Patient instructions following surgical removal of teeth
You have undergone a moderately involved surgical procedure. The quality of recovery depends in large measure on self-care.
Conditions to be expected
Pain
Discomfort usually peaks at the time of the return of sensation. To minimize the discomfort, take prescribed pain control medication as directed before the onset of discomfort.
Bleeding
Some oozing is expected for the first 24 hours. Bleeding is best controlled by pressure. This is done by biting on the sponges given to you. Do not attempt to place the sponges into the socket.
Swelling
Swelling should reach its maximum about 24 hours after surgery. It often persists for about 1 week. The best means of controlling the swelling is to apply cold to the face overlying the extraction site.
Things To Do
- Take all medications as directed.
- Place sponges/gauze over, not into, extraction sites to control bleeding.
- Apply ice to face to control swelling. (A small plastic bag containing crushed ice and covered with two layers of towel is ideal. Thirty minutes on, 30 minutes off is a good routine.)
- Sleep with your head elevated by an extra pillow or two. This may reduce/control swelling.
- Do not rinse your mouth for 24 hours following surgery. Then use a warm salt water mouth rinse four times a day for 5 days.
- EAT and DRINK, failure to drink at least 1 quart of fluids per day may lead to dehydration and temperature elevation. Eat a liquid or soft diet as tolerated.
- REST. Time of recovery is shortened most by adequate rest.
Things To Avoid
- Avoid injuring the site with course or hard foods.
- Do not suck on extraction site.
- Do not expectorate (spit).
- Do not chew gum or smoke.
- Do not apply heat to the face adjacent to the extraction site.
- Avoid heavy exercise for at least the first 48 hours.
- Do not drink alcohol or drive while taking pain medication.
- Do not use a Water-Pik for oral hygiene until socket is healed.