• If IV sedation was used, do not drive or operate machinery for 24 hours.
• Immediately after surgery bite down on the supplied gauze for 15-20 minutes after surgery to stop any active bleeding.
• Slight bleeding is common for as long as 24 hours after surgery. If this becomes heavy, place a new piece of gauze for an additional 15-20 minutes and bite firmly.
• If bleeding is heavy and will not stop, please contact the office.
• Post-operative pain is usually worse the night of surgery and will slowly decrease over the next three to four days.
• Norco (hydrocodone with acetaminophen) is usually prescribed for pain. Please note that Norco contains Tylenol and additional Tylenol should not be taken.
• Over the counter ibuprofen (usually 600mg) can be taken in addition unless you are unable to take NSAID’s.
• It is best to stagger the dosing of Norco and Ibuprofen. They can both be taken every 6 hours. Therefore, take either Lortab or Ibuprofen every three hours.
Nausea & Vomiting
• Nausea and vomiting is the most common complaint the night of surgery.
• This is usually a reaction to the pain medication. Try to eat some food prior to taking the pain medication.
• If nausea & vomiting persists, contact the office so that an anti-nausea medication can be prescribed.
• Sutures are placed to adapt the tissues and help with bleeding.
• These sutures are resorbable and do not have to be removed.
• Sutures will normally come out 3-4 days after surgery.
• Sutures will occasionally come out the night of surgery. Unless associated with heavy bleeding, we do not replace these sutures.
• Straws should be avoided for the first 24 hours following surgery.
• The day of surgery, the diet should be very soft and room temperature or cooler, to help prevent bleeding.
• After the first day, any food temperature is alright, but harder foods should be avoided for several days.
• Swelling is a normal result of wisdom tooth removal.
• Ice packs for the first 24 hours will help decrease swelling. Do not leave on for more than 20 minutes at a time.
• Sitting in a recliner versus lying flat will help decrease swelling during the first 24 hours.
• A diagnosis of a “dry socket” is assumed if pain gets worse after three days and the pain changes in character or radiates. To help prevent dry sockets, rinse with Chlorhexidine twice per day starting the night of surgery.
• Contact the office to arrange the appropriate treatment.