After Adult Oral Surgery
It is essential that you
- Maintain continuous firm pressure on gauze pads placed directly over extraction sites for 30 minutes.
- Rest at home today and keep talking to a minimum.
- Wear your cold packs for the rest of today even if you have no/minimal swelling.
- Do not spit, suck on straws or brush teeth today.
- Do not smoke or vape today.
- Take medication for discomfort before freezing wears totally off.
Your surgeon frequently uses a long lasting local anesthetic which means you may be numb (especially lower lip and chin) for up to 12 hours. Do not wait for the freezing to leave before you start drinking liquids.
Most of your bleeding will have subsided by the time you leave our office. Continued oozing for 24 hours after surgery is quite normal. Once home, if still bleeding, change the gauze pack for a fresh one, relax, elevate your head and bite firmly for 30 minutes. Typically 1-2 changes is all that is required. A moist tea bag is also useful in place of gauze. Do not use gauze packs if bleeding is only minimal/slight.
Beginning tomorrow, rinse mouth every 4-6 hours with warm, slightly salty water (1/2 teaspoon in a tall glass of water) for the following week. Begin brushing your teeth the day after surgery, avoiding any areas with stitches. You may lubricate your lips with Chapstick, Vitamin E ointment or Vaseline if desired. Continue rinsing with Oro-X twice a day until the bottle is empty, if given.
Start using 5 days after your extractions. Fill syringe with warm water and gently irrigate lower sockets twice per day to keep food from collecting.
SWELLING AND BRUISING
Swelling and bruising often occurs after surgery and are completely normal. Swelling typically increases for the first 3-4 days, then gradually subsides over the following 3-7 days. Applying cold/ice packs the entire day of your surgery is very helpful to minimize the amount of swelling you will experience. Wear them even if you feel there is little initial swelling. Keep the cold packs against your cheeks for 30 minutes, then chill in freezer for 30 minutes, then re-apply, etc.
Following oral surgery you can expect some degree of discomfort. This typically lasts 2-6 days and is much like a “crampy tenderness”. The degree varies, depending upon the difficulty or extent of surgery. In general, the younger the patient, the less discomfort and shorter the healing period.
Nausea may occur after an anesthetic or from some medications. If this happens, Gravol may be purchased without a prescription. Slow sips of gingerale, 7up or apple juice often helps.
This is a normal protective mechanism caused by an accumulation of fluid in the jaw muscles to aid healing. It will usually subside in 7-10 days.
Take the medications as directed on the bottle. The medication prescribed should keep you relatively comfortable and is best taken with fluid or food in your stomach. For mild discomfort Tylenol or Advil (ibuprofen) may be used. Some pain medications can cause dizziness; do not drive. If antibiotics are prescribed they should be taken until the full prescription is used. Women need to be aware that certain antibiotics can decrease the effectiveness of oral contraceptive medications.
Your sutures are the “dissolving” type and will fall out in 3-10 days on their own.
Most people can begin drinking fluids once home. Do not wait for the freezing to be gone. Start with clear fluids initially and progress to soup (such as chicken or beef broth), fruit or vegetable juice. The evening of surgery is fine to start milk products such as milkshakes, yogurt, and pudding. Drink as much as you are able. Small amounts should be taken frequently. A vitamin supplement is a good idea. Advance your diet over the next few days to include softer items such as pasta, scrambled eggs, well cooked vegetables, fish, etc. Avoid straws for the first few days as the suction can cause bleeding.
SMOKING AND ALCOHOL
Smoking, vaping, and alcohol all delay healing and may lead to complications. Do not smoke, vape, or drink alcohol for at least 48 hours following surgery.
Your recovery will be followed up by either a phone call from one of our nurses or you will be scheduled an appointment to come back to see your surgeon. Your nurse will inform you before you leave the office. If you have any questions or concerns please feel free to call our office. After office hours our answering service will reach the doctor on call.