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Post Wisdom Tooth Surgery Treatment
Post Wisdom Tooth Surgery Treatment
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| wisdom tooth removal |
Post Wisdom Tooth Surgery Treatment Day of Surgery
FIRST HOUR: Bite
down gently but firmly
on the gauze packs that are placed
over the surgical areas, ensuring they continue to be they remain. Don't change them
for 1st hour
unless the bleeding isn't controlled.
The packsmay be gently
removed after one hour.
If active bleeding persists,
place enough new gauze to obtain pressure
over the surgical site for one more half-hour. The
gauze may then
be modified as
necessary (typically each thirty toforty five minutes). It's best
to moisten the gauze with water and
loosely fluff for more comfortable positioning.
EXERCISE CARE: don't disturb
the surgical area this day. Don't rinse vigorously or
probe the area with any
objects. You have to brush your
teeth gently. Smoking will retard
healing, inflicting increased discomfort
and increased probability of
dry sockets. We strongly discourage
smoking during the
healing process.
ORAL HYGIENE: it's necessary to keep the
mouth clean. You should brush your
teeth the night of surgery, butbe gentle around the surgical
sites. If there's smallest bleeding, saltwater rinses may begin twenty fourhours after surgery
(mix one tablespoon
of salt with eight ounces of
water.) Swish gently and allow the water
to drip into the sink. Rinses should be done
2-3 times a day, particularly after eating.
ACTIVITIES:
Activities after surgery should be
couch or bed rest for 1st day.
Bending, lifting, or strenuous activitycan lead to increased bleeding,
swelling and pain. You should be careful going
from the lying down position to standing. You could get light-weight headed when you get up suddenly.
If you exercise frequently, rememberthat your normal fluid and
caloric intake is reduced. Exercise in the post-operative period may also lead toincreased bleeding,
swelling and discomfort. Exercise ought to be avoided
for 3-4 days following surgery.
OOZING: bleeding can occur after surgery,
and it's not
uncommon to ooze blood for 24-48 hours after surgery.keep in mind that
oral bleeding represents a bit of blood
and plenty of saliva. Putting a
gauze pack over the area and biting
firmly can control bleeding. If
oozing remains active,
replace gauze as needed every 30-45
minutes.
PERSISTENT BLEEDING: Bleeding should never be severe. If so, it
usually means that the packs are being clenched between wisdom teeth only and are not
exerting pressure on the surgical areas. Try repositioning the packs. If bleeding persists or
begins again sit upright or in a recliner, avoid physical activity, use ice
packs and bite on gauze for 1 hour or on a moistened tea bag for 30
minutes. The tannic acid in the tea leaves helps to promote blood
clotting. If bleeding remains uncontrolled, please call our office.
SWELLING: Swelling is a normal occurrence after surgery and will not
reach its maximum until 2-3 days after surgery. It can be minimized by
using a cold pack, ice bag or a bag of frozen peas wrapped in a towel and
applied firmly to the cheek adjacent to the surgical area. This should be
applied twenty minutes on and twenty minutes off during the first 24 hours
after surgery. If you have been prescribed medicine for the control of
swelling, be sure to take it as directed.
SUGGESTED WAY TO APPLY ICE: Fill two zipper lock bags with
crushed ice. Cut a pair of pantyhose at the thigh and slide both ice bags
halfway down the leg (to the knee area). Tie the ends of the pantyhose on
top of the patient’s head and adjust ice to sides of face over surgical sites.
PAIN: Unfortunately most oral surgery is accompanied by some degree
of discomfort. You will usually have a prescription for pain
medication. If you take the first pill before the anesthetic has worn
off, you should be able to manage any discomfort better. Some patients
find that stronger pain medicine causes nausea, but if you precede each pain
pill with a small amount of food, chances for nausea will be reduced. The
effects of pain medications vary widely among individuals. If you do not
achieve adequate relief at first, you may supplement each pain pill with an
analgesic such as aspirin or ibuprofen. Some patients may even require
two of the pain pills at one time. Remember that the most severe pain is
usually within six hours after the local anesthetic wears off; after that your
need for medicine should lessen. If you find you are taking large amounts
of pain medicine at frequent intervals, please call our office. If you
anticipate needing more prescription medication for the weekend, you must call
for a refill during weekday business hours.
DIET: Eat any nourishing food that can be taken with
comfort. Avoid extremely hot foods. Do not use a straw for the
first few days after surgery. It is sometimes advisable, but not
absolutely required, to confine the first day’s intake to liquids or pureed
foods (soups, puddings, yogurt, milk shakes, etc.) Avoid chewing food
until tongue sensation has returned. It is best to avoid foods like rice,
nuts, sunflower seeds, popcorn, etc., which may get lodged in the socket
areas. Over the next several days you may gradually progress to solid
foods. It is important not to skip meals! If you take nourishment
regularly you will feel better, gain strength, have less discomfort and heal
faster. If you are a diabetic, maintain your normal eating habits or follow
instructions given by your doctor.
NAUSEA: Nausea and vomiting can occur as a result of swallowed
blood, discomfort, anesthesia or pain medicines. Post-operative nausea is
usually self-limiting and sipping on flat cola or ginger ale often helps.
Soda crackers also may be used. If nausea persists, stop taking the pain
medicine and substitute an over the counter pain medicine for the next
dose. If nausea persists call our office.
Instructions
for the Second and Third Days
MOUTH RINSES:
Keeping your mouth clean after surgery is essential. Use 1/4 teaspoon of
salt dissolved in an 8 ounce glass of warm water and gently rinse with portions
of the solution, taking five minutes to use the entire glassful. Repeat
as often as you like, but at least two or three times daily.
BRUSHING: Begin your normal oral hygiene routine as soon as possible
after surgery. Soreness and swelling may not permit vigorous brushing,
but it is extremely important to clean your teeth within the bounds of
comfort. Maintaining a clean environment adjacent to the healing surgical
wounds is required for optimum and speedy healing.
HEALING: Normal healing after tooth extraction should be as follows:
The first two days after surgery are generally the most uncomfortable and there
is usually some swelling. On the third day you should be more comfortable
and, although still swollen, can usually begin a more substantial diet. The
remainder of the post-operative course should be gradual, steady
improvement. If you don’t see continued improvement, please call our
office.
DISCOLORATION OR BRUISING: The development of black, blue,
green or yellow discoloration is due to bruising beneath the tissues.
This is a normal post-operative occurrence that might appear 2-3 days after
surgery. Beginning 36 hours after the surgery, moist heat applied to the
area may speed up resolution of the discoloration.
SHARP EDGES:
If you feel something hard or sharp edges in the surgical areas, it is likely
you are feeling the bony walls which once supported the extracted teeth.
Occasionally small slivers of bone may work themselves out during the following
week or so. If they cause concern or discomfort, please call the office.
DRY LIPS: If the corners of your mouth are stretched they may dry
out and crack. Keep your lips moist with an ointment such as Vaseline.
SORE THROAT: This is not uncommon after oral surgery. The muscles
get swollen and this may make swallowing painful. This should go away on
its own in 2-3 days.
STIFF JAW MUSCLES: This may cause a limitation in opening the mouth wide
for a few days after surgery. This is a normal post-operative event that
usually resolves during the week after surgery. Stretching these muscles
may help to speed up resolution of this problem.
Your
case is individual – no two mouths are alike. Do not accept well-intended
advice from friends. Discuss your problem with the person best able to
effectively help you… your surgeon!
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