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 a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bagwrapped in a towel or paper towel or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice continuously as much as possible for the first 72 hours while you are awake, 15 minutes on and 15 minutes off.
Drink plenty of fluids. Avoid hot liquids or food while you are numv.. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed. DO NOT eat sticky foods or candies as this could cause dislodgement of chain or bracket in certain cases.
You should begin taking pain medication witin an hour or so after procedure. Tylenol may be taken every 4 hours. limit dosing to 650mg per dose in adults, children 6-12 325 mg every 4 hours. Ibuprofen (Advil, Motrin) may be taken instead of Tylenol if there ar no medical reasons such as allergy , gastrointestinal issues, useage of blood thinning medication.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. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with 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 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. Dr. Holly recommends only light excersing until he sees you at your post-operative appointment.