After Multiple Removals
The removal of impacted teeth is a routine surgical procedure. Care of the mouth after surgery has an important effect on healing. Swelling, discomfort, oozing of blood and restricted jaw movement are all expected. The following instructions can minimize these effects.
Care of MouthDo not rinse your mouth or brush your teeth the day of surgery. The morning after surgery rinse gently using the prescribed mouth wash. When brushing your teeth the day after surgery, avoid the surgical site(s).
BleedingIt is not unusual to have slight bleeding or oozing for 24 hours and periodic breakthrough bleeding for 10 days after surgery.
A folded piece of gauze has been placed in the area of surgery prior to your leaving the office. Bite on it with constant pressure. Remove the gauze and discard after 20 minutes. Replace the gauze only if needed. Avoid spitting or rinsing the day of your surgery..
SwellingSwelling is at its greatest 2 days after surgery. After your surgery apply ice to the operated side of the face as soon as possible. Apply cold packs as much as possible. Continue through the day after your surgery. After 48 hours, begin to apply moist heat. Wet a wash cloth and microwave it for 20–30 seconds. Massage jaw area.
Postoperative DiscomfortDiscomfort is expected. Medications will be prescribed to make you more comfortable. Take the medications as prescribed. Medications should not be taken on an empty stomach. Start taking Ibuprofen (Advil or Motrin) every six hours for the next 3 days.
DietAfter surgery, follow the selected instructions: a soft food diet is recommended for at least 7 days.
Drink plenty of fluids and avoid using straws, instead use a spoon if necessary. In the week following your removal, you are advised to avoid foods that require chewing.
Nausea and VomitingNausea may accompany the discomfort during the post-operative period. Small sips of tea, 7-up or ginger ale may help.
SmokingSmoking—Do not smoke for at least two weeks following your surgery.
ActivityThe week after surgery, limited activity is best. Resting in a reclined position is most comfortable.
DO NOT DRIVE AFTER PROCEDURE FOR 24 HOURS
StitchesStitches may be placed at the time of surgery. In most cases, they are expected to come out/dissolve within 5–7 days following your surgery.
Board certified in Oral & Maxillofacial surgeryThe surgical specialty of oral and maxillofacial surgery requires up to six additional years of hospital based surgical and anesthesia training beyond dental school.
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