After Exposure of an Impacted Tooth
Home Instructions After Impacted Tooth Exposure
After Impacted tooth exposure, do not disturb the wound. If surgical packing was placed, leave it alone. The packing helps to keep the tooth exposed. If it gets dislodged or falls out, do not get alarmed but please contact our office for instructions.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding that rapidly fills your mouth 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 a normal occurrence after surgery. To minimize swelling apply an ice bag or a plastic bag filled with ice cubes on your cheek near the area of surgery. Apply the ice as much as possible for the first 36 hours.
Drink plenty of fluids. Avoid hot liquids or hard foods. Only consume soft food and liquids on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.
You should begin taking pain medication as soon as you get home so that it is working by the time the local anesthetic wears off. For moderate pain, you can take either a tablet of Tylenol or Tylenol ES every 3-4 hours OR two tablets of Ibuprofen (Advil or Motrin) every 3-4 hours. If the pain is still not tolerable, take one ES Tylenol AND two Ibuprofen at the same time – every 3-4 hours.
Tylenol Extra Strength is 500mg. Do not exceed 4000 mg a daily. Ibuprofen (over the counter) comes in 200 mg tablets. Do not exceed 3200mg daily. Children have reduced limits. Consult our practice for individuals under 18.
For severe pain, your prescribed narcotic medication should be taken as directed. Make sure you STOP taking the Tylenol because your prescribed medication probably already has Tylenol in it. Do not take any of the above medication if you are allergic to them, or have been instructed by your doctor not to take it. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.
Oral cleanliness is essential to good healing. Clean your mouth thoroughly after each meal, beginning the day after surgery. Brush your teeth normally if possible. Rinse with warm salt water (1 teaspoon of salt in a cup of warm water) six times a day. 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 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.