BLEEDING: Do not spit as this increases bleeding in the mouth. Unless otherwise instructed, bite gauze in place with pressure for 30 to 45 minutes after leaving the office. If bleeding occurs later, place gauze pad directly over the surgery site and close mouth firmly so that hard pressure is applied for 30 minutes.
SWELLING, STIFFNESS AND DISCOLORATION: Ordinary immediate post operative swelling may be reduced by intermittent application (20 minutes on, 10 minutes off) of an ice bag as soon as possible after surgery and continued for the first twelve hours. Use cold only the day of surgery. Should there be slight bleeding into the tissues a purplish-black discoloration similar to that as seen in bruised may result. This is not an uncommon occurrence, and you should not be worried if it happens in your particular case. After the first 24 hours the application of moist hot compresses will aid in the dissipation of the discoloration, the reduction of any swelling and stiffness in the jaws.
ORAL HYGIENE: Since vigorous use of mouthwash may stimulate bleeding, refrain from rinsing the mouth for the first 12 hours. After that time use rinses of warm salt water (1/4 teaspoon in full glass of water) after meals. Remove all white film from the gums with a cotton swab or clean piece of gauze. Brush teeth with toothpaste, being careful to avoid the operative site. Rigid cleanliness of the mouth is essential to rapid healing and to prevent or control infections.
REFRAIN FROM SMOKING
DIET: Eat soft foods or liquids during the first 24 hours. DO NOT DRINK THROUGH A STRAW. Eat plenty of fruit, juice or other fluids each day.
Occasionally pain will develop several days after surgery. This is usually caused by the decomposing blood clot, which exposes the bony walls of the socket. Return to the office for treatment if this occurs.