After Exposure/Bracketing

After Exposure/Bracketing of an Impacted Tooth

Do not disturb the wound. If a surgical packing was placed, leave it alone. The pack helps to keep the tooth exposed. If it gets dislodged or falls out do not get alarmed.


Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding which results in your mouth filling rapidly with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call the office for further instructions.
Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bag or towel filled with ice cubes on the cheek in the area of surgery. Ice may be applied for up to 24 hours after surgery.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.
Typically, you will be given a prescription for pain medication at your consultation, or it may be called in to the pharmacy prior to your surgery. Take this as directed for post-operative pain. Many times these medications contain Tylenol (Acetaminophen) and so caution should be used before taking any additional Tylenol while you are taking the prescribed medication. It is often advisable to take some pain medication prior to the local anesthesia wearing off to avoid sudden discomfort when its action is no longer present. Generally, over-the-counter Ibuprofen (Advil or Motrin) may be taken in conjunction with your prescribed pain medication. Do not take any of the above medications if you are allergic, or have been instructed by your doctor not to take them.
Oral Hygiene
Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (1/2 teaspoon of salt in a cup of warm water) 3-4 times a day. Continue this procedure until healing is complete.

REMEMBER: A clean wound heals better and faster.
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.
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