Wisdom Tooth post op Instructions

Please follow the specific instructions given by your surgeon. If you have a question, please call our office.

  • Bite,  DO NOT CHEW, on gauze for 40-45 minutes OR UNTIL BLEEDING STOPS. You may have to replace moist gauze and bite firmly for another 45 minutes.
  • DO NOT SMOKE FOR 48 hrs. – DRY SOCKET may occur
  • DO NOT USE A STRAW to drink or FORCIBLY SPIT or RINSE with mouthwash for 24 hours.
  • BRUSH YOUR TEETH 3 TIMES A DAY. It is okay to get back near the surgery site the first day! After the first day gently brush the surgery sites.
  • Keep your head elevated when possible, it helps to reduce swelling and bleeding.
  • USE ICE PACKS on the jaws for 20 minutes on – 20 minutes off the first 24 hrs.
  • STAY OUT OF THE HEAT and sun during hot summer months until you have regained strength and finished your antibiotic.
  • Some discoloration around the IV site is normal and the extent will depend on your complexion and skin tone.
  • DO NOT LIFT HEAVY OBJECTS with the arm your IV site was in for 3 days.
  • If a KNOT, RED STREAKS OR MUSCLE WEAKNESS occurs around the IV site CALL THE OFFICE.
  • The day after surgery, begin rinsing with a mixture of 1-teaspoon salt  in 8 oz of warm water. Rinse with this mixture several times a day.
  • DO DRINK MORE FLUIDS than normal the first several days after surgery. START WITH Sprite, Ginger Ale or 7Up, Gatorade, or Apple juice. Clear beverages are best. AVOID JUICES THAT ARE HIGH IN CITRIC ACID SUCH AS ORANGE JUICE.
  • You may have JELLO or apple sauce as your first foods. After these, if feeling able, you may have a light lunch.
  • LATER IN THE DAY you may have soft foods such as mashed potatoes, scrambled eggs, grits etc. Begin dairy products LATE the first day if you have tolerated all other foods. 
  • You are encouraged to move your jaw through chewing motions IMMEDIATELY after surgery.
  • DO NOT DO ANY FORCEFUL CHEWING FOR 2-3 DAYS. (Tough food such as bagels, steak, etc)
  • STAY AWAY FROM PEANUTS, POPCORN AND CHIPS FOR THE FIRST WEEK.

MEDICATION INSTRUCTIONS:

  • THE FIRST DAY YOU WILL BEGIN YOUR ANTIBIOTICS AND ADVIL WITH THE LUNCHTIME MEAL AND AGAIN WITH DINNER. Narcotic pain medication may be given before bedtime.
  • Starting the second day you will take your 3 Advil (600 mg Ibuprofen) with the antibiotic prescribed. So, breakfast, lunch & dinner you would take 1 antibiotic and 3 Advil. If your antibiotic prescription is written for 4 times a day, you would add bedtime to this.
  • If you notice 1-1 1/2 hours after taking the Advil (600mg Ibuprofen) that you feel the pain breaking through, you may at this time take the prescribed narcotic pain medication. The Advil (600mg Ibuprofen) and the narcotic work together to keep you comfortable.                                                         
  • CONDITIONS THAT MAY OCCUR:                                                                                                                                                                                                                      –NAUSEA AND VOMITING: This is usually caused from swallowing blood. If non-productive vomiting persists, a prescibed suppository may be needed. Pain medications may also cause nausea. Nausea is best avoided by not taking the pain medication on an empty stomach. If you do develop nausea- MAINTAIN A NON-DAIRY LIQUID DIET FOR 24 HOURS & then gradually return to a normal diet.                                                                                                                                                                                                                                                                          -SWELLING: Occurs in the area of surgery and may become quite large, peaking 2-3 days after surgery.                                                                -BRUISING: May develop over the side of the face and neck. This will resolve over the next week.                                                                              -NUMBNESS: Of the lower lip/chin is not uncommon following surgery and is usually temporary.                                                                              -FEVER:There may be a slight elevation of temperature (fever) for 24-48 hours.  If it persists, call the office.                                                      -BLEEDING: The wound may bleed slightly for 48 hours. Replace with moist gauze and bite firmly for 45 minutes. If excessive bleeding continues, call the office.                                                                                                                                                                                                                          -SUTURES: Your surgeon may use sutures, if so they will dissolve in 4-7 days, unless instructed otherwise.