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Instructions Following Wisdom Teeth Removal

Thank you for trusting our team with your care. Proper post-operative care is essential for healing and comfort. Please read these instructions carefully following your procedure.

Managing Bleeding After Surgery

Some bleeding is normal after oral surgery.

Bite firmly on the gauze pad placed over the surgical site.
Keep steady pressure until bleeding slows.
Replace gauze as needed.
Continue applying pressure until bleeding stops.

Dizziness After Surgery

It is common to feel lightheaded after surgery.

Sit up slowly.
Pause for a minute before standing.
Avoid sudden movements.

This sensation typically resolves within a few days.

Activity Restrictions

Avoid strenuous activity for 3–4 days.
Resume normal activity as tolerated.
Rest is encouraged during the first 24 hours.

Increased heart rate and activity may restart bleeding.

Pain Medication & Prescriptions

Take all medications exactly as prescribed.

If you were prescribed narcotic pain medication (stronger than Tylenol or Ibuprofen):

Do NOT drive.
Do NOT operate machinery.
Avoid important decisions while medicated.
Avoid alcohol.

These medications can cause drowsiness and impair judgment.

If antibiotics were prescribed, complete the full course.

Example pain medication schedule:

600 mg Ibuprofen every 6 hours
500 mg Tylenol every 6 hours

Alternate between the two so that every 3 hours you're taking one or the other. If this combination is not effective enough, substitute one of the opioid based pain medications for the next Tylenol dose.

Swelling, Bruising & Discomfort

Swelling and soreness are expected.

Swelling typically increases for 3–4 days.
Improvement begins after this period.
Most patients taper off pain medication during the second week.

Facial swelling around the eyes and cheeks is common.

Cold Compress (First 48 Hours)

Apply near the surgical area.
20 minutes on, 20 minutes off.
Always place cloth between ice and skin.
Ice is no longer effective after 48 hours.

After 36 Hours

Switch to moist heat to reduce swelling and stiffness.

Eating & Drinking After Oral Surgery

First 24–48 Hours — Avoid:

Rinsing
Spitting
Smoking
Drinking from a bottle
Carbonated beverages
Alcohol
Hot or spicy foods

Avoid straws for one full week to prevent increased bleeding.

Recommended Diet

Stick to soft foods and liquids:

Soup (lukewarm)
Yogurt
Smoothies (no straw)
Juice
Soft pasta
Scrambled eggs

Advance diet slowly as tolerated.

Oral Hygiene Instructions

Do NOT brush, rinse, or spit on the day of surgery.
Resume gentle brushing the following day (avoid surgical sites).

Salt Water Rinse

Beginning the day after surgery:

Mix:
½ teaspoon salt
8 oz warm water

Rinse gently 3 times per day for 7–10 days.

This helps keep the area clean and promotes healing.

Temporary Numbness

You may experience numbness of the lip, chin, or tongue.

This is typically temporary.
Normal sensation usually returns within a few days.
Be careful while eating to avoid accidental biting.

If numbness persists beyond several weeks, contact our office.

Thank you for trusting our team with your care. Proper post-operative care is essential for healing and comfort. Please read these instructions carefully following your procedure.

What to Expect

Some pain, bleeding, swelling, and minor seeping are normal after surgery.
Do not pull on your lip to view the area or probe it with your tongue or fingers.
If you experience excessive bleeding or discomfort after 48–72 hours, please contact our office.

Pain Management

You may take ibuprofen or acetaminophen as directed on the label or by our office.
Take all prescribed medications exactly as instructed.

Swelling Management

Swelling may increase and peak 3-4 days after surgery.
Apply a cold compress to the outside of your face near the surgical site:
- 20 minutes on, 20 minutes off
- Always place a cloth between the ice and your skin
After 72 hours, switch to moist heat to help reduce swelling.

Oral Hygiene

Avoid brushing directly over the surgical site.
Continue brushing and flossing the rest of your mouth as instructed.
After the first day, rinse gently with warm salt water:
- ½ teaspoon salt in 8 oz of water
- Rinse 3 times daily

First 24 Hours – Restrictions

Do not:

Use a straw
Brush, rinse, or spit
Smoke

You may also experience temporary sensitivity to hot and cold.
Avoid:

Hot or spicy foods
Carbonated or alcoholic beverages

Diet Recommendations

Stick to soft foods and liquids for the first few days:
- Soups
- Yogurt
- Smoothies
- Juice

Activity

Rest on the day of surgery.
Resume normal activities the following day as tolerated.

Dentures

If you wear a denture that overlaps the implant site:
- Minimize use during the first week
- Gradually increase wear time after the first week as healing allows

Follow-Up Care

Keep all scheduled follow-up appointments so we can monitor healing.
Follow any additional instructions provided by our office.

