After Dentoalveolar Surgery


No driving for 24 hours after surgery and while taking narcotic medication.


A certain amount of bleeding is to be expected following oral surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Continuously bite on gauze for 40 minutes. Do not remove gauze to check for bleeding as it may dislodge preliminary clot and lead to more bleeding. Large clots may be wiped away. Repeat if necessary.

  • If you have good firm pressure the bleeding should stop within 4 to 6 hours.
  • If bleeding continues, bite on a moistened black tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. Do not rinse for the first 48hrs after surgery.
  • Try to keep tongue away from surgical site.
  • To minimize further bleeding, do not become excited, sit upright, and avoid exercise.

If bleeding does not subside, call for further instructions.


Provided you have no known allergies:

  • For mild discomfort take over-the-counter Tylenol or Ibuprofen every 3-4 hours (While taking Norco, do not take additional tylenol).
  • For severe pain use the prescribed medication. Keep in mind that a full stomach minimizes nausea associated with some prescription medications. A smoothie or a milk shake is a good start. The prescribed narcotic pain medicine will make you groggy and will slow down your reflexes.
  • 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.


If you were given an antibiotic please take as directed and finish unless instructed to do so by your doctor. WOMEN PLEASE NOTE: Antibiotics may interfere with the effectiveness of your birth control pills. Please check with your physician.


Swelling of the face following oral surgery is normal. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. Stiffness (Trimus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time. However, the swelling may be minimized by the immediate use of ice packs.

  • Apply ice 20 minutes on and 20 minutes off for 24-48 hours following your surgery.
  • Ice should be applied to the sides of the face where surgery was performed.
  • After 48 hours, you should discontinue the ice and begin warm packs.
  • Elevating your head while sleeping for the first 48 hrs will help minimize swelling.

Swelling will usually reach its peak on the 3rd or 4th day.


Removal of impacted teeth is a surgical procedure. Post-operative problems are not unusual, and extra care must be taken to avoid complications. Severity of post-operative pain will depend on the procedure and your physical condition. Take medication for pain precisely as directed. Healing of the surgical site is variable. Swelling can be expected. Be certain to apply ice bags as directed above. Difficulty in opening your mouth widely and discomfort upon swallowing should be anticipated. You may experience numbness of lips, tongue, cheek or chin for a variable period of time.

Oral Hygiene

No rinsing of any kind should be performed until the day following surgery.

  • 48 hrs after surgery gently rinse mouth with a solution of one-half teaspoon of salt dissolved in a glass of 4 ounces of warm water at least 5-6 times a day, (morning, after each meal and before bed) for 2 weeks.
  • You may also resume regular tooth brushing, but avoid disturbing the surgical site. You may brush all of your teeth with the exception of the implant or bone graft sites starting the day after your surgery.

If you were given a syringe, rinse the extraction sites using warm salt water and lightly flush down inside the sockets. Begin to use the syringe three (3) days after surgery. Flush sockets with syringe after each meal until the extraction site(s) are completely healed.


No straws, smoking, spitting, or carbonated beverages for one (1) week.
No abrasive foods such as chips, popcorn, seeds and nuts.

  • For the first six (6) hours or until the numbness wears off, eat soft foods such as a milkshake, smoothie, yogurt, ice cream, pudding, applesauce, mashed potatoes, or creamy soup. You may eat anything soft by chewing away from the surgical sites. High calorie, high protein intake is very important.
  • After the first six (6) hours or when the numbness wears off, eat soft foods such as pasta, macaroni and cheese, pancakes, eggs or cooked vegetables.
  • You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. Try not to miss a single meal. You will feel better, have more strength, less discomfort and heal faster if you continue to eat.


If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit for one minute before standing.

PLEASE NOTE: If you should have a medical emergency call 911
If you need to reach Dr. Gilbert after hours please call the office number Inland Institute - Oral & Maxillofacial Surgery Phone Number 909-982-8888 and let the exchange know you need to speak with him.