Post Operative Instruction for Extractions

GAUZE: When you wake up there will be a gauze pack placed over the area of surgery in your mouth. The purpose of the gauze pack is to soak up any blood from surgery and to put pressure on the surgery site in order to stop the bleeding.  When you get home take the gauze pack out.

BLEEDING: If the bleeding continues when you remove the gauze pack, replace it with a new one.  Applying pressure is the only way to stop the bleeding.

SWELLING: A moderate amount of swelling is expected after most oral surgical procedures. Do not ice the area of swelling, this will reduce the blood flow to the area and cause prolonged resolution of swelling. Swelling will begin to decrease the third day after surgery.

SUTURES/STICHES: Resorbable stiches will be used.  They usually dissolve or fall out by themselves in 2-3 days.  If you notice them stringing in your mouth, you can simply pull them out the rest of the way.  Brush right over the sutures while cleaning your mouth.

EATING/DRINKING: You can start eating and drinking when the numbness wears off.  Soft foods are recommended for the first few days.  Avoid drinking through a straw, the sucking pressure can cause bleeding.

MEDICATION: The most effective method for pain control is a combination of Tylenol and Ibuprofen. A dosing of 500mg Tylenol and 200mg Ibuprofen taken after your procedure, followed by every 4-6 hours is recommended. Pain medications may produce nausea and vomiting if taken on an empty stomach. If you are prescribed a steroid it is designated to help decrease your post-operative swelling. As with any medication, if you experience problems, stop taking them.

Take prescriptions as instructed. Pain medications may produce nausea and vomiting if taken on an empty stomach. As with any medication, if you experience problems stop taking them.

ORAL HYGIENE: You MUST keep your mouth clean to promote good healing.  Continue to brush and floss as usual.  A soft toothbrush used in a gentle fashion is effective.  The cleaner you keep your mouth the better and faster you will heal.  Dr. Schultz may give you a syringe to irrigate the extraction sites to keep any food out.  Start using the syringe two days after surgery.  Usually only lower molar extraction sites need irrigating.

Post-operative swelling 3-4 days after surgery is normal, however if you have any problems including increasing pain or increasing swelling, you should contact Dr. Schultz’s office immediately Dr. Charles J Schultz, Southeast Dental Group, PC Phone Number 907-586-9586.

 Dr. Charles Schultz, DDS, OMFS
2220 Dunn St.    Juneau,AK 99801
(907) 586-9586 (phone)  (907) 586-9484 (fax)