After Extraction of Wisdom Teeth, Naperville IL
Bite down gently but firmly on the gauze packs that have been placed over the surgical areas. Do not change them for the first 30 minutes. The packs may be gently removed, it is best to moisten the gauze with tap water to assure the gauze does not tug on the blood clot. Do not eat, drink or sleep with gauze in your mouth. Oozing may continue for 24 hours.
PERSISTENT BLEEDING: Bleeding should never be severe. If so, it usually means that the gauze packs are being clenched between teeth only and are not exerting pressure on the surgical areas. Try repositioning the packs. If bleeding persists or becomes heavy you may substitute a moist tea bag for 20 or 30 minutes. The tannic acid helps to form a clot by contracting bleeding vessels. If bleeding remains uncontrolled, please call our office. 630-364-2888.
DIET: Eat any nourishing food that can be taken with comfort. Avoid extremely hot foods. Do NOT use a straw for the first week after surgery. It is advisable, to confine the first day’s intake to liquids or pureed foods (soups, puddings, yogurt, milk shakes, etc.) It is best to avoid foods like nuts, sunflower seeds, popcorn, etc., which may get lodged in the socket areas. Over the next several days you may gradually progress to solid foods. It is important not to skip meals! If you take nourishment regularly you will feel better, gain strength, have less discomfort and heal faster. If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.
MEDICATIONS: For pain, please use over the counter medications first; these may include Advil, Motrin or Ibuprofen. You may take up to 3 tablets (600mg) every 6 hours for 3 days. If you need something stronger, use the prescribed medication given to you. Do NOT take Tylenol (Acetaminophen) if you are also using the prescription pain medication; the prescription already contains Tylenol.
Make sure you have food or liquid in your stomach when taking these medications to reduce stomach distress such as nausea or vomiting. Do NOT take more medicine than directed.
A certain amount of pain following extractions is not uncommon. Severity of pain is usually related to the condition of the teeth before extractions or the difficulty in removing the teeth. After 3 days, the pain should be minimal. If your pain is increasing in severity and/or you have significant ear pain, please contact our office.
ORAL HYGIENE: Do NOT disturb the surgical area today. Do NOT rinse vigorously, spit or probe the area with any objects. You may resume brushing your teeth gently the day after surgery. If you have been prescribed Chlorhexidine Rinse, use rinse for at least 30 seconds 2 x’s a day for 5 days. PLEASE DO NOT SMOKE for at least 48 hours, since this is very detrimental to healing and may cause a dry socket. You may be given a plastic irrigating syringe that will start 5 days after your surgery. Fill the syringe with warm tap water and rinse lower extraction sites twice a day. You do not have to flush upper extraction sites.
SUTURES: If the sockets have been sutured, the sutures should dissolve in 5 – 7 days. If you had some Bone Grafting done in the extraction site, you will not have dis-solvable sutures and it will be sealed with tissue glue. If the tissue glue starts to flake off, please do not try to pull it out due to the reason that it’s connected with your sutures. You will be given an appointment to come back in 2 weeks to have them removed.
SWELLING: In certain cases, swelling will arise. The swelling will begin in the gum tissue next to the socket. This swelling can extend into the cheek and neck area. Ice packs are very important and will help minimize swelling. The ice packs should be applied for about 20 minutes, each hour, for the first 24 hours.
PHYSICAL ACTIVITY: There is to be no physical activity (exercise, etc.) for at least 5 days following the procedure. Also, there is to be no lifting more than 15 lbs.
BONE FRAGMENTS: It is possible that during the healing process, small sharp fragments of bone may loosen and work through the gums. These fragments, which are not parts of the tooth, usually work out of the gum on their own. If they become bothersome, call the office.
Sometimes the after-effects of oral surgery are quite minimal, so not all of the instructions may apply. Common sense will often dictate what you should do. However, when in doubt follow these guidelines or call our office for clarification. Our number is 630-364-2888.
