Post op third molars extraction
- Please use provided gauze to place over the extraction site with gentle pressure.
- It is normal for the site to bleed for couple of hours before the clot stabilizes.
- It is normal for the site to bleed again if the blood clot becomes disrupted.
- If normal gauze is not helpful, please apply moist tea bags as substitute to compress over the extraction socket. Tannic acid can be more effective in managing the stability of the clot.
- Some bruising can be expected, especially for patient that are on blood thinning medications.
- Early management via gauze is important especially with lower wisdom teeth to help stabilize the clot and prevent dry socket.
- Recommend minimal chew diet for the first day.
- Slowly increase your diet to chew but remain on relatively soft food items.
- Try to chew more with the front teeth.
- Less you disturb the lower third molars sites, less sore it will become and decreases the risk of post operative dry socket.
Oral hygiene care:
- Gently brush remaining teeth but stay away from the extraction sockets.
- If prescription mouthwash was given, gentle swish and spit as recommended.
- Over the counter pain medication can be taken such as Ibuprofen and / or Tylenol if you are able to take them.
- You may be prescribed a prescription pain medication to be taken if OTC medications are not adequate.
- These prescription pain medications can be taken with other forms of NSAID (Ibuprofen, Alleve), however please do not use additional acetaminophens (aka Tylenol).
- If able, we recommend that you stagger the medications thus alternate it every 3-4 hours as needed for pain control.
- Applying ice to the face for the first 24-48 hours will help with the swelling. Swelling of the lower facial thirds can peak 72 hours or plus if lower third molars have been removed.
Things to avoid:
- Avoid smoking, chewing tobacco, sucking through a straw typically for the first week.
- If upper third molars are involved, we advise the patients to avoid blowing your nose with excessive pressure.
- Sutures (stitches) are resorbable unless informed by your surgeon.
- Sutures may become loose over the first several days.
- Depending on the type of suture, it may last from a few days to several weeks.
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 your surgeon is not immediately available to answer your call, please call the hospital operator to transfer the call to ON CALL oral surgeon: