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After Exposure of An Impacted Tooth

Instructions for After Exposure of an Impacted Tooth

The exposure of an impacted tooth is a true surgical procedure and post-operative care is very important. Unnecessary pain and complications of infection and swelling may be minimized if the following instructions are carefully followed. Sometimes, the after-effects of surgery are minimal, so not all of these instructions may apply. Common sense will often dictate what you should do. However, when in doubt, call us at Park Smiles NYC anytime at 212-988-6724. We’re always here for the needs of our valued patients!


After the exposure of an impacted tooth do not disturb the wound. If surgical packing was placed, leave it alone. The packing helps to keep the tooth exposed. If it gets dislodged or falls out, do not be 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 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. Apply the ice continuously as much as possible for the first 24-36 hours.


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.


You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength. Tylenol may be taken every 3-4 hours. Ibuprofen (Advil, Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed.

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) six 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.

A Final Note:

Your case is unique as no two mouths are alike. Please do not accept well-intended advice from friends. Discuss your questions and concerns with Dr. Cohen or another member of our skilled staff at Park Smiles NYC. Someone is always available to help!


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