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1. "Can I eat and drink or will food get in the sockets and cause
problems?"
Yes you can eat and drink whatever you can manage, in fact you
need to be drinking plenty of fluids to aid your recovery and some
of the medication you have been prescribed has to be taken with or
after food. Don't worry about food in the sockets it will not get
trapped as the holes fill in from the bottom to the top and it is
easily expelled.
2. "Do I need to come back to have my stitches out or are they
dissolving ones?"
It depends. We still like to make a check-up appointment one week
later no matter what type of sutures you have in your mouth and the
receptionist at the practice at which you had your oral surgery will
ring you with that appointment time.
3. "Is it normal to feel nauseous and to vomit afterwards?"
No it is not. The technique of intravenous sedation generally
will not produce nausea but some people will still feel nauseous
from a combination of effects. If you feel nauseous you should
contact me and we will review the likely causes and often prescribe
something to stop the problem.
4. "Is it normal to still be taking painkillers three days after
the procedure?"
No it is not normal, your need for pain relief should be much
reduced or no longer necessary after three to four days. If you are
still taking pain relief at this stage the most likely reason is
that you have developed a dry socket. You should contact our office
and we will arrange to dress the socket to provide relief from the
pain and help the healing process resume.
5. "What is a dry socket?"
A dry socket is the most common postoperative complication after
the extraction of teeth. It is characterized by a dull nagging pain
along your jaw or up the side of your face to your ear. Often the
lower front teeth feel funny or sore and it often wakens you from
sleep. It is often worse in the morning or the end of the day. It is
caused by the loss of the healing blood clot leaving an empty hole
in the bone.
6. "Is it normal to still be bleeding a few days after having my
teeth out?"
No bleeding will generally have stopped by the next day, although
some people will notice a small amount of blood tinged saliva over
several days. I f this is sufficient to cause you alarm or interfere
with normal activities you should check it out with us.
7. "Is it normal for swelling or stiffness to return some days
after the teeth have been extracted when previous to that all had
been going well and the swelling had gone down?"
No. You should contact our office.
8. "Is it OK if a suture or stitch comes out earlier than I was
expecting or within the first week?"
Generally yes sometimes sutures will let go a little early and no
harm is done at this stage but if you have any concerns contact our
office for advice.
9. "When can I resume exercise?"
There is no definite answer for everyone but as a general rule a
day or two after your swelling has subsided, but use common sense or
ring the office for advice. Exercise too early after surgery will
make bleeding more likely.
10. "How long will I need to take off work?"
It varies from person to person. The average period of
recuperation is from two to four days, but everybody is different.
Please remember that healing is not always uneventful and sometimes
it just takes longer for some people than others. If you have any
concerns about how long things are taking to return to normal please
ring for advice.
11. "Can I be back at work the next day?"
Yes after very minor procedures if there has been very little
surgery and no swelling. If the procedure has involved sedation and
surgery you will need to take time out from work to rest and so
hasten your recovery.
12. "What can I eat after surgery?"
you can eat and drink anything that you can manage but obviously
soft foods initially then whatever you fancy, but be prepared to
take a little longer and cut things up a little smaller. Food can be
at normal temperatures but care with temperature is needed when your
lips and tongue are numb after surgery from the effects of local
anesthetic.
13. "How long will it take for the drugs of sedation to wear off?"
The effect of the drugs is approximately two to four hours but
you are not trustworthy and you should not drive a motor vehicle,
make important decisions or drink alcohol for 24 hours following
your procedure.
14. "Will me being a smoker make any difference?"
Yes. You are very likely to take longer to heal, have more pain
and more postoperative complications than if you did not smoke. You
