Post-Operative Instructions For Extractions

Your child had one of the following procedures performed today:

  • Extraction
  • Exposure of Unerupted Tooth
  • Frenectomy
  • Gingivectomy

This will require special care and attention over the next few days. Please follow the instructions checked below. Contact us with questions or if unusual symptoms develop.


NUMBNESS: The mouth will be numb approximately 2-4 hours. Watch to see that your child does not bite, scratch, or injure the check, lips, or tongue during this time.


BLEEDING: Bleeding was controlled before we discharged your child, but some occasional oozing (pink or blood-tinged saliva) may occur. Hold gauze with firm pressure against the surgical site until oozing has stopped. You may need to change the gauze or repeat this step. If bleeding continues for more than 2 hours, contact us.
SURGICAL SITE CARE: Today, do not disturb the surgical site. Do not stretch the lips or cheeks to look at the area. Do not rinse vigorously, use mouthwash, or probe the area with fingers or other objects. Beginning tomorrow, you may rinse with warm salt water (1/2 teaspoon salt with 1 cup water) after meals.


DAILY ACTIVITIES: Today, avoid physical exercise and exertion. Return to normal activities as tolerated.


DIET: After all bleeding has stopped, the patient may drink cool non-carbonated liquids but should NOT use a straw. Encourage fluids to help avoid dehydration. Cold soft foods (eg, ice cream, gelatin, pudding, yogurt, etc..) are ideal the first day. By the second day, consistency of foods can progress as tolerated. Until healing is more established, avoid such as nuts, sunflower seeds, and popcorn that may not permit vigorous brushing of all areas, but please make every effort to clean the teeth within the bounds of comfort.


ORAL HYGIENE: Keeping the mouth clean is essential. Today, teeth may be brushed and flossed gently, but avoid stimulating the surgical site. Soreness and swelling may not permit vigorous brushing of all areas, but please make every effort to clean the teeth within the bounds of comfort.


PAIN: Because some discomfort is expected, you may give your child acetaminophen (Tylenol) or ibuprofen (Motrin or Advil) before the numbness wears off. DO NOT give aspirins to your child. Follow the instructions on the bottle for dosing base upon your child’s age/weight. If pain is not relieved by one of these medications, a prescription maybe needed. Take prescription medication with a small amount of food to avoid nausea.


WATCH FOR:


SWELLING: Slight swelling and inflammation may occur for the next 2 days. If swelling occurs, ice packs may be used for the first 24 hours (10 minutes on then 10 minutes off) to decrease swelling and/or bruising. If swelling persists after 24
hours, warm/moist compresses (10 minutes on then 10 minutes off) may help. If swelling occurs after 48 hours, call our office.
FEVER: A slight fever (temperature to 100.5◦F) is not uncommon the first 48 hours after surgery. If a higher fever develops or persists, call our office.
If you have any questions concerning your child’s treatment, please call our office.