After Exposure of an Impacted Tooth


Do not disturb the wound. If surgical packing was placed, leave it alone. The pack helps to keep the tooth exposed. If it gets dislodged or falls out do not get alarmed.

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding which results in your mouth filling rapidly 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 our office 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 in the area of surgery. Apply the ice continuously as much as possible for the first 36 hours.

You should begin taking pain medication before as you feel the local anesthetic wearing off. If you were given a prescription for Motrin (ibuprofen), use it as directed on a regular schedule starting as soon as you are taking oral nutrition. For more severe pain, and you have if you have no medical contraindication or allergy, you may alternate Tylenol (acetaminophen) with the ibuprofen as directed, (take the ibuprofen, then the acetaminophen two hours later and so on). If you were given another prescription pain medication, take the tablets prescribed as directed.

Drink plenty of fluids. Do not use straws.  Drink from a glass.  The sucking motion can cause more bleeding.  You may eat anything soft but try to avoid chewing directly over the surgical sites. 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.

Oral Hygiene
Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery.You can brush your teeth the night of surgery but do not rinse with any force.  Gently place the water in your mouth and let it swirl around and drip out into the sink. 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, 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.