After Exposure of an Impacted Tooth

Instructions for After the Procedure

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 be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes, and repeating as necessary.  If bleeding continues, please call our office at Keller Office Phone Number 817-741-2200 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.  If the tooth was in the roof of the mouth, there is no need for ice packs.


Drink plenty of fluids. Only consume soft food and liquids on the day of surgery. You may return to a normal diet as the discomfort resolves.


You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, Ibuprofen bought over the counter comes in 200 mg tablets: 2–3 tablets may be taken every 4 hours for pain relief. For severe pain, the prescribed medication should be taken as directed.

Oral Hygiene

Oral cleanliness is essential to good healing. Clean your mouth thoroughly after each meal, beginning the day after surgery.  Rinse with warm salt water (1 teaspoon of salt in a cup of warm water) four times a day. Continue this procedure until healing is complete. Brush your teeth normally, just be very gentle around the surgery site.


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.