Proper care after surgery can reduce complications and speed healing. These suggestions should be followed as closely as possible.
These are general instructions and not all of these instructions may apply to your recovery. Common sense will often dictate what you should do; however, when in doubt, follow these guidelines or call our office at any time for clarification.
The First Hour After Surgery
Bite down firmly but gently on the gauze packs that have been placed over the surgical area(s). Make sure that the gauze remains in place, undisturbed for 30 minutes, then reapply with clean gauze. If the gauze isn’t helping, you can also use a damp tea bag in place of the gauze. No eating, drinking, or sleeping with gauze in your mouth.
If you experience continued heavy bleeding while biting on the gauze, it means the gauze is in the wrong position and not pressing on the extraction site. Repeat the following steps:
1. Remove gauze.
2. Reposition gauze or tea bag so that pressure is applied to the bleeding site.
3. Bite on the gauze for 30 minutes to 1 hour.
Bleeding and Oozing
Intermittent oozing is normal for up to 24 hours and can last longer if you are taking blood thinners. The blood will mix with saliva, so it is important to determine if there is active bleeding. The above instructions can be repeated, and then the gauze can be discontinued when the bleeding has subsided. Do not go to sleep with any gauze in your mouth.
Swelling and Bruising
Sometimes bruising may occur 24 or 48 hours after surgery has been performed. Bruising can be minimized by applying cold compresses to your face every hour (30 minutes on, 30 minutes off) for the first 48 hours. After 48 hours, warm compresses will help reduce the bruising.
Swelling from oral surgery is normal and reaches its maximum in 48 hours. Keeping the head elevated with 2 pillows when lying down can minimize facial swelling. Swelling can also be minimized by applying cold compresses to your face every hour (30 minutes on, 30 minutes off) for the first 48 hours. After 48 hours, warm compresses will help reduce the swelling. These should be continued (30 minutes on, 30 minutes off) until the swelling has subsided.
Avoid rinsing the mouth for 24 hours after surgery. It may disturb the clot. The following day, you may begin gently rinsing with warm (not hot) salt water. Dilute 1 teaspoon of salt in 8 ounces of warm water and rinse gently 3 or 4 times a day for 1 week.
Do not spit for 24 hours after surgery because this action can disrupt the blood clot and/or promote bleeding.
Avoid brushing near the surgical sites the day of surgery, since there may be stitches that can be disturbed, as well as some soreness and swelling. Begin your normal hygiene routine as soon as possible and gently brush the areas you are comfortable with.
A nutritionally balanced diet is very important. During the first 24 hours, eat cool/room temperature soups and soft foods that are easily chewed and swallowed. You may gradually progress to solid foods over the next few days. Do not skip meals. By eating nutritious meals regularly, you will feel better, gain strength, have less discomfort, and heal faster. Take any prescribed food supplement as directed. If you are a diabetic, maintain your normal diet and take medication as usual.
Suggested foods include:
• Soups (broth)
• Mashed potatoes
• Cooked cereals
If nausea persists, please call our office.
When a dry socket occurs, there is constant pain that radiates to other areas of the jaw, teeth, and ear. Symptoms of a dry socket will not occur until the third or fourth post-operative day, and it results from a loss of the blood clot in the socket. This is similar to a scab pulling off the skin. All the surrounding areas will look normal. If you do not have improvement after the first few days following the procedure, please call the office. A medicated dressing may need to be placed to resolve the discomfort.
Smoking and Alcohol
Avoid smoking or chewing tobacco for 1 week after surgery. Alcohol should not be consumed while taking pain medication and/or antibiotics.
Sharp Bony Edges
If you feel something hard when you place your tongue on the surgical site, you may think it is part of your tooth. This is the hard, bony wall that originally supported the tooth. Leave it alone, and it will heal itself. Our interest in your care does not cease with the completion of the operation. If any difficulty arises at any time, please call us, and we will see you for treatment.
Unfortunately, most oral surgery procedures are accompanied by some degree of discomfort. There are many good strategies to get you through the process, though. Some form of pain reliever should be taken before the numbness goes away. Prescription strength Motrin® may be prescribed and should be taken as directed. In addition, Tylenol® or Tylenol® extra strength may be used as a backup. We will advise you based on your medical history. These may be used if there are no allergies, they have been tolerated in the past, and they do not interfere with any other medications. For more involved procedures, a prescribed narcotic can be taken. The narcotic can also be alternated or taken in addition to ibuprofen if there are no allergies and has been tolerated in the past. Taking your medications with food will decrease the chance of nausea. Remember, narcotic pain medications will impair your judgment and reflexes, so driving and operating heavy machinery is to be avoided.
Antibiotics are prescribed to treat or prevent infections, so take all of the medication as directed. If you experience any adverse reactions, such as nausea, rash, or itching, discontinue the medication. A rash or itching may indicate an allergic reaction to a medication. Antihistamines (Benadryl®) will usually counteract the hives, rash, and itching. Swelling of the lips or tongue or difficulty breathing may represent a more severe allergic reaction, and you should seek medical attention immediately.
In case of emergency, please call the office during regular business hours. Outside of business hours, in an emergency please call 856-520-1474 and leave a voicemail. She will return your call.
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If you have any questions, please contact us at the office.