When to Contact Our Office

Call us if you experience:

Increasing pain or swelling after several days
Excessive bleeding
Any concerns about healing

Back to Patient Instructions

Some pain, bleeding, swelling, and seeping is normal following oral surgery. Please do not try to view the site by pulling on your lip and do not probe the area with your tongue or fingers.
Avoid forcefully rinsing or spitting or drinking through a straw. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. Some bleeding is normal for the first 24 hours. If bleeding continues please call our office.
Please take all medications, including mouth rinses, as prescribed.
After 24 hours, warm salt water rinses (one-half teaspoon of salt in a cup of warm water) can be used 4-5 times a day after meals.
After 24 hours, brush your teeth with a soft manual toothbrush. Be gentle with brushing the surgical areas.
Sutures may be placed after the surgery, and most sutures dissolve on their own.
Swelling and bruising may occur. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times. You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed. After 36 hours the cold compress will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling. Alternate the warm pack on and off in 15-minute intervals as needed.
Drink plenty of fluids. Stay away from spicy or acidic foods. Also avoid sharp and crunchy foods like tacos, chips, and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.
Keep physical activities to a minimum immediately following surgery.

Back to Patient Instructions

Please refrain from blowing your nose for up to four weeks following your surgery. Do not hold your nose when sneezing. Avoid flying in pressured aircraft, scuba diving, bearing down when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action, or any other activity that increases nasal or oral pressure for at least four weeks after surgery.
Please take all medications as prescribed, included decongestants as necessary.
It is important to keep your mouth clean after surgery to reduce the risk of infection and promote rapid healing. Start salt water rinses (one-half teaspoon of salt dissolved in an 8-ounce glass of water) the evening of surgery or the day following your procedure after each meal or four to five times daily.
Brush your teeth gently with a soft manual toothbrush on the evening of your surgery or the first day following your procedure and continue brushing at least twice a day.
Drink plenty of fluids. Eat soft foods for the first several days after surgery. Advance to a regular diet as you become more comfortable. Please avoid chewing or creating pressure on the bone graft site. Please avoid drinking alcoholic beverages or smoking during the first one to two weeks following your surgery.
All removable appliances, including partial dentures, flippers, and full dentures, must be checked for proper fit before they can be worn.
Swelling and bruising may occur. Applying a cold compress to the face near the surgical site will help minimize swelling. If using an ice pack, please do not apply ice directly to your skin but place a cloth between the ice and your skin at all times. You may apply the cold compress for up to 20 minutes on and at least 20 minutes off as needed.
If you experience severe or persistent sinus or nasal congestion please let us know.

Back to Patient Instructions

Thank you for trusting our team with your care. Proper post-operative care is essential for healing and comfort. Please read these instructions carefully following your procedure.

Managing Bleeding

Bite down firmly on the provided gauze immediately after surgery to control bleeding.
Keep pressure on the area until bleeding slows or stops.
Some bleeding is normal. Replace gauze as needed until it subsides.

Important Safety Notes (Especially for Children)

Children should be closely supervised to avoid biting or chewing their lips, cheeks, or tongue while numb.

Medications

Fill and take all prescribed medications as directed.
Pain Medication Warning: If prescribed stronger pain medication (beyond aspirin, acetaminophen, or ibuprofen), do not:
- Drive
- Operate machinery
- Perform tasks requiring alertness
Antibiotics, if prescribed, should be taken exactly as directed to prevent infection.

Swelling Management

Swelling is normal and may peak 3-4 days after surgery.
Apply a cold compress to the outside of the face:
- 20 minutes on, 20 minutes off
- Always place a cloth between the ice and your skin
After 72 hours, switch to moist heat to help reduce swelling.

First 24 Hours – What to Avoid

Do not:

Brush near the surgical site
Rinse, spit, or smoke
Drink alcohol or carbonated beverages
Eat hot or spicy foods

Additional Precautions

Do not use straws for 1 week (to prevent excessive bleeding).
Limit physical activity on the day of surgery. Resume normal activity the next day as tolerated.

Oral Hygiene After 24 Hours

Begin gentle rinsing with warm salt water:
- Mix ½ teaspoon salt in 8 oz of water
- Rinse 3 times daily

Diet Recommendations

Stick to soft foods and liquids for the first few days:
- Soups
- Yogurt
- Smoothies
- Juice

Sutures (Stitches)

Most sutures will dissolve on their own within 7–10 days.
If removal is required, you will be informed at your appointment.

When to Contact Our Office

Call us if you experience:

Severe or worsening pain
Excessive bleeding
Significant swelling
Any concerns or questions

Emergency Care:

Call our office for urgent issues
For life-threatening emergencies, call 911 or go to the nearest emergency room

Back to Patient Instructions

location

Danville Oral Surgery Center

380 Diablo Road, Suite 101

Danville,

CA

94526

925-269-8626

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