After Wisdom Tooth Removal and Partial Odontectomy
Post-operative instructions for after extraction
In addition to the individual instructions about caring for your mouth listed here, some general instructions are:
- Control bleeding by biting on gauze for 45 minutes; bleeding may occur after eating, yawning or exercise. Oozing of blood into the saliva is normal, but any bright red blood that cannot be controlled with pressure, should be addressed immediately by a doctor.
- Take all medications prescribed as directed
- Clear liquids, soft and cool food should be eaten. Avoid hot food and liquid for the ﬁrst 24 to 48 hours. Keep ice on face to reduce swelling.
- No smoking.
- No drinking through a straw for 24 to 48 hours after surgery.
- Keep head elevated, no strenuous activity for 3-5 days.
- Keep extraction sites protected by very gentle rinses with warm salt water (1/2 teaspoon salt in 8 oz. of warm water, starting the next day.
Dr. Satko and staff see all patients 7-14 days after surgery to give oral hygiene instruction (safe to rinse), check healing, and answer any questions. The sockets start to close over after 1-2 weeks and complete bone will ﬁll in over the next 3-4 months.
Reducing the Risk of Nerve Injury: Partial Odontectomy
When there is a close relationship between the third molar and the inferior alveolar canal, as indicated by panoramic imaging and evaluated by dental CT or cone beam CT imaging, a partial odontectomy (removal of the crown or upper part of the tooth) can help avoid nerve injury. A partial odontectomy, also known as a coronectomy, can reduce the risk of nerve injury for patients at high risk for a condition called inferior alveolar nerve injury (IANI).
For example, a lower wisdom tooth may straddle the nerve that supplies sensation to the teeth, gums, lip and chin on that side. To avoid a permanent loss of feeling, Dr. Satko performs the partial odontectomy as a safer alternative to complete extraction of the wisdom tooth. The doctor will sometimes perform a bone graft to protect the tooth in front of it and to help it heal.
You are in good hands if you choose Dr. Satko for your wisdom teeth removal.