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What to Expect Impacted Teeth After Your Oral Surgery

Swelling Removing impacted teeth is very different from Patient Education

extracting erupted teeth. If you had an impacted Oral & Maxillofacial Surgery
Some swelling is normal after oral surgery. For tooth removed, you will likely have these symp-
most people, it increases for 2 or 3 days and School of Dentistry
toms for a short time:
then starts to go down after that. If your
swelling and pain increase after 3 days, call the  Difficulty opening your mouth Thank you for coming to the
clinic for an appointment.
 Pain while swallowing School of Dentistry for your oral surgery.
Your treatment will continue until your
Discomfort  Earache on the side of you surgery healing is complete. If you have any
You will have the most discomfort when feel-
questions or concerns, please call
ing starts to return to your mouth. If the impacted tooth was in your lower jaw, you
may have numbness in your lower lip or tongue ______________________________
Bleeding on the side where the tooth was removed. This (your student dentist or surgeon)
You can expect to have bleeding or “oozing” numbness should go away, but it may last from a
for the first 12 to 24 hours after surgery. few days to many months.
at ______________________________
What NOT to Do You may also have sores on you lips after sur- They will arrange for emergency
gery. Use petroleum jelly (Vaseline) on your lips treatment, if needed.
For all dental surgery patients: until they heal.
If you cannot reach your student dentist or
 Do not apply heat to your face, unless your sur-
surgeon, call (206) 744-3000 and ask for the
geon told you to do so. Heat can increase swell-
Questions? Oral Surgery Resident on call to be paged.
 Do not use straws, suck on anything, or smoke. Oral Surgery Clinic: (206) 543-5860 If you need to be seen in the Emergency
These actions cause negative pressure in your M-Th: 8:15 am to 4:45 pm Room, you will be billed separately.
mouth, which can dislodge the blood clot that Fri: 8:00 am to 4:30 pm
is keeping your wound closed, causing more
bleeding, and delay your healing. After hours, weekends and holidays, call
Harborview Medical Center at
(206) 744-3000 and ask for the Oral Surgery Your Follow-Up Visit
If you have been told to follow sinus precautions: Resident on call to be paged. Oral surgery patients are usually
seen about one week after surgery
 Do not blow your nose. Wipe instead.
to check on their healing and
 If you need to sneeze, do so with your mouth remove any loose sutures.
open. Your follow-up visit is on:
 Do not use straws
1959 N.E. Pacific St. Seattle, WA 98195 Day, date:________________________
 No smoking. RM B-350, HSB Box 357134
P: (206) 543-5860 F: (206) 685-7222 Time: ____________________________
Self-care to Speed Your Recovery
Bleeding  The dose for pain medicine is usually 400 mg
 You may also have some bruises on your face. to 800 mg ibuprofen (Advil, Motrin, or
Bite on the sponges that were placed in your generic) every 6 hours. If you have an allergy
This is a normal part of the healing process.
mouth at the end of surgery for at least 1 or sensitivity to ibuprofen, or have been told
hour, and up to 2 or 3 hours. not to use it, you may take up to 1,000 mg
If you have a lot of bleeding: acetaminophen (Tylenol or generic) every 6
 Use gauze to remove all excess blood  We suggest you relax and limit your activity for
clots from your mouth the rest of the day after surgery.  Follow the pain medicine instructions your
doctor gave you. If we believe you may have
 Place a clean, damp gauze pad over the  You may resume light activities the day after more severe pain, we will prescribe a
bleeding area only. your surgery if you feel up to it. stronger pain medicine which you will need
to buy at a pharmacy.
 Press on the gauze firmly for 20 mins so Diet
that no blood escapes. Repeat if
 For 2 days after surgery, drink liquids and eat Mouth Rinse and Teeth Care
soft foods only. Such as milkshakes, eggnog, yo-  Do not rinse your mouth for 24 hours after
 Call the clinic or oral surgery resident on gurt, cooked cereals, cottage cheese, smooth your surgery.
call if the bleeding does not stop. soups, mashed potatoes, refried beans, ice
cream, pudding, fruit smoothies and protein  After 24 hours, rinse your mouth with warm
Swelling and Bruising shakes. salt water after meals. Stir 1/3 to 1/2
teaspoon salt into 8 ounces of warm water.
 To reduce swelling, sit with your head up.  On day 3 after surgery, eat soft foods that do not Rinsing with salt water will help speed
Move around as little as you can for 8 to 12 require much chewing, such as macaroni and healing. Your doctor may prescribe Peridex
hours after your surgery. cheese, cooked noodles, soft-boiled /scrambled/ for rinsing.
poached eggs and soft sandwiches. Avoid tough
 To help lessen swelling, start using ice or cold or crunchy foods, such as pizza, rice, popcorn,  You may brush your teeth if you are careful to
packs right after your surgery: and hamburger. Avoid spicy and acidic foods. avoid your wounds.
Most patients may resume their normal diet 7
 Apply the pack to the side of your Removable Dental Devices After Implant
days after surgery.
face, over the surgery site. Surgery
 Hold the pack on your face for 15
Medicines  If you usually wear a removable dental device
 Medicines to control pain and prevent infection that replaces missing teeth and rests on the
mins, then remove it for 15 mins.
will be prescribed for you. It is very important surgery area, check with your surgeon or
that you take all medicines as directed. regular dentist before starting to wear it
 If both sides of your mouth were oper- again after surgery. It is important not to put
ated on, apply the pack first to one  Start taking your pain medicine before the local any pressure on the surgery site.
side of you face, and then to the other anesthetic you received before surgery wears
off. Continue to take it as prescribed.  If your bite feels different when you start
side. (15 mins/side)
wearing the device again, or if you had a
 Do this as often as you can for the rest dental implant and it feels like the device is
of the day after surgery. After that, the hitting the implant, call your doctor.
ice or cold pack will not be helpful in
reducing swelling.