Post Op Instructions

Home Care

1. Bite on gauze firmly for about 2 hours, changing every 20 minutes or when gauze becomes damp. The main bleeding will usually last 1-4 hours, but don’t be alarmed if oozing continues. You can expect slight oozing for up to 24 – 48 hours. When resting, keep your head slightly elevated using two pillows. Lying down flat or trying to get up too soon will cause more bleeding, swelling and light-headedness. Please avoid falling asleep with gauze in your mouth. You could potentially swallow or aspirate it.

2. Apply ice packs to areas of surgery for the first 48 – 72 hours following surgery. On the third to fifth days following surgery, apply heat to the swollen areas as often and as long as possible until swelling disappears. Either moist or dry heat will help. A heating pad set to low is preferable to rice bags or other heating devices.

3. Do not rinse the mouth for 24 hours. After 24 hours you may start rinsing with warm salt-water rinses (1 teaspoon salt to 1 cup of water). Use lukewarm water. Rinse several times a day as necessary until healing is complete. DO NOT SWISH! Fill your mouth with water and turn your head from side to side. Allow the water to fall into the sink – do not spit aggressively. (Follow this procedure for the first seven days). Do your best to brush your teeth. It will be uncomfortable for about one week.

If you must rinse during the first 24 hours, please do so gently and rarely.

4. For 48 hours following surgery, A LIQUID DIET IS BEST. Focus on eating foods that do not require chewing and do not use a straw. After day 1, be sure to rinse gently after each meal (as directed in #3). Gradually return to a normal diet by day seven. Soft foods packed into the tooth socket will cause pain and infection.

Try to eat foods like these during the first 48 hours after surgery:

  • Smoothies (w/o seeds)
  • Liquid Nutrition Drinks
  • Yogurt
  • Pudding
  • Jell-O
  • Mashed Potatoes
  • Soup
  • Apple Sauce
  • Popsicles
  • Ice Cream
  • Instant Breakfast
  • Cream Soups
  • Broth
  • Milkshakes (no straw)
  • Water

5. Pick up the prescriptions on your way home or as soon as possible. Take the tablets with food. Follow instructions outlined on handout titled Instructions for Using Medications.

6. Your stitches will dissolve and fall out on their own in 1 – 4 days. If they fall out sooner, this is fine. Please don’t worry. If they are still in place after one week, try rinsing vigorously for a few seconds. If the stitches will not come out, we will help to remove them at our 1 week follow up appointment in the office.

Solutions for common problems following surgery

In case of extreme pain, uncontrollable bleeding, or any unusual disturbances, please call our emergency number.
However, some of the most common postoperative problems can be easily dealt with at home.

  • Bleeding will not stop..See #1 above. Be sure that gauze, towels, or something absorbent is placed over the surgical site and bite down firmly. Maintain for 10 -15 minutes, change gauze and repeat. A washrag soaked in ice water and rung out can be very effective. Biting on a damp tea bag is also helpful to control bleeding.
  • Uncontrolled pain ..Wisdom Tooth Removal is a complex surgery involving skin, muscle, bone and nerves. Postoperative pain and discomfort are normal and part of recovery. Here are some suggestions for relieving pain:
    • Pain medication will help relieve post-operative pain. Use it as directed. Please take your medications as indicated and get plenty of rest. Starting pain medication before the surgery numbing wears off is extremely helpful. Stay ahead of the pain for the first 48 hours.
    • Use the provided schedule to make sure you take your medications on time.
    • Always wake up or have someone wake you to take your medication on time.
    • During the first three days after surgery, ice packs placed on the cheeks can help with post-op pain.
  • Vomiting ..Unfortunately, vomiting can be a side effect of oral surgery, IV anesthesia and post-operative pain medication. However, it does very little to harm the surgical site. Vomiting will normally cause the sockets to begin to bleed. Gently rinse your mouth and place gauze packs over the surgical sites and bite down to apply pressure to help subside any bleeding.

Dry Socket

Dry Socket is a common problem following wisdom teeth removal. Although it can happen with any tooth extraction, it is commonly seen after removal of lower wisdom teeth. The problem arises because the normal blood clot that first forms in the extraction socket is subsequently lost, leaving the socket empty or “dry.” Exposed nerve endings inside the socket can cause pain felt in the jaws, the adjacent teeth, the ear (earache), and/or the temple (headache).

To avoid dry socket, please remember the following:

  • NO SMOKING FOR 5-7 DAYS. Smoking will cause dry socket nearly 100% of the time.
  • NO DRINKING THROUGH A STRAW
  • NO FORCEFUL SPITTING-LET SALIVA OR RINSE DRIBBLE OR FLOW OUT WITH MINIMAL PRESSURE.
  • NO INTENSE PHYSICAL ACTIVITY FOR 5-7 DAYS.
  • TAKE PAIN MEDICATION AS INDICATED.

Pain that increases three days after tooth extraction and that typically becomes severe, unrelenting, and nonresponsive to Ibuprofen and Tylenol is the best sign of dry socket. If you experience this type of pain, call our office, and if no one answers, please leave a voice or text message and we will return your call as soon as possible.

Syringe Directions

To help prevent dry socket, start use after 48 hours. Gently clean out bottom holes only with regular tap water. Repeat three times daily or once after each meal. Do not over rinse. Continue until holes have closed.

Infection or Swelling after 7 days

Swelling or pain around the extraction site that begins between 10 days after surgery and 12 months after surgery is not uncommon. Call our Office to schedule a follow up appointment if swelling, pus or pain returns at any time in the next 12 months. Treatment to address this will be completed in our office at no additional charge to you.

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