Post-operative instructions are always given after the
removal of wisdom teeth.
Gauze will be placed in the location of the extraction
sites. The patient should bite down on the gauze to apply firm but gentle
pressure. This will help stop the bleeding. The gauze should be checked every
half hour to forty-five minutes. If the sites are still bleeding new gauze
should be placed at the sites. Continue until the sites stop bleeding.
Ice packs can be placed on the outside oh the cheek 20
minutes on, 20 minutes off for the first 24 hours as much as possible. The more
it’s done, the less swelling will be seen. After the first 24 hours, the ice
can be switched to a warm moist compress on the outside of the cheek, 20
minutes on, 20 minutes off. This will help the swelling that has accumulated to
reduce at a faster rate.
Elevation of the head will also help. Use pillows to prop
the head up or relax in a recliner to keep the head above the level of the
heart.
No forceful rinsing of the mouth, no spitting, and no using
a straw/sucking/smoking. These actions will create pressure in the mouth and
cause the blood clot in the extraction sites to dislodge and expose the bone.
This is called a dry socket and can be extremely painful and will need to be
treated by the doctor.
Lastly, stay on a scheduled dose of ibuprofen (if medically
able to) to help with inflammation and pain management. If there is break
through pain, a prescription pain medication prescribed by the doctor can be
taken as prescribed and instructed by the doctor.
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