After Wisdom Tooth Removal

The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully.

Immediately Following Surgery


WHAT DO I DO WHEN I GET HOME??

Following oral surgery, you must adhere to the following instructions. They are intended to guide
you to a comfortable recovery and assist your healing.

DISCOMFORT

A certain amount of discomfort should be expected and varies with the amount of surgery that
was performed. Medications have been prescribed to control pain as sensation returns. Take the
medication as prescribed to keep you comfortable and it is best taken with fluid or food in your
stomach. If a rash develops, stop taking the medication and call our office.

BLEEDING

When you leave the office, you will be biting on gauze pads that have been placed over the
surgical area. Maintain constant pressure on the gauze for 30-40 minutes after leaving. You may
replace the gauze if active bleeding occurs upon its removal.
EXPECT SLIGHT OOZING FOR 24 HOURS AFTER SURGERY!

SWELLING and BRUISING

These are part of normal healing. Swelling normally increases for two to three days after surgery
and then goes away gradually. Keep your head elevated (on several pillows) for 24-48 hours after
surgery.

USE ICE PACKS ON YOUR FACE OVER THE AREA OF SURGERY IN 15 MINUTE
INTERVALS FOR 24 HOURS AFTER SURGERY. AFTER 24 HOURS DO NOT USE
ICE, APPLY HEAT TO FACE AS NEEDED!
This will significantly decrease and control the amount of swelling. Some bruising on your face
is normal and may gravitate to areas below the site of your surgery.

DIET

Good nutrition and adequate fluid intake are important after surgery. Immediately following surgery, a liquid or soft diet is suggested (milk shake, instant breakfast, soup etc.)
DO NOT USE A STRAW and AVOID HOT FOOD for 24 hours as it will cause bleeding.

STITCHES

If stitches (sutures) have been placed in your mouth, they will dissolve and fall out on their
own in 7-10 days. If they fall out sooner, do not be alarmed as this is normal.

LIMITED JAW OPENING

The opening muscles of the jaw tend to stiffen with surgery causing a restricted mouth opening. This will resolve in 7-10 days. You may stretch your mouth wide open with no fear of popping the stitches present.

NAUSEA

This is usually due to not eating or taking too much pain medication on an empty stomach. It may also be caused by not keeping firm pressure on the gauze and swallowing some blood after surgery. Small amounts of flat, clear carbonated beverages taken every hour for 5-6 hours usually helps. Gravol may also be purchased without a prescription. If nausea continues, please call the office.

SMOKING AND ALCOHOL

Smoking and alcohol both delay healing and may lead to complications such as dry socket. Do
not smoke for one week after surgery (this will cause significant pain) or drink alcohol while taking pain medication or for at least 48 hours after surgery.

**KEEPING YOUR MOUTH CLEAN**

Good oral hygiene is very important to ensure uneventful healing. Food left in the surgical area
will increase the chance of infection.

Do NOT rinse your mouth or spit on the day of surgery.

Begin rinsing the day after surgery; rinse with warm salt water 5 times a day for 5 days
(one teaspoon full of salt to a tall glass of warm water). Do NOT use mouthwash or hydrogen peroxide as this will delay healing. Begin use of the syringe provided (on lower extraction sites only) 5 days after surgery.

You may begin brushing your teeth including DIRECTLY ON THE SURGICAL sites using a soft toothbrush, the day after surgery. (Using regular toothpaste is fine.)
Please do not use an electric toothbrush for one week after surgery or a Waterpic until 14 days after surgery.

QUESTIONS AND EMERGENCIES

If you have any problems or questions, please; DO NOT CALL YOUR DENTIST

PLEASE CALL DR. ESMAIL by calling our office at 604-504-7522 (or toll-free @ 1-877-504-7522).
After normal working hours (evenings or weekends), our answering service will reach Dr. Esmail, and your call will be returned promptly.