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Instructions Following Extraction

Anesthetic-You were numbed today for this procedure, so please wait until the numbing wears off before chewing, eating, or drinking. Please wait before ingesting anything hot especially, so you don’t run the risk of burning the inside of your mouth (2-2.5 hours).

Bleeding-It is completely normal for the site to continue bleeding for the next 24 hours or so. To help control it, you will be given sterilized gauze pads to place at the site to constantly bite on firmly. This will assist in the clotting process, and should be continued until the bleeding has stopped completely. Remove the gauze when eating, and replace immediately after you are finished. Also remove the gauze when going to bed; this could become a choking hazard. If the bleeding is consistent and fills the mouth quickly, call the office.

Swelling-Swelling and bruising in the area is common at the surgical site. The most painful time for healing will be two to three days after the procedure; this is where you will experience the most swelling, pain, and jaw stiffness. Apply ice packs 15 minutes on, and 15 minutes off to help with the swelling. Also keeping your head elevated until bed time will help relieve the throbbing pain and swelling. After 36 hours, a warm moist towel applied to the site will help with jaw and muscle soreness.

Pain-The greatest discomfort you will experience will be the first 6 to 8 hours after the surgery. If you were prescribed pain medication to take by Dr. Obeid, please take it as soon as you receive it, and never take it on an empty stomach. If itching or rash occurs stop taking the medication and contact the office immediately.

Muscle Soreness-It may be difficult to open your jaw after the surgery, especially after wisdom teeth removal. Chewing gum (sugarless) at intervals will help with muscle soreness, along with a moist towel after 36 hours.

Mouth Care-Absolutely no smoking for the first 48 hours after your surgery. Do not rinse, swish, or spit as well for the first 24 hours. The day after surgery you may rinse with a glass or warm water mixed with ½ teaspoon of salt a few times a day for one week. This will help relieve some soreness, and also help the healing process.

Brushing and Flossing-Avoid brushing and flossing in the first 24 hours following your procedure. The next day, you may brush and floss as normal, but completely avoid the surgical area.

Diet-It is important to maintain good nutrition after surgery, this will help you keep up your strength and will help you heal faster. However, you do need to avoid drinking through a straw, carbonated beverages, and hot beverages for the first 24 hours. Eat whatever you are comfortable with the first day, something soft and easy to chew most likely. Drink as many fluids as you can for the following three days.

Infection-If swelling and discomfort worsens after the fourth day following the surgery, along with a foul taste, fever, and difficulty swallowing, call the office immediately.

Dry Socket- Many people fear the possibility of a dry socket, which is a very unusual complication. Dry socket may happen if you ignore some of the warnings we have prescribed in this list of instructions. So as long as you refrain from the above listed, no smoking, no straws, no spitting, no swishing, etc. you should not have any complications. The way to identify dry socket is if you have a very dull but painful feeling in your surgery site, and also the feeling of an ear infection. This pain will become evident after the fourth day following the surgery and will only become worse. If you believe you have dry socket, call the office immediately so we can evaluate and treat as needed.