The following are post-op care instructions following tooth extractions. Please follow them as closely as possible. If you have any questions or to schedule a follow-up with one of our oral surgeons in Glendale, Arcadia, Mission Hills, Newhall and Pasadena, California, please contact Pacific Coast Oral & Maxillofacial Surgery today. Dr. Cho, Dr. Hammoudeh, Dr. Kim, Dr. Odono, Dr. Tung, Dr. Urata and Dr. Yip will be happy to help you.

BLEEDING:
If there is a gauze pack in your mouth, remove it in 30 to 40 minutes. A small amount of bleeding is to be expected and should cause no alarm. Blood-streaked saliva may persist for 48 hours. This is normal. If bleed­ing is excessive, place a roll of sterile gauze over the area and bite firmly for 30 minutes with CONSTANT pressure. If bleeding persist, call this office.

RINSING, BRUSHING, SPITTING:
DO NOT rinse your mouth, brush your teeth or spit on the day of surgery. The next day rinse GENTLY with warm salt water (1/4 teaspoon of salt to a large glass of water). The salt solution should be used upon arising, after meals and at bedtime. The rinse should be used in the above manner EVERY DAY until the first post­operative visit. You may brush your teeth in the surgical areas, using care, the day after surgery. Do not forcefully spit for several days.

PAIN:
Two tablets of Tylenol or similar agent may be taken every three to four hours as necessary; follow instruc­tions on bottle. Should this not relieve your discomfort, the prescription should be filled and taken as directed. If this is not adequate, please call the office.

SWELLING:
Facial swelling is normally anticipated following most extractions and other surgery. Upon your return home, cold applications applied externally to the face over the operated area will help to minimized this swelling. An ice pack may be used and should be applied approxi­mately 15 minutes on and 15 minutes off for six to eight hours. If both sides of the mouth have been operated, cold may be applied alternately for 15 minutes to each side. It is not necessary to use the ice pack if it causes discomfort.

DIET:
A good diet is essential, particularly following surgery. Initially, soft goods high in nutritive value are recom­mended. Return to a normal diet as soon as possible. There are no specific restrictions on what may be eaten. Fluid intake following surgery should be increased with emphasis on water and fruit juice. A slight fever may occur if fluid intake is not adequate. DO NOT use a straw while taking liquid as this may disturb the blood clot.

SMOKING:
DO NOT smoke for several days.

DROWSINESS:
Drowsiness may persist for quite some time following sedation or a general anesthetic. Do not be alarmed as this is anticipated in some individuals.

SPECIAL INSTRUCTIONS:
A small medicated dressing is placed in most extraction sites. This should NOT be disturbed.
Take prescriptions as directed.

Do not use straws for several days.

Feel free to contact this office if any doubt arises as to your progress and recovery.

Please keep our office advised of any changes in your condition, especially if drainage or pain
increases.

The removal of impacted teeth is quite different than the usual extraction. The following conditions may occur and should not cause alarm:

  1. The operated area may swell. This swelling may persist for several days.
  2. Tightness of the jaw muscles may cause difficulty in opening your mouth. Immediately after numbness of the lips has completely disappeared, return to a normal diet.
  3. The corners of your mouth may become dry and sensitive. They should be protected with Vaseline or Chapstick.
  4. You may have a slight elevation of temperature for a day or two. If this condition persists, please notify this office.
  5. On occasion, a small medicated dressing is placed in the extraction site. This should not be disturbed.
  6. There will be a cavity where the tooth was removed for some time. This area should be rinsed following meals with warm salt water. This cavity will gradually fill in with new tissue.
  7. Numbness of your lip and chin on the operated side may occur. This is usually a temporary condition.
  8. Discomfort may be intense at times and may be referred to areas of the jaw, face and skull other than the operated regions.