After Wisdom Tooth Removal

Bleeding

  • Bleeding is normal for 24 hours and will increase with talking and general activity.
  • Bite on MOIST gauze for 20 minutes at a time and change until bleeding stops. 
  • If bleeding continues or is increasing, place a moist tea bag (not herbal) directly over surgical site and bite down for 1 hour. Repeat as needed.

Pain Management/Medicine

  • After something cold and soft to eat, like a milkshake or yogurt, take pain medicine as directed.  

600mg Ibuprofen PLUS 500mg Tylenol every 6 hours. Take this for the first 24 hours. After the first day, use the same regimen as needed.

If you still have pain in spite of taking both Ibuprofen and Tylenol, then use the narcotic given every 4-6 hours. [in addition to the non-narcotics]

  • If nauseated, take 25 mg of Benadryl to settle the stomach.
  • Take antibiotic, if directed. If rash or itching develops, stop taking the antibiotic, take 25 mg Benadryl and call the office.
  • If the entire side of your face hurts, including the head/neck/ears/opposite jaw, then the pain is likely to be a muscle pain. This is common for 1-2 weeks after any procedure. Use non-narcotic pain medicine as described above. In addition, use a WARM pack with gentle massage on the side of your face multiple times a day to relax the muscles.
  • If you have pain that goes to your ear around day 3-5 after an extraction and cold air or water worsens it, it could be a dry socket. Take Ibuprofen as above and call the office.

 

Ice

  • Apply ice pack to face (20 min. on 20 min off) for 24 hours to control bleeding, pain and swelling.

 

Food/Diet

  • Eat cold, soft foods until numbness wears off to avoid biting your lip or tongue.
  • No hard, crunchy foods for 2-3 weeks and avoid popcorn for 2 months. Refer to diet sheet for food suggestions.
  • Avoid chewing on surgical site for at least 1 week while area is healing. 
  • Avoid straws for 1 week.

 

Oral Hygiene (see additional instructions on back of paper)

  • Brushing with a soft bristled, manual toothbrush may be resumed the day following surgery, being careful to avoid the surgical site.
  • You may gently rinse with water only, but do not swish vigorously to protect the surgical site
  • If instructed, one WEEK after the procedure, gently rinse with warm salt water twice daily for one week. [1 cup warm water + 1 tsp salt]

 

Exercise

  • No exercise or heavy lifting  for 1 week

Swelling/Bruising

  • Swelling and bruising are normal following surgery and can peak on day 3 then start to dissipate.
  • Bruising is possible, especially if patient is on blood thinners

Dry Socket/Smoking

  • Avoiding straws, smoking, rinsing and exercise for 1 week following surgery will decrease your chances of getting a dry socket.
  • Smoking delays healing, avoid for 1 week following surgical procedures.

If Sinus exposure

  • There may be some bleeding from the nose on that side
  • Do not blow your nose or sneeze through your nose. If you have to sneeze, open your mouth wide
  • Use the nasal spray and antibiotics as directed.

 

Signs to watch for

Fever, chills, sour taste of pus, swelling that worsens after the third day, bleeding after the second day.

If you notice any of the signs, call the office.