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 up rapidly with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 45 minutes.  If bleeding continues please call for further instructions. 


Swelling is a normal occurrence after surgery.  To minimize swelling, apply an ice bag or plastic bag 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 36 hours. Swelling gradually increases for 48 hours and will then decrease over the next 5-7 days.


Drink plenty of fluids. Avoid hot, spicy, citrus and/or hard foods. Soft food and liquids should be eaten on the day of surgery.  Return to a normal diet as soon as possible unless otherwise directed. 


For pain take prescribed pain medication as soon as it is picked up from the pharmacy.  It is important to be ahead of the pain and to have the medication in your system before the numbness wears off.  The prescribed medication will be taken every 4 hours.  In between that 4-hour period (2 hours after prescribed medication is taken) you can take 2-3 Advil or Motrin.  You may have to follow this regimen for 5-7 days.

Oral Hygiene

You can gently brush the teeth in the area away from the surgical site starting tomorrow.  Gentle rinsing is allowed but you should not use mouthwash for 5-7 days as this will cause discomfort at the surgical site. Remember a clean wound heals better and faster. 


Keep physical activities to a minimum 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.  


Oral and MaxilloFacial Surgeon - Brooklyn
2469 65th Street
Brooklyn, NY 11204