Post-Operative Instructions: Wisdom Teeth Removal

Wisdom teeth removal is a common oral surgery procedure. Following these post-operative instructions will help you heal comfortably and avoid complications.

Bleeding

• Bite firmly on gauze pads for 30 to 45 minutes after surgery. Replace with fresh gauze as needed.
• Light oozing and blood-tinged saliva are normal for 24 to 48 hours.
• If bleeding is heavy, place a moistened tea bag directly over the surgical site and bite down firmly for 30 minutes.
• Avoid spitting, rinsing vigorously, or using straws for the first 24 hours.

Swelling & Bruising

• Swelling is normal and typically reaches its peak 48 to 72 hours after surgery.
• Apply ice packs to the outside of your face — 20 minutes on, 20 minutes off — during the first 48 hours to help minimize swelling.
• Some bruising may appear on the face or neck and will resolve on its own over 7 to 10 days.

Pain Management

• Begin taking prescribed pain medication before the numbness wears off.
• Over-the-counter ibuprofen may be taken as directed to help manage pain and reduce inflammation.
• If prescribed antibiotics, take the full course as directed even if you feel better.
• Do not take aspirin, as it can promote bleeding.

Diet

• Start with clear liquids and progress to soft foods as tolerated — smoothies (no straw), yogurt, soup, scrambled eggs, and mashed potatoes.
• Avoid hard, crunchy, spicy, or very hot foods for at least 5 to 7 days.
• Do not eat anything that could leave particles in the surgical site (popcorn, rice, seeds).
• Stay well hydrated.

Oral Hygiene

• Do not brush near the surgical sites for the first 24 hours. You may gently brush your front teeth.
• After 24 hours, begin gentle warm salt water rinses (½ teaspoon of salt in 8 ounces of warm water) after meals and before bed.
• If you were given an irrigating syringe, begin using it 5 to 7 days after surgery to keep the lower extraction sites clean.

Activity & Lifestyle

• Rest with your head elevated for the first 2 to 3 days.
• Avoid strenuous exercise, heavy lifting, and bending over for 5 to 7 days.
• Do not smoke or use tobacco products for at least 1 week. Smoking dramatically increases the risk of dry socket.
• Avoid alcohol while taking prescription pain medications.

When to Contact Us

• Persistent or worsening pain after 3 to 4 days (possible dry socket).
• Excessive bleeding that does not subside with gauze pressure.
• Fever above 101°F, or signs of infection such as pus or foul taste.
• Difficulty breathing or swallowing.
• Numbness that has not returned after 24 hours.

If you experience any complications or have questions during your recovery, please call our office at 470-239-4289.