Our services are provided in an environment of optimum safety. We utilize modern monitoring equipment and our staff are experienced in anesthesia techniques.
Are There Any Problems after the Extraction of Wisdom Teeth?
As with any medical procedure, there can be complications or an unanticipated result. Some complications that patients undergoing Wisdom Tooth Extraction may experience include: Damage to the sensory nerve that supplies sensation to the lips and tongue, sinus communication, infections and dry sockets.
After the procedure, our assistants will review your post-operative instructions with your escort. We ask that you follow these instructions closely, as they will make you most comfortable following your procedure. If you were sedated, you will be comfortable and drowsy when you leave the office. Most patients prefer to go home and rest with no other physical or scholastic activities planned for a few days. With any medical procedure, there can be unexpected results. These can include delayed healing, infection and post-operative numbness or tingling in your lip, chin, or tongue. The oral surgeon will review relevant post-operative events with you and answer any questions during your office visit.
Damage to Sensory Nerve:
A primary concern is a nerve within the lower jaw bone that supplies feeling to the lower lip, chin, and tongue. This nerve is frequently very close to the roots of the lower wisdom teeth. Having these teeth out between the ages of 12 and 18 usually provides shorter roots so that the nerve is not so close to the roots of these teeth. Occasionally, when the teeth are removed, and especially in older patients, the nerve can become injured. When local anesthesia wears off, you may experience a tingling or numbing sensation in the lower lip, chin, or tongue. Should this occur, it is usually temporary and will resolve gradually over a period of weeks or months. On rare occasions it can result in a permanent alteration of sensation similar to having local anesthesia. We feel that you should be aware of this possibility before consenting to surgery.
The upper wisdom teeth are situated close to your sinuses, and their removal can result in an opening between your mouth and the sinus. Once again, if the teeth are removed at an early age, the root formation is minimal, and this complication is very unlikely. However, if it does occur, it will usually close spontaneously, but we may give you special instructions to follow, such as avoid blowing your nose for two or three days following the surgery. You can wipe your nose, but don’t blow your nose. If you have to sneeze, you should sneeze with an open mouth into a tissue. Pressure should not be created in the sinus area, which may dislodge the healing blood clot. If you sense this condition occurring after the surgery, please contact the office. An additional procedure may RARELY be necessary to close the opening.
Dry sockets continue to be the most common problem people experience following dental surgery. They arise due to premature loss of a blood clot in the empty tooth socket. This seems to occur with greater frequency in people who smoke or are taking birth control pills. While both jaws can be affected, they usually occur in the lower jaw on the third to fifth day. They cause a deep, dull, continuous aching on the affected side(s). Patients may first notice the pain starting in the ear radiating down towards the chin.
The symptoms frequently begin in the middle of the night, and your pain medication regimen may not help. Treatment can involve changing your prescription. Occasionally it is helpful to place a medicated dressing in the empty tooth socket. This will help decrease the pain and protect the socket from food particles. The effectiveness in alleviating the pain lasts for 24-48 hours and may require dressing changes every day or two, for five to seven days. Dressings usually are removed when you have been pain free for 2 to 3 days.
The dressing doesn’t aid in healing. The only reason to place a dressing is for pain control. If medication is controlling the pain, the socket will heal without a dressing. Following removal of the dressing, an irrigation device may be provided to help you to keep food particles from lodging in the extraction site.
Occasionally, post-operative infections occur. This usually requires an office visit and clinical examination. Many times, just placing you on an antibiotic for one week will take care of the infection. If it persists, the area will have to be drained and cleaned. Other temporary problems you may experience in the post-operative period include stiffness of the jaws, chafing around the corners of your lips, facial bruising, and blood oozing from the extraction sites. The post-operative instruction sheet we will provide should answer many of the questions related to these more common concerns. If not, don’t hesitate to call the office at Naperville Office Phone Number 630-364-2888.