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.

Bleeding

Some bleeding or redness in the saliva is normal for 12-24 hours. Excessive bleeding that rapidly fills your mouth with blood is not normal and please call Dr. DaBell. Mild bleeding can be reduced 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

Mild 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 24-36 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or hard foods. Only consume soft food and liquids on the day of surgery. Biting and chewing food can get stuck at the surgical site and potentially cause an infection, so a soft non-chew diet is recommended. 

Pain

You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, one tablet of Tylenol or Extra Strength Tylenol may be taken every 4 hours. Ibuprofen (Advil or Motrin) may be alternated with Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2 tablets (400 mg) may be taken every four hours, not to exceed 3000mg daily for an adult. Consult our practice for individuals under 18. Do not take the two medications at the same time.

For severe pain, a prescribed medication can be prescribed. 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 Hygiene

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) four to six times a day. Continue this procedure until healing is complete.

REMEMBER: A clean wound heals better and faster.

Activity

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.