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 for further instructions.
Swelling is not normal unless tooth is on outside of upper jaw. Most exposures are teeth on roof of mouth, which swell very little.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten for a few days after the surgery. Be careful what you eat for a week or two following surgery (semi solid only).
You should begin taking pain medication before you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength. Tylenol may be taken every 4 hours. Ibuprofen (Advil, Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed.
Mouth cleanliness is essential to good healing. Keep your mouth as clean as possible after each meal beginning the day after surgery. Gently brush your teeth as best you can. Rinsing can dislodge packing material placed in the surgical areas. You can gently rinse occasionally with salt water. 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.