" Creating beautiful custom smile, while respecting the limits of your anatomy. "
Periodontal Surgery: Post-operative Instructions
Following dental extraction (especially wisdom teeth), it is important for you to assist the healing. In particular, it is important for the blood in the area of the surgery to clot. For the first 24 hours following the extraction, you will observe a protocol to encourage and then to maintain the clot.
- Take all prescribed medications according to instructions.
- Take all antibiotics that have been prescribed, even if symptoms seem to be gone (this is very important!).
- Take pain medication as prescribed or recommended. At your own discretion, you may take ibuprofen (the active ingredient in Advil®) according to label instructions.
- If bleeding continues beyond the first day, apply a moist gauze pad (using a firm pressure) or a tea bag.
Call Us If
- a moist gauze pad fails to stop the bleeding, or if the bleeding increases;
- pain or swelling increases or persists beyond the 3rd day;
- you feel numb in tongue, chin, cheeks, gums, lips (wisdom tooth roots are extremely close to important dental nerves).
- you experience heavy bleeding or severe pain;
- you have any questions or concerns.
Immediately After Extraction
- For 1 hour, bite on a gauze pad.
- After 2-3 hours, if the bleeding has not stopped, then bite firmly on a tea bag for another 45 minutes.
- During the first 6 hours, you can apply an ice pack (20 minutes on, 20 minutes off) to decrease pain and swelling.
- For 48 to 72 hours, pain and swelling are very likely.
For the First 24 Hours
- Avoid strenuous activity.
- Avoid drinking through a straw.
- Avoid smoking.
- Avoid spitting.
- Avoid vigorous rinsing.
- Avoid cleaning the teeth adjacent to the extracted teeth.
- Avoid extremely hot, cold, or spicy foods.
- Eat only soft foods: soup, broth, omelette, yogurt, ice cream, purée, and similar foods (resume your usual diet only once you are comfortable chewing without discomfort).
After 24 Hours
- If you have trouble opening your mouth normally, apply warm and humid compresses to your cheeks.
- Begin eating normally, if comfortable to do so!
- Rinse 3 times per day with lukewarm salt water (1 tsp. of salt in a cup of water). Rinsing, combined with your normal routine of dental hygiene, encourages healing and helps to keep your breath and mouth fresh!
- Resume your normal dental routine (this is important!), including flossing and brushing (except at the site of the surgery; wait another 24 hours for that).
- As you gradually resume brushing at the site of the surgery, you may experience pain and bleeding. Proceed gently and gradually brushing the extraction site.
- Optionally, for discomfort, apply a warm, humid compress.
After a Few Days
- Sutures dissolve without assistance from you.