be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes. 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 or towel filled with ice cubes on the cheek to the area of surgery. Apply the ice in 20 minute intervals for the first 24 hours.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible, unless otherwise directed. Avoid biting into foods if sutures were placed. Using a fork to eat small cut pieces of food is acceptable.
You should begin taking pain medication before you feel the local anesthetic wearing off. DO NOT take any pain medication on an empty stomach. For mild pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 4-6 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 6 hours as needed for pain. For moderate pain 1-2 Tylenol and 3 Ibuprofen (Advil or Motrin) may be taken together every 6 hours. For severe pain, the prescribed medication should be taken as directed (if taking prescribed medication, discontinue taking Tylenol, or any other Acetaminophen product). Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it. If you experience an adverse reaction to any of the pain medication, discontinue use and contact our office.
Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (1/2 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 immediately following surgery. If you are considering exercise, be aware that throbbing or bleeding may occur at the surgical site. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced and exercise may weaken you. If you get light headed, stop exercising.
It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office. Please try to call during office hours; however a 24-hour answering service is available if you need to speak to a doctor after hours.