Firm Gauze Pressure for 2 Hours: Firm gauze pressure stops bleeding. Bite down firmly and do not talk during this time. Relax sitting upright in a comfortable chair watching TV. If still bleeding after 2 hours, stack and fold 3 fresh gauze and apply to the wound for 1 hour at a time until bleeding stops. Show
Apply Cold Packs to Face: Apply bags of ice or frozen peas to each side of face. Hold bags in place with an ACE wrap, scarf, or towel. Alternate cold packs 30 minutes on and 30 minutes off for the first 48 hours. Keep head elevated on a recliner or couch while sleeping for the first 7 days to minimize swelling. Elevate Head for the First 7 Days: Keep head elevated on a recliner or couch while sleeping for the first 7 days to minimize swelling. Do not lay flat on a bed for the first 7 days, as increased facial swelling will occur. No Smoking: Do not smoke for at least the first 7 days. Smoking slows healing and increases the risk of infection and severe dry socket pain. No Spitting: Do not spit for the first 7 days. Spitting can dislodge a blood clot, triggering bleeding and severe dry socket pain. If you feel like you need to spit, gently rinse water in your mouth and then let the water passively fall into the sink. No Straws: Avoid straws for 7 days. Using a straw can dislodge a blood clot, triggering bleeding and severe dry socket pain. Eat smoothies and milkshakes with a spoon, or drink from a cup. Diet: Day 1 – Cool, soft foods (i.e. ice cream, yogurt, smoothies, milkshakes – use a spoon, no straws). Days 2 to 7 – Soft, room temperature food (i.e. pasta, scrambled eggs, red beans, rice, mashed potatoes). Avoid hot and spicy foods. Make sure soup has been cooled to room temperature. Medication: Take all medications with food to help prevent nausea. Use medications as directed by prescriptions. Do not drive or operate heavy machinery after IV sedation, or if you are taking narcotic medications (i.e. codeine, hydrocodone, oxycodone, tramadol) or nausea medication (promethazine), as they impair judgement and cause drowsiness. Rinsing: Begin gentle rinsing on Day 2 after each meal. You may be prescribed Peridex (Chlorhexidine), or you may use over-the-counter alcohol-free mouthrinse or water. Rinsing keeps the mouth clean and decreases the risk of infection. Do not spit. Instead, gently rinse and then let the rinse passively fall into the sink. Oral Hygiene: Use a soft bristle toothbrush (avoid electric toothbrush) to brush teeth normally, and brush delicately around the surgical site. Gently rinse with prescribed Peridex (Chlorhexidine) or over-the- counter alcohol-free mouthrinse or water, as directed by Dr. Jackson. Activity: Frequent rest is important after surgery. Do not exercise for 1 week after surgery, as exercise can cause painful throbbing or bleeding at the surgical site. Swelling: For the first 4-5 days after surgery, it is normal for you to experience swelling, pain, and even bruising, which then gradually disappear. However, if you develop worsening pain, swelling, or fever, or have any other questions, please call Dr. Jackson: (504) 455-7161.Take it easy for the rest of the day. Take as little exercise as you can, and rest as much as you can. Keep your head up to avoid any bleeding. Avoid
hot food or drinks until the anaesthetic wears off. This is important as you cannot feel pain properly and may burn or scald your mouth. Also be careful not to chew your cheek. This is quite a common problem, which can happen when there is no feeling. If you do rest, try to keep your head higher for the first night using an extra pillow if possible. It is also a good idea to use an old pillowcase, or put a towel on the pillow, in case you bleed a little. Do not be tempted to rinse the area for the first 24 hours. It is important to allow the socket to heal, and you must be careful not to damage the blood clot by eating on that side or letting your tongue disturb it. This can allow infection into the socket and affect healing. Avoid alcohol for at least 24 hours, as this can encourage bleeding and delay healing. Eat and drink
lukewarm food as normal but avoid chewing on that area of your mouth. When should I brush?It is just as important, if not more so, to keep your mouth clean after an extraction. However, you do need to be careful around the extraction site. What do I do if it bleeds?The first thing to remember is that there may be some slight bleeding for the first day or so. Many people are concerned about the amount of bleeding. This is due to the fact that a small amount of blood is mixed with a larger amount of saliva, which looks more dramatic than it is. If you do notice bleeding, do not rinse out, but apply pressure to the socket. Bite firmly on a folded piece of clean cotton material such as a handkerchief for at least 15 minutes. Make sure this is placed directly over the extraction site and that the pad is replaced if necessary. If the bleeding has not stopped after an hour or two, contact your dentist. How soon can I have a cigarette?It is important not to do anything which will increase your blood pressure, as this can lead to further bleeding. We recommend that you avoid smoking for as long as you can after an extraction, but this should be at least for the rest of the day. Is there anything I can do to help my mouth?Different people heal at different speeds after an extraction. It is important to keep your mouth and the extraction site as clean as possible, making sure that the socket is kept clear of all food and debris. Don't rinse for the first 24 hours, and this will help your mouth to start healing. After this time use a salt-water mouthwash, which helps to heal the socket. A teaspoon of salt in a glass of warm water gently rinsed around the socket twice a day can help to clean and heal the area. Keep this up for at least a week or for as long as your dentist tells you. It is important to keep to a healthy diet; and take a Vitamin C supplement, which will help your mouth to heal. I am in pain, what should I take?There will usually be some tenderness in the area for the first few days, and in most cases some simple pain relief is enough to ease the discomfort. What you would normally take for a headache should be enough. However, always follow the manufacturer's instructions, and if in doubt check with your doctor first. Do not take aspirin, as this will make your mouth bleed. Are there any medicines I should avoid?As we have said, it is important not to use anything containing aspirin as this can cause further bleeding. This happens because aspirin can thin the blood slightly. Asthma sufferers should avoid Ibuprofen-based pain relief. Again check with your chemist or dentist if you are worried or feel you need something stronger. I am still in pain, what could it be?Sometimes an infection can get in the socket, which can be very painful. This is where there is little or no blood clot in the tooth socket and the bony socket walls are exposed and become infected. This is called a dry socket and in some cases is worse than the original toothache! In this case, it is important to see your dentist, who may place a dressing in the socket and prescribe a course of antibiotics to help relieve the infection. You may also feel the sharp edge of the socket with your tongue and sometimes small pieces of bone may work their way to the surface of the socket. This is perfectly normal. Will my dentist need to see me again?If it has been a particularly difficult extraction, the dentist will give you a follow-up appointment. This could be to remove any stitches that were needed, or simply to check the area is healing well. People who viewed this page also visited
Can I rinse my mouth with tap water after wisdom teeth removal?Oral Hygiene
Rinse with warm salt water or tap water beginning 3 days after surgery. To make a salt water rinse, add 1 teaspoon of salt to 4-5 oz of warm water. Rinse at least 3 times per day: in the morning, after meals, and before bed.
How do you use an oral rinse after wisdom teeth removal?The day after surgery, the Chlorhexidine oral rinse should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) may be used at least 4-5 times a day as well, especially after meals.
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When can i rinse my mouth after wisdom tooth extraction
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