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.
In most instances, you will either be prescribed ketorolac (Toradol) or told to take ibuprofen beginning in the first 6 hours after your surgery. This is often all that is necessary for postoperative pain control. Ibuprofen bought over the counter comes in 200 mg tablets: 2-4 tablets may be taken four times daily, not to exceed 3200mg daily for an adult. Consult our practice for individuals under 18. For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may also be taken every 6 hours, not to exceed 4000mg daily.
For severe pain not relieved by the above medications, you may be prescribed a small amount of an opioid analgesic. You may take this in addition to the ketorolac (Toradol) or ibuprofen, but do not add it to Tylenol, as most opioid analgesics already contain acetaminophen (Tylenol), and too much can damage your liver. Due to the current opioid epidemic, we strive to limit the amount of these medications we prescribe.
Any prescribed medication should be taken as directed. 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 while taking opioid analgesics. 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.