Surgical wounds usually heal quickly and without complications if simple precautions are taken. ABSOLUTELY NO MOUTH RINSING OR HOT DRINKS ON THE DAY OF SURGERY! The day following surgery, the mouth may be rinsed with warm salt water after each meal and at bedtime. The teeth should be brushed as usual but the site of surgery should be avoided, until it can be gently brushed without discomfort. If an irrigating syringe has been given to you, begin irrigating your extraction socket(s) with tap water, one week following your surgery. Continue irrigating, two or three times a day, for two to three weeks.


Some bleeding or oozing is normal for up to 24 hours following oral surgery. When you leave the office, a guaze pack will be placed in the area of surgery. Keep firm steady pressure on the gauze for one hour after surgery. If there seems to be bleeding, dampen another gauze pad, or a tea bag, and place it directly over the surgical site and bite down for an additional hour. If this does not control the bleeding, call the office for further instructions.

Prevent Swelling

Swelling is a normal healthy reaction to surgery. Sometimes the swollen area can become
quite large. Swelling usually reaches its peak in 48 hours and then slowly decreases. To minimize swelling, apply an ice bag to the affected area 20 minutes on, 10 minutes off, for the rest of the day of surgery, and for as much of the next day as possible. Sleeping with the head elevated for the first night also helps reduce swelling.

Pain Relief

Some discomfort is to be expected following oral surgery. Immediately upon returning home and
before the local anesthesia wears off, take TWO 200mg Ibuprofen tablets (Advil, Motrin) with ONE extra strength Tylenol tablet (500mg). We have found this reduces the amount of narcotic-based pain medication required. Please note you may not exceed 3000mg of Tylenol per day (note- the narcotic based pain medicine contains 325mg of Tylenol).Some nausea is not uncommon while taking pain relievers. Taking the medication with a light snack and sipping small quantities of carbonated soda can minimize this. If you are taking the narcotic based medication please note that the medication may make you drowsy.

Caution: Refrain from operating a motor vehicle while taking a prescribed narcotic pain medication (examples are Hydrocodone, Tylenol with codeine, Vicodin, Percocet, Vicoprofen). Patients who were asleep during procedure cannot drive for 24 hours.

Do not take more than one prescribed narcotic time and please consult with your doctor if you are unsure about taking Ibuprofen or Tylenol.


To help the healing process, try not to miss a meal after surgery. A cool soft diet is wise on the day of surgery. For the next several days eat soft foods high in vitamins and protein. Be sure to drink large amounts of fluids, even if you are not thirsty. Avoid drinking with a straw for several days.

Smoking and Drinking

Studies have shown that oral surgical wounds heal more slowly if the patient smokes following surgery. Avoid smoking for one week.

Absolutely no alcoholic beverages for 24 hours after surgery, or while taking prescription pain relievers.

If you have any problems or questions at any time, feel free to call 215-322-7810