After Exposure of an Impacted Tooth

Home Instructions After Impacted Tooth Exposure

After Impacted tooth exposure, do not disturb the wound. If surgical packing was placed, leave it alone. The packing helps to keep the tooth exposed. If it gets dislodged or falls out, do not get alarmed but please contact our office for instructions.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding that rapidly fills your mouth with blood can frequently 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

Swelling is a normal occurrence after surgery. To minimize swelling apply an ice bag or a plastic bag filled with ice cubes on your cheek near the area of surgery. Apply the ice as much as possible for the first 36 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or hard foods. Only consume soft food and liquids on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain

Unfortunately, most oral surgery is accompanied by some degree of discomfort.  Your surgical team will provide you with personalized instructions for pain medication.  If you take your first pill before the anesthetic has worn off, you should be able to manage any discomfort better.  Some patients find that stronger pain medicine causes nausea, but if you precede each pain pill with a small amount of food, chances for nausea will be reduced.  The effects of pain medications vary widely among individuals.  you must allow time for your medicine to work.  You must also take the medication on a regular schedule.  Remember that the most severe pain is usually within six hours after the local anesthetic wears off; after that your need for medicine should lesson.  If you have been given a prescription for Motrin(Ibuprofen) you may take it with Tylenol(Acetaminophen).  Both drugs are taken every 6 hours and can be taken as follows:  if you take Motrin at 12 PM, you can take Tylenol at 3 PM, Motrin at 6 PM, and Tylenol at 9 .

If you find you are taking large amounts of pain medicine at frequent intervals, please call our office. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.

Oral Hygiene

Good oral hygiene is essential to good healing. Clean your mouth thoroughly after each meal, beginning the day after surgery. Brush your teeth normally if possible. Rinse with warm salt water (1/4 teaspoon of salt in a cup of warm water) 3 times a day. Continue this procedure for 2 weeks after surgery. After that time, you can start to use your normal oral rinse.

REMEMBER: A clean wound heals better and faster.

Activity

Keep physical activities to a minimum immediately following surgery. If you exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.