Wisdom Tooth Removal

Post-Operative Instructions: Wisdom Tooth Extraction

Wisdom tooth extraction is a surgical procedure requiring careful post-operative care. Following these instructions will minimize discomfort and reduce the risk of complications such as infection and swelling.

Immediate Post-Surgical Care

  • Maintain pressure on the gauze pad over the surgical site for 30 minutes, then remove and discard it.
  • Avoid vigorous rinsing or touching the surgical area to prevent dislodging the blood clot.
  • Take prescribed pain medication as soon as discomfort begins.
  • Limit activity on the day of surgery and apply ice packs to your face as directed below.

Managing Bleeding

Some bleeding is expected. For excessive bleeding, rinse away old clots, apply fresh gauze, and bite firmly for 30 minutes. Repeat if needed. If bleeding persists, use a moistened black tea bag for 30 minutes. The tannic acid helps clot formation. Remain calm, sit upright, and avoid exercise. Contact our office if bleeding continues.

Controlling Swelling

Swelling is normal and peaks 2-3 days post-surgery. Apply ice packs to your face continuously for the first 36 hours. After 36 hours, moist heat can be applied to reduce swelling. Persistent swelling or stiffness is normal. Contact our office with any concerns.

Pain Relief

For moderate pain, take Tylenol or Extra Strength Tylenol every 3-4 hours, or Ibuprofen (Advil or Motrin) as directed. Do not combine these medications. For severe pain, use prescribed medication as directed. Do not take any medication you are allergic to or have been advised against. Avoid driving, operating machinery, and alcohol. Contact our office if pain persists or worsens.

Dietary Guidelines

After sedation, consume only liquids initially. Avoid straws. Progress to soft foods, chewing away from surgical sites. Maintain a high-calorie, high-protein diet and stay hydrated with 5-6 glasses of liquid daily. Avoid sudden movements to prevent dizziness.

Oral Hygiene

Do not rinse on the day of surgery. Begin gentle salt water rinses (one teaspoon salt in one cup warm water) the day after surgery, 5-6 times daily, especially after meals. Gently brush teeth, avoiding surgical sites.

Discoloration

Discoloration (black, blue, green, or yellow) may occur 2-3 days post-surgery. This is normal. Moist heat can help.

Antibiotic Use

Take antibiotics as prescribed to prevent infection. Discontinue use and contact our office if you experience a rash or other adverse reaction.

Nausea and Vomiting

If nausea or vomiting occurs, avoid intake for one hour. Then sip clear liquids slowly. Once nausea subsides, resume food and medication.

Other Potential Complications

  • Numbness, temperature elevation, dizziness, bony projections, cracked lips, sore throat, and jaw stiffness are possible.
  • Contact our office with any concerns.
  • Sutures may dislodge; remove and discard them. They will be removed one week post-surgery.

Final Notes

A void will remain where the tooth was removed, filling with tissue over time. Keep the area clean. Contact our office if pain or swelling worsens, or if you experience dry socket symptoms (pain 2-3 days post-surgery). Avoid strenuous exercise immediately after surgery. Contact Drs. Womack or Peaks with any questions or concerns.