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 rapidly with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes. The gauze may be changed every 20-30 minutes. If heavy bleeding continues please call for further instructions.
Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bag or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice, 20 minutes on and 20 minues off, as much as possible for the first 24 hours.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.
Take 600 mg of Ibuprofen (Advil or Motrin) every 6 hours (or the appropriate amount for a childs age and weight as stated on the packaging) after surgery as long as you have no contraindications to these medications. Continue this until the soreness and swelling have resolved. Only use the prescription pain medication for breakthrough pain (pain not controlled by the ibuprofen). Any prescription pain medication should be taken after some food has been ingested (it can often cause nausea).
Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (1 teaspoon of salt in a cup of warm water) six times a day. Continue this procedure until healing is complete.
REMEMBER: A clean wound heals better and faster.
Keep physical activities to a minimum immediately following surgery. No physical activity, excercise, or heavy lifting for 5-7 days post-operatively.