Post surgical instructions following DISIMPACTION:

FOR THE REMAINDER OF THE DAY:

Do not spit frequently & swallow your saliva.

Stay on a soft diet and avoid hot liquids for the first 48 hours.

Drink pleanty of fluidsTry to drink 5-6 eight ounce glasses the first day.

Do not use a drinking straw. Drink straight from the cup.

Do not smoke

Keep fingers and tongue away from the surgical area.

Do not raise your lip or retract ur cheek with your fingers to inspect the
treated area.

Rest for the entire day. Do not exercise for one to two days.

Refrain from brushing your teeth.

Spitting, the use of a straw, smoking, and poking can dislodge the blood clot
that is forming, and will cause bleeding from the area. Also, smoking can
increase the chances of an infection.
FOR BLEEDING:
Some minor bleeding is expected after disimpaction. It will usually subside
quickly, and stop within an hour or two after surgery. A little
oozing is normal and may persist for several hours.

Keep gauze on the surgical area with some pressure for 30 to 45

minutes.

Remove the gauze after 30 to 45 minutes, and replace it with a new piece
of gauze if you are still bleeding. It is important to make sure the gauze is
directly on the surgical site. Firm pressure for another hour should stop
the bleeding.

If bleeding continues, bite on a moistened tea bag for thirty minutes. The
tannic acid in the tea bag helps to form a clot by contracting bleeding
vessels. This can be repeated several times.

To minimize further bleeding, sit upright, do not become

excited, maintain constant pressure on the gauze (no talking or chewing)
and avoid exercise.

If all else fails, call the office.

FOR SWELLING:
Most patients will experience some swelling after surgery in the mouth. It may
be mild or severe, and is different for every patient. The swelling will get bigger
for the first 24 to 48 hours before it starts to go away. It may last for several
days to one week.

Use an ice pack on the cheek or face next to the surgical site. Keep it on
for 15 to 20 minutes, then off for 10 minutes, and repeat until you go to
sleep. Start again the next day.After 24 hours, ice has no beneficial
effect.

Sleep with you head elevated slightly, above the heart. This will keep
swelling down.

Bright red, rock hard, hot swelling that does not indent with finger
pressure which is getting bigger by the hour would suggest infection.This
usually would develop around day 3-4 after surgery

ORAL HYGIENE:

Good oral hygiene is essential to proper healing of any oral surgery site.

The day after surgery you should begin rinsing at least 5-6 times a day
especially after eating. Salt water (cup of warm water mixed with a
teaspoon of salt) is ideal but plain water is also OK.

the day after surgery also rinse with the prescribed mouthwash 2-3
times a day

MEDICATIONS:

Take the medicines as prescribed by the doctor

In case of severe pain take 2 tablets of Ketorol DT dissolved in water.

it may be repeated 8 hourly.

Contact your doctor if u experience severe nausea, or diarrhea

Other Issues

If numbness of the lip, chin, or tongue occurs there is no cause for

alarm. As stated before surgery, this is usually temporary in nature. You
should be aware that if your lip or tongue is numb, you could bite it and
not feel the sensation

Slight elevation of temperature immediately following surgery is not

uncommon. If the temperature persists, notify the office.

You should be careful going from the lying down position to standing.
You were not able to eat or drink prior to surgery. It was also difficult to
take fluids. Taking pain medications can make you dizzy. You could get
light headed when you stand up suddenly. Before standing up, you
should sit for one minute then get up.

Occasionally, patients may feel hard projections in the mouth with their
tongue. They are not roots, they are the bony walls which supported the
tooth. These projections usually smooth out spontaneously. If not, they
can be removed

If the corners of your mouth are stretched, they may dry out and crack.
Your lips should be kept moist with an ointment such as vaseline.

Sore throats and pain when swallowing are not uncommon. The muscles
get swollen. The normal act of swallowing can then become painful. This
will subside in 2-3 days

Stiffness (Trismus) of the jaw muscles may cause difficulty in opening

your mouth for a few days following surgery. This is a normal postoperative event which will resolve in time.