After Exposure of an Impacted Tooth

Home Instructions After Impacted Tooth Exposure

After Impacted tooth exposure, 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 get alarmed but please contact our office for instructions.


Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding that rapidly fills your mouth 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 filled with ice cubes on your cheek near the area of surgery. Apply the ice as much as possible for the first 36 hours.


Drink plenty of fluids. Avoid hot liquids or hard foods. Only consume soft food and liquids on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.


Most patients will require only over the counter pain medication to alleviate post surgical discomfort.

Do not take any of the medication mentioned below if you are allergic to them, or have been instructed by your doctor not to take it.

IBUPROFEN: also known as the trade names Advil and Motrin.

It is recommended that you take 600mg (3 x 200mg tabs) of ibuprofen every 6 hours. This is a non steroidal anti-inflammatory drug (NSAID), which will reduce swelling and reduce your discomfort. If you are taking a blood thinner such as Warfarin (Coumadin) or Clopidogrel (Plavix) or have any contraindications to taking ibuprofen, please let us know. Please do not take ibuprofen if you are taking other NSAIDs.


ACETAMINOPHEN: also known as the trade name Tylenol

If you require additional pain relief you can also take acetaminophen (Tylenol). This can be taken in conjunction with ibuprofen. Acetaminophen can also be taken with your narcotic pain medication.


For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken four times daily, not to exceed 3200 mg daily for an adult. Consult our practice for individuals under 18. Do not take the two medications at the same time.For severe pain, your doctor may prescribe a narcotic pain medication for you to take. You are not required to take any narcotic pain medication after your surgery. The prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic to them, or have been instructed by your doctor not to take it. Do not drive an automobile or work around machinery. Avoid alcoholic beverages.

Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.

Oral Hygiene

Oral cleanliness is essential to good healing. Clean your mouth thoroughly after each meal, beginning the day after surgery. Brush your teeth normally if possible. Rinse with warm salt water (1 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 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.