Surgical Instructions
After Tooth Extractions

DO'S

  • Do keep relatively quiet.
  • Do apply ice bag to jaw for at least 24 hours following surgery and chagne every 2 hours as needed.
  • Do keep gauze packs in for 3-4 hours following surgery, then remove if there is no bleeding.
  • Do drink following surgery, especially if you have had nothing since the night before.  Remove gauze packs to drink and then replace them with clean ones.  A liquid diet is necessary until the numbness is gone-approximately 2-8 hours.  Start with Gatorade, Sprite, 7up, Jello and follow with full liquids like milk shakes and pudding, if there is no nausea. 
  • NO STRAWS FOR 5 DAYS. Drink directly form the glass or use a spoon.  After numbness is gone, then a soft diet - macaroni and cheese, mashed potatoes, scrambled eggs, ect.
  • Do take all prescribed medications as directed.
  • Do have someone with you for most of the day if your were sedated for the surgery.
  • Do brush your teeth and gums well beginning 24 hours after surgery.
  • After 24 hours start warm salt water rinses 4-5 times daily and continue until your follow-up visit in our office.

DONT'S

  • DO NOT SPIT OR SMOKE FOR 7 DAYS.  It dislodges the blood clots forming in the sockets.
  • Do not drive a car, ride a bike or drink any alcoholic beverages while taking prescribed pain medications.  Also, do not take pain medication on an empty stomach.
  • Do not change gauze packs more than once every 2 hours for the next 3-8 hours following surgery.  Remove gauze packs if there is no bleeding after the four are up.
  • Do not lie down flat.  Keep your head and upper body elevated for 24 hours in a recliner chair or position 2-3 pillows under head and shoulders if you lie down.
  • Do not chew while numb since injury to cheek, lip, tongue or prolonged bleeding could occur.
  • Do not breast feed for 12 hours if your were sedated for surgery.

WHAT YOU CAN EXPECT AND WHAT TO DO

  • Bleeding may continue for a short time or may persist until the next day.  Maintain gentle pressure by biting on gauze packs until it stops.  If profuse bleeding or any other problems occur, please call.
  • Some degree of swelling and discomfort following surgery is to be expected.  Discoloration and slight stiffness of the jaw can be normal postoperative events.  Do not be alarmed.  Maximal swelling is to be expected 48 to 72 hours after surgery.  This is normal.
  • Most of the time the sutures or stitches used dissolve by themselves and small pieces will come out approximately 4-6 days following surgery.  This is to be expected.
  • Eat a normal diet the day after the surgery.  It is very important that you chew.  The jaws stiffen very quickly if they are not used.  A balanced diet is very important to the healing process.
  • If medications are given intravenously (injected in the vein or arm or hand) your may expect some tenderness or bleeding around the site of the injection.  Moist heat (wet cloth) or dry heat (heating pad) on low heat to the area the next day will ease discomfort.

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