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. You may notice a small gold chain protruding from under the gum tissue, this is normal. Your orthodontist will use this chain to complete your treatment- please do not tug on or displace the chain


Some bleeding or redness in the saliva is normal for 48 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. Remain on a soft diet until your next orthodontist visit. 


Some post-operative discomfort is to be expected. Mild to moderate pain is generally controlled with anti-inflammatory pain medications, which may be taken over the counter or as prescribed by Dr. Frawley. These include Ibuprofen (Motrin) and Advil.  Moderate to severe post-op pain may require control with a prescribed narcotic pain medication. These medications may often be taken together, or in alternating doses. Please follow all prescription labels and instructions. 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

No rinsing of any kind should be performed until the day following surgery. The day after surgery you should begin rinsing at least 5-6 times a day, especially after eating, with a teaspoon of salt mixed into one cup of warm water. Listerine can be used 2-3 times a day. A prescription mouth rinse is often prescribed and should be used as directed. 

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.