Post Extraction Instructions
1. ANESTHESIA: The feeling of numbness will begin to wear off in 30 minutes to 4 hours. Until that time, avoid all hot foods or liquids, and do not chew. This is to prevent accidentally burning or biting the lips, cheeks, inside of your mouth, or tongue until feeling has returned. ANY CONCERNS ABOUT PROLONGED NUMBNESS, PLEASE CALL OUR OFFICE.
2. GAUZE PACK: Fold the gauze into a small pack and place over the extraction site. There should be firm pressure on the extraction site. Maintain firm biting pressure on the gauze for one to two hours. Change the gauze pack every 15-30 minutes.
4. ICE PACK: For the first 2-8 hours after surgery, ice packs should be applied to the outside of the face over the area of the extraction site. The ice pack should be held in place for 15 minutes or so, and then removed for 15 minutes. This will help reduce discomfort and swelling.
5. MEDICATIONS: Because some discomfort is expected, you may take acetaminophen (Tylenol®) or ibuprofen (Motrin®, Advil®) before the numbness wears off. DO NOT TAKE ASPIRIN PRODUCTS due to the possible increase in bleeding potential. If prescription medications were prescribed please follow label instructions carefully. For most extractions, a non-aspirin over the counter pain medication will provide good pain relief. Do not take more than the manufacturer or doctor recommended dosage of any over the counter or prescription medication(s). If you experience any untoward side effects from the medication(s), please discontinue taking them, and call our office. FOR SERIOUS SIDE EFFECTS OR ALLERGIC REACTIONS SEEK MEDICAL CARE IMMEDIATELY.
6. DIET: A liquid or soft diet should be adhered to for the first 12-24 hours. It is important to drink plenty of liquids for the first day or two following surgery. Avoid the use of a straw as it may dislodge the blood clot that is forming in the extraction site. Cold soft foods (eg, ice cream, gelatin, Instant Breakfast®, pudding, yogurt) are ideal the first day. By the second day, consistency of foods can progress as tolerated. Until healing is more established, avoid foods such as nuts, sun-flower seeds, and popcorn that may get lodged in the surgical areas.
7. ORAL HYGIENE: Clean the rest of your mouth as usual, however avoid bumping or brushing the extraction site. DO NOT RINSE OR SWISH YOUR MOUTH for the first 24 hours following surgery. Beginning next day, you may rinse with warm salt water (½ teaspoon salt with 1 cup water) after meals. DO NOT SMOKE for the first 48 hours following surgery as it may delay healing following oral surgery or causes dry socket.
A) Dry Socket. This is sometimes a problem after surgery. The symptoms associated with dry socket are constant moderate to severe pain, bad taste, putrid odor, and poor clot formation at the surgical site. IF YOU THINK YOU HAVE ANY OF THESE SYMPTOMS CALL OUR OFFICE IMMEDIATELY.
B) Fever. Monitor your temperature for the first 24-48 hours. Any elevated temperature should be reported to our office.
C) Swelling. Some swelling during the first 24-48 hours can be expected.
There are a variety of problems that can arise after any surgical procedure. Some may require additional therapy or emergency medical attention. If you have any questions or concerns please call our office.
IF YOU EXPERIENCE ANY SEVERE SWELLING, PROLONGED BLEEDING, SEVERE PROLONGED PAIN, HIGH FEVER, DIZZINESS, ALLERGIC TYPE REACTIONS, ETC. THAT CONCERN YOU, PLEASE CALL US IMMEDIATELY. IN THE EVENT YOU CANNOT REACH US OR WE DO NOT RETURN YOUR CALL WITHIN A REASONABLE TIME – GO TO THE EMERGENCY ROOM FOR IMMEDIATE MEDICAL ATTENTION.