Wound Care To support proper healing, do not disturb the surgical site or any packing material placed in your mouth. This packing is intended to keep the tooth exposed, and while it may shift or fall out, this is generally not a cause for concern. If your surgeon has attached a gold chain to the impacted tooth, it is crucial that your orthodontist activates the chain within the first one to two weeks after surgery. If the chain becomes dislodged, contact our office promptly for an evaluation and possible replacement.
Bleeding Minor bleeding or pink saliva is normal for up to 24 hours post-surgery. If you experience excessive bleeding—where your mouth rapidly fills with blood—apply firm pressure by biting down on a gauze pad placed over the surgical site for 30 minutes. Replace gauze as needed. If heavy bleeding persists despite these measures, contact our office immediately.
Swelling Swelling is a natural response to surgery and may contribute to post-operative discomfort. To minimize swelling, apply an ice pack to the affected side of your face for 10 minutes, then switch to the opposite side for another 10 minutes. Continue icing as frequently as possible for the first 36 hours, ensuring you do not apply ice directly to the skin for extended periods to prevent irritation. Swelling generally peaks within 2–3 days and gradually subsides over the following 3–5 days. If swelling worsens after the third day, please reach out to our office.
Diet Stay hydrated by drinking ample fluids, beginning with clear liquids such as apple juice, tea, or broth. Avoid hot foods and beverages for the first 24 hours. Stick to a soft food diet, including soups, eggs, and mashed potatoes, on the day of surgery. Gradually return to a regular diet as tolerated, unless otherwise instructed.
Pain Management Pain after surgery is normal and can be managed with medication. If you are not allergic or intolerant to non-steroidal anti-inflammatory drugs (NSAIDs), begin taking ibuprofen (Advil® or Motrin®) or Tylenol® as soon as the local anesthetic starts to wear off. If ibuprofen alone does not adequately control your pain, take your prescribed narcotic as directed. These medications may be taken together, but always take them with food to reduce the risk of nausea. Keep in mind that narcotic pain relievers can impair judgment and reflexes.
Oral Hygiene Good oral hygiene is critical for proper healing. Begin brushing your teeth the day after surgery, ensuring you clean all teeth gently, even if they are sensitive. Bacterial plaque and food debris near the surgical site can delay healing. Start warm saltwater rinses (½ teaspoon of salt in 8 ounces of warm water) the day after surgery and continue at least six times daily. If prescribed Peridex™ Oral Rinse, use it as directed.
If sutures (stitches) were placed, they are typically dissolvable and will fall out naturally within a week. If your sutures require removal, you will be scheduled for a follow-up visit.
Activity Restrictions Restrict physical activity immediately following surgery. Strenuous exercise may cause increased bleeding and discomfort. If you experience throbbing or continued bleeding while engaging in activity, stop immediately and allow your body time to heal. Keep in mind that post-operative dietary restrictions may temporarily impact your energy levels.
Use of Prosthetic Devices If you use a partial denture, flipper, or full denture, do not wear it immediately following surgery. You may resume wearing your prosthesis once it feels comfortable, ensuring that it does not exert pressure on the surgical site. If you are unsure whether your prosthetic is safe to use, contact our office for guidance.
Following these guidelines will promote a smooth recovery. If you have any concerns or require further assistance, please contact our office.