After Wisdom Tooth Removal

Post-Operative Instructions for Wisdom Teeth Removal

Importance of Aftercare

The removal of impacted wisdom teeth is a significant surgical procedure that necessitates diligent post-operative care. By following these instructions carefully, you can minimize unnecessary pain and reduce the risk of complications, such as infection and excessive swelling.

Immediately Following Surgery:

Gauze Management:

After surgery, a gauze pad will be placed over the surgical area. Keep it in place for at least 30 minutes. After this time, you can remove it and discard it.

Avoid Disturbance:

Refrain from vigorous mouth rinsing, spitting, or touching the wound area. These actions can dislodge the blood clot that forms in the socket, leading to increased bleeding.

Pain Management:

As the local anesthetic begins to wear off, take the prescribed pain medication. It’s best to start this process early to manage discomfort effectively.

Activity Restriction:

Limit your physical activities on the day of surgery. Gradually resume your normal routine as you feel comfortable, but listen to your body.

Ice Application:

To minimize swelling, apply ice packs to the sides of your face where the surgery was performed. This can help reduce inflammation and provide comfort.

If you have any questions or require further guidance, please do not hesitate to contact us or schedule a follow-up appointment.

Bleeding

Normal Bleeding:

Some bleeding or oozing of blood-stained saliva is expected in the first 24 hours post-surgery. This is generally not a cause for concern.

Excessive Bleeding:

If you experience heavy bleeding (your mouth fills rapidly with blood), first rinse or wipe away any old clots, then place a fresh gauze pad over the area and bite down firmly for 30 minutes.

If bleeding persists, consider biting on a moistened black tea bag for another 30 minutes. The tannic acid in tea can assist in clot formation.

To further minimize bleeding, remain calm, keep your head elevated, and avoid strenuous activities. If the bleeding does not subside, call our office for additional instructions.

Swelling

Anticipated Swelling:

Swelling is a natural response to surgery and can be expected to peak 2-3 days after the procedure. It typically appears around the mouth, cheeks, and eyes.

Ice Packs:

For the first 36 hours, apply ice packs continuously to the affected area while you are awake. After this period, switch to moist heat applications to help alleviate swelling.

Pain Management

For mild to moderate pain, take Tylenol or Extra Strength Tylenol every 3-4 hours as needed. Alternatively, you may take Ibuprofen (Advil or Motrin), with a typical dosage of 2-3 tablets every 4-6 hours, not exceeding 3200 mg per day for adults.

Severe Pain:

For more intense pain, use the prescribed pain medication according to the instructions provided.

Safety Precautions:

Avoid driving or operating machinery while on pain medications, and refrain from consuming alcohol. If pain persists beyond a few days, contact our office for further assistance.

Diet

Initial Intake:

After surgery, start with liquids only, and avoid using straws, as the suction can dislodge the blood clot.

Soft Foods:

You may begin to eat soft foods that require minimal chewing, avoiding the surgical sites. Focus on maintaining a high-calorie, high-protein diet to support your recovery.

Hydration:

Aim to drink 5-6 glasses of liquid daily to prevent dehydration. Regular nourishment will aid in your healing process.

Oral Hygiene

Post-Surgery Rinsing:

Do not rinse your mouth on the day of surgery. Start rinsing gently with a mixture of one teaspoon of salt in a cup of warm water the day after surgery, doing this 5-6 times a day, especially after meals.

Discoloration

It’s common to experience discoloration (bruising) of the skin around the surgical area, which may manifest as black, blue, green, or yellow. This occurs as blood spreads under the skin and typically resolves within a week. Applying moist heat may expedite recovery.

Antibiotic Use

If antibiotics are prescribed, take them as directed to prevent infection. If you experience any adverse reactions, such as a rash, discontinue use and contact our office immediately.

Nausea and Vomiting

If you experience nausea or vomiting, avoid eating or drinking anything for at least an hour. Gradually reintroduce fluids, such as coke, tea, or ginger ale, sipping slowly over a 15-minute period. Once the nausea subsides, you may resume solid foods and medications.

Other Potential Complications

Numbness:

Temporary numbness of the lip, chin, or tongue is not unusual after surgery. However, be cautious, as you may inadvertently bite these areas without feeling it.

Temperature:

A slight elevation in temperature may occur post-surgery. If it persists, notify our office. Over-the-counter medications like Tylenol can help manage fever.

Discomfort in Mouth:

Occasionally, you may feel bony projections in your mouth. These are not roots but rather the bony walls supporting the teeth, which should smooth out over time.

Mouth Care:

Keep your lips moisturized to prevent cracking, and be gentle when brushing your teeth, especially around the surgical site.

Conclusion

Sutures may be placed to assist with healing and reduce bleeding. If any sutures dislodge, there is no need for alarm—simply remove and discard them. They will typically be removed during a follow-up appointment one week after surgery, which is a quick and painless process.

As healing progresses, you should experience a gradual reduction in pain and swelling. If you notice any unusual symptoms or if pain and swelling worsen, please contact our oral surgeon in Richardson, TX, immediately.

Your recovery is unique, and we are here to support you through the process. If you have any questions or concerns, don’t hesitate to reach out to Dr. Robinson, our family dentist.

e to reach out to Dr. Robinson, our family dentist.