After Exposure of an Impacted Tooth

Do not disturb the wound/surgical site. If a surgical packing was placed, please leave it alone – – the pack helps to keep the tooth exposed. If itbecomes dislodged or falls out do notbe alarmed – – please callduring normal office hours and you will be given further care instructionsif needed.

You may notice a gold chain coming out of the gum tissue and tied to the orthodontic wire or bracket. If it is completelyloose and hanging down, please call our office.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours following surgery. Excessive bleeding, which results in your mouth filling rapidly with blood,is frequently controlled by biting with pressure on 2-3 pieces ofgauzerolled or folded, and lightly moistened,placed directly on the bleeding wound for 30-60 minutes. Replace the gauze if necessary. Bleeding can occur off and onup to24 hours following surgery. If bleeding is excessive, or continues, please call our office.

Swelling

Swelling is a normal occurrence after surgery. To minimize swelling apply an ice pack, or a plastic bag or towel filled with ice, on the cheek in the area of the surgery. Apply the ice continuouslyfor the first48 hours.If you have swelling after 48 hours,discontinue ice andinstead apply moist heat to the outside of the face.

Diet

While you are numb, a soft, no-chew diet is recommended. Consumesoft foods and liquids on the dayof surgery. Drink plenty of fluids. Avoid hot liquids or food until the numbness has worn off.Return to a normal diet as soon as possible after the numbness wears off, unless you have been given other instructions.

Pain

Begin taking pain medication as soon as possible – -with food – – when you arrive home.Pain medications work best if taken before the numbness (local anesthesia) wears off. For mildpain, take 1 or 2 Tylenol or Extra Strength or Ibuprofen as directed on the bottle – – but only as ordered by your doctor.For moderate to severe pain, medications(s)prescribed by your doctor should be taken as directed.

Oral Hygiene

Keeping your mouth clean, especially the surgical site, is essential to good healing. Clean your mouth thoroughly after each meal, beginning the day after surgery. Brush your teeth as best you can, being gentlenear the surgical site. If you were given a mouth rinse to use, rinse your mouth as directed starting the day after surgery. Otherwise,rinse with warm salt water (1/2 teaspoon of salt in a cup of warm water) after each mealup tosix times a day. Continue this procedure until healing is complete.

Remember: A clean wound heals better and faster.

Activity

Restrictyour physical activity to a minimum immediately following surgery. If youexercise,pain andbleeding may increase. If this occurs,discontinue exercising immediately. Be aware that you may not be taking in a normal amount of food and fluids for a short time immediately following your surgery. Exercise may weaken you. If you get light-headed, stop exercising.