After Extraction of Impacted Tooth

After the extraction of an impacted tooth, it is important to not disturb the wound. If surgical packing was placed, leave it alone because this helps to keep the tooth exposed. However, If it gets dislodged or falls out do not get alarmed.

Below are additional instructions and guidelines for an optimal oral surgery recovery process. Please call our office with any questions you may have before or after surgery.

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Instructions for After Surgery


Some bleeding or redness in the saliva is normal for 24 hours after surgery. If excessive bleeding occurs, bite down on a gauze pad placed on the wound for 30 minutes. This should control the bleeding, but if it continues please call for further instructions.


Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bag or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice continuously as much as possible for the first 36 hours.


After surgery drink plenty of fluids. However, make sure to avoid hot foods or liquids. On the day of surgery soft food and liquids should be eaten. Return to a normal diet as soon as possible unless otherwise directed.


Begin taking pain medication once the local anesthetic wears off. Take 1-2 Tylenol or Extra Strength every 3-4 hours for moderate pain, or Ibuprofen (Advil, Motrin) may be taken instead. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed. Take the prescribed medication as directed for severe pain.

Oral Hygiene

Mouth cleanliness is essential to good healing, so clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can, and rinse with warm salt water (1/2 tsp. of salt in a cup of warm water) 6 times a day. Continue until healing is complete. REMEMBER: A clean wound heals better and faster.


Keep physical activities to a minimum immediately following surgery. If you are considering exercise after extraction surgery, throbbing or bleeding may occur so you should discontinue exercising. In addition, since your normal nourishment intake is reduced, exercise may weaken you. If you begin to feel light headed, stop exercising.