How long to keep gauze in after wisdom teeth

Sometimes the after-effects of oral surgery are quite minimal, so all these instructions may not apply. Common sense will often dictate what you should do. However, when in doubt, please follow these guidelines or call the office for clarification. We can be reached at (415) 397-1400.

AFTER-HOURS CONTACT

If you are having a problem after regular office hours and need to speak with Dr. Rayher, please call (415) 397-1400. Please follow the prompts or wait on the line and an operator will assist you. The operator will take your name and phone number that will be forwarded to Dr. Rayher. He will return your call. Please turn off any caller ID blocking.

The following will cover important information regarding proper post-surgical care for a dental extraction. If you have had a tooth extracted, it will be important to follow these instructions exactly as we present them.

Discomfort is normal after the extraction of teeth. If you are not allergic or intolerant to nonsteroidal anti-inflammatory drugs, start taking ibuprofen (also known as Advil® or Motrin®) as instructed by your doctor at the time of your surgery. If you are asthmatic, do not take ibuprofen unless you have tolerated it in the past.

Gauze pad(s) should be placed directly over the extraction site(s) and held in place with firm biting pressure; the pressure from biting is what helps to stop the bleeding. Replace the gauze pad(s) about every 25 minutes. When the gauze pads have little or no blood on them, they are no longer necessary. The amount of bleeding will vary from person to person. Most of your bleeding will slow within 3–4 hours, but a small amount of bleeding is common for up to 24 hours. Please do not spit after surgery as it can prolong bleeding.

Do not rinse on the day of surgery; it may prolong your bleeding. Begin saltwater rinses the day after surgery and continue for 1 week. Rinse with warm salt water 3–4 times each day. To make the saltwater solution, dissolve a ½ teaspoon of salt in a small glass of warm tap water. Swelling is normal after surgery and may be a cause of post-extraction discomfort.

Swelling typically peaks by the third or fourth day and then starts to resolve; it can be reduced by the use of an ice pack. Apply the ice pack to the side of your face for 10 minutes; transfer it to the opposite side for another 10 minutes. Continue icing the face for the first 24 hours. Do not freeze the skin. Ice packs are most useful for the first 24 hours. Also, keep your head elevated on 2 pillows for 3–4 days. These measures will not eliminate swelling, but they will help to reduce its severity.

To allow blood clots to form undisturbed, do not eat for 1 hour after surgery. Gradually ramp up your diet as tolerated. Always cool down any hot foods or liquids during the first 24 hours. You should eat soft foods for the first week: for example, soups, eggs, mashed potatoes, and meatloaf are fine. To help prevent dry socket, do not use a straw for the first 3 days after surgery.

Begin brushing your teeth the day after surgery. It is important to brush all of your teeth, even if the teeth and gums are sensitive. Bacterial plaque and food accumulation near the extraction site will delay healing. Do not smoke for at least a week. Smoking may increase your bleeding, impair healing, and cause a dry socket.

Unless told otherwise, do no vigorous physical activity for 5 days following your surgery. Physical activity increases your blood pressure, which will cause an increase in your swelling, pain, and bleeding. You may gradually increase your activity, such as jogging or tennis, 5–7 days after your surgery.

After the tooth is extracted, the bony extraction socket is exposed. Blood fills up the bony socket and solidifies into a clot. The clot is the healing tissue. This clot is necessary for healing. Anything you do to lift or dislodge this clot, you will develop DRY-SOCKET PAIN. Just how painful is DRY-SOCKET PAIN? How do you rate pain when your bone socket is exposed to the air? Let’s avoid developing DRY-SOCKET PAIN.