Wisdom Teeth Extraction
BEFORE YOUR WISDOM TEETH
- Plan to take time off from work or school,
as you will need at least a day to rest after the surgery.
- You should tell your surgeon all the medications
you are taking as he may ask you to make some changes.
- Patients taking aspirin will sometimes need
to discontinue their medication after consulting with their medical
- Your surgeon will give you instructions
on what to eat. He or she may ask you not to eat or drink from
midnight before the procedure to be prepared for the anesthetic
you will receive before surgery.
- Wear loose-fitting and comfortable clothing,
preferably with short sleeves, as it will be easier to insert
the intravenous line if you will be receiving medication in this
way to help you relax and ease any discomfort.
- You should plan to have a responsible adult
take you home after your surgery, as you should not drive for
a period of 24 hours after the procedure.
- There are certain surgical risks associated
with wisdom tooth extraction. Your surgeon will discuss these
with you in person. Each case is different depending on the extent
to which the wisdom teeth are impacted.
AFTER YOUR WISDOM TEETH
You will need to rest for a while in the office after the general
anesthesia or sedation. Once the anesthesia has worn off, most patients
can go home escorted by a responsible adult. However if you have
had general anesthesia you should have someone drive you home and
stay with you for a period of 12 hours. Please follow the recommendations
of your surgeon:
- Your jaw may feel stiff and sore but if needed,
you will be given pain medication to make you more comfortable.
Start your pain medication as soon as you return home before the
freezing completely wears off.
- Take your pain medication every 6 hours
for first 48 hours, then as needed. With exception of the first
doses, try to not have an empty stomach.
- Some pain medication will make your feel
sleepy, so it is advised that you do not drive or operate machinery.
- Prop up your head with a pillow, when in
bed for the first two nights after your surgery to help reduce
swelling: lying flat could also make you to continue bleed for
longer a period of time.
- You can expect some bleeding for 24-48 hours
after the surgery.
- Continue to bite gently on gauze squares
folded in four off and on for 20 minutes at a time. Change the
gauze as it becomes soaked with blood.
- Sitting upright, avoiding excitement and
exercise will help control the bleeding.
- You should call your surgeon if the bleeding
continues beyond this period.
- You may experience some bruising and swelling
of your face during the first week. Be assured that this is a
normal part of the recovery process.
- Hold an ice pack to your face (30 minutes
on and 30 minutes off) for the first 48 hours to reduce the swelling.
You can expect the swelling be greatest within 24-48 hours after
surgery. Generally icing is helpful for the first 36 hours. After
this time, applying moist heat to the sides of the face may bring
down the swelling further. It is not unusual for swelling and
jaw stiffness to last for 4-5 days.
- If the swelling disappears and then returns
after a few days, please contact your surgeon immediately. Although
this is not common, it may be a sign of infection.
- You will initially notice a cavity or empty
space in the area where you tooth was removed. It is important
to keep it clean by rinsing your mouth after meals and before
going to bed.
- At the time of your follow up appointment,
your doctor may provide you with special instructions on how to
flush out this healing socket to avoid food entrapment and speed
up the healing of the area.
- Starting the day after surgery, a salt water
rinse (1 teaspoon of salt in one glass of warm water) should be
used after meals and before bedtime.
- Gentle tooth brushing can be resumed the
day after surgery using a soft brush.
- The areas near the incision should be cleaned,
but do so very gently.
- To ensure a quick recovery, you should rest,
eat a nutritious diet and follow your surgeon’s instructions
for the care of the extraction site.
- Eat a light diet including soft foods such
as yogurt, soup, milk products and Jell-O for the first
- Avoid hot food and do not use a straw as
this may lead to bleeding.
- You may slowly resume a normal diet when
you feel you are able to.
- You should not smoke or drink alcohol as
this can increase bleeding and delay your recovery. Smoking can
also reduce the blood supply to the area and bring germs to the
- Get plenty of rest for the first 24 hours.
Avoid any physical activity as it could prolong the bleeding.
Also remember that your nutritional intake has been reduced and
you may feel tired and lightheaded upon exercise.
- Be careful to resume exercise gradually.
- Dissolving stitches are used for most operations.
These normally begin to fall out after three to four days.
- Your chin, lip or tongue may feel numb, but
this generally is a normal and temporary condition.
- Take care not to bite the inside of your
cheek, lip or tongue while you mouth is still frozen.
- You may have a slight fever body temperature
after the procedure. Acetominophen or ibuprofen can be taken to
bring it down. If fever persists, please call the office at 514-931-7077.
- You should move carefully from the lying
to the standing position. Remember that you had not eaten and
limited your fluid intake before the surgery and now you may be
using medications that make you feel dizzy. Standing up suddenly
could make you feel light-headed so wait a minute before changing
- You may feel that your throat is sore and
have pain on swallowing. This is due to muscle swelling in the
area and should disappear within two to three days.
- If the skin around corners of your mouth
gets dry and cracks, moisten these areas with an ointment such
- Your jaw muscles may feel stiff for a few
days, a condition we call “Trismus” and as a result
it may be more difficult to open your mouth. This part of the
normal healing process and will resolve with time.
- Dry socket is a painful condition that sometimes
occurs when the blood clot in the surgical site becomes dislodged
too soon, usually appearing within 2-3 days AFTER the extraction.
This can be easily treated with a special type of socket dressing
or packing to ease the discomfort. Please contact the office [(514)
931-7077] if this occurs.
Most people experience no problems after a wisdom tooth extraction,
but contact your surgeon or the hospital immediately if you:
- Experience bleeding that is difficult to
- Have severe pain that is not controlled by
- Have fever or chills.
- Experience new swelling of your cheeks,
jaw or face after the original swelling has begun to decrease.
- Develop itching, a rash or other symptoms
suggesting you are having an allergic reaction to your medication.
- Experience continuous nausea or vomiting.
- Our office coordinator will set up an appointment
for you within 10 to 14 days after your surgery so that your surgeon
can check on how you are healing.
- If you have any questions or problems, call
our office (514) 931-7707 and we will be pleased to help you.
- In emergency situations, you may reach Dr.
Chehade, Dr. Shenouda or one of the members of their team directly by calling
the office number (514) 931-7707 and following the instructions
provided by the answering service.