Post op extraction
Post operative care recommendations: Tooth extractions (including 3rd molars removal)
For Sedated patients
- Do not drive for 24 hours. Although you may feel fine you are still impaired!
- Do not leave the sedated patient in the car alone, or alone at home.
- Nausea may occur.
- If nauseated, discontinue use of the the narcotic pain reliever.
- Drink / eat clear foods such as water, sport drinks, Jello, applesauce… Avoid dairy products if nauseated.
- If vomiting occurs, rinse gently with water. Vomiting will not harm the surgical sites.
- Usually the nausea will resolve with time. If it persists please call your surgeon.
Some blood in the oral cavity is normal.
Bleeding is controlled by placing a firm gauze pack directly over the site and biting with constant pressure.
You may change the gauze every 30 - 60 minutes using the extras provided.
If the gauze is only spotted with blood you can discontinue the gauze use.
Brushing / rinsing / syringe
Brush away from surgery site. You can choose not to brush and rinse the day of surgery.
As the area heals, you can begin gently cleaning near the site. Brush thoroughly elsewhere.
Avoid excessive spitting for the first several days.
Begin swishes with water, salt water, or the prescribed rinse the day after surgery.
Continue to rinse the sockets by swishing twice daily for 2-3 weeks, or until the sockets are closed.
If you were provided with an irrigation syringe begin using it 5 days after surgery. Continue to use for 2-3 weeks or until the sockets are closed.
Ice / heat
For simple extractions, ice and heat applications may not be necessary
Apply ice packs to the side of the face for 20- 30 minutes per hour on the day of surgery. You may use ice the day after surgery also if it is helpful.
Apply heat packs 2 -3 day out to help with soreness and stiffness.
Swelling / Stiffness
Swelling usually peaks 2-3+ days postop. If you believe the swelling is abnormal or is increasing rapidly please call the office or your surgeon.
Stiffness and limited opening is normal. Again, if not improving or increasing please call.
Take the medications prescribed for you as directed. Taking with food may help to minimize stomach upset.
Some antibiotics may interfere with oral birth control pills. Please exercise appropriate precaution.
If you are able to use NSAIDS (Ibuprofen, Advil, Aleve), we recommend using ibuprofen as the main medication for pain / swelling relief over the first 2-4 days. You will find better control if you take it as prescribed every 6-8 hours.
If needed, you can introduce other types of pain medications between the Ibuprofen doses. Such as alternating Ibuprofen with over the counter (OTC) Tylenol (acetaminophen) or the prescribed hydrocodone/acetaminophen or other medication if you were instructed to do so. In this way you can take a pain reliever every 3 hours.
Do not take OTC Tylenol and the prescribed hydrocodone/acetaminophen (other acetaminophen product) together. You will be taking too much acetaminophen.
Persistent nausea days after surgery is usually associated with narcotic pain medications.
Do not drink alcohol, drive, or operate machinery while taking narcotic pain relievers such as hydrocodone and oxycodone.
A liquid to soft diet is recommended the day of surgery
Advance diet as tolerated, chewing away from the surgical sites. Avoid hard foods such as chips, nuts, popcorn… over the first 2 weeks.
You may use straws 7 days after surgery.
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.