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Post op extraction

Post operative care recommendations:  Tooth extractions (including 3rd molars removal)


Following general anesthesia or sedation, DO NOT drive a car or operate machinery for the remainder of the day.  DO NOT use alcoholic beverages for the remainder of the day.


  • Bleeding from the area of surgery is usually controlled using clean gauze packs placed directly over the site of bleeding and held in place by constant firm pressure for periods until the bleeding is controlled.  Additional gauze is provided to replace it when over-saturated every 30 min to 1 hour at a time.  Spotting of blood on the gauze is adequate to stop placing the gauze.
  • You can hold tooth brushing and vigorous mouth rinsing until the following day.  Brush remaining teeth after each meal away from the surgery site.  If mouth rinse has been prescribed, use as instructed with gentle swishing and spitting.
  • Ice pack should be placed over the jaws for the first six hours to minimize swelling and pain.
  • Gradual onset of some swelling and muscle stiffness should be expected for a 3-4 days after oral surgery.
  • Minimize smoking following surgery.
  • If sutures are placed, expect it to loosen up within a couple of days to a week.  Some sutures are longer lasting that can last for weeks, please consult with your surgeons if concerned. 



  • The medication prescribed for you should be taken as directed.  It is advisable to take pain medications with some food to minimize stomach upset.  No alcoholic beverages should be used while taking pain medications and caution should be exercised while driving a vehicle when taking narcotic pain medications. 
  • First, if you are able to take NSAIDs (Ibuprofen, Advil, Aspirin, Aleve) and/or Acetaminophen (Tylenol), it can be consumed staggered together, alternating it every 3-4 hours as needed for pain. 
  • If you have been given narcotic prescription, the NSAIDs (Ibuprofen, Advil, Aspirin, Aleve) can be staggered together, alternating it every 3-4 hours as needed for pain. 


  • A liquid to soft chew diet is recommended the day of surgery.  Chew away from the surgery site.  Slowly advance your diet to normal as the site becomes less sore. 


  • Activities for the first 24 hours following surgery should be minimal.  Rest with head elevated.  Activity as tolerated the following day. 

Please call with any questions to us:

During business hours: 

  • Ames (515) 232-6830
  • Marshalltown (641) 753-4130

Or after hours please call the Surgeon who performed your procedure:

  • Dr. Rudman (515) 450-9552
  • Dr. Kazwell (515) 231-2573
  • Dr. Cho (515) 520-9924

If you have an urgent problem and are unable to reach your doctor immediately, please call (515) 239-2011.  Ask for the Oral Surgeon on-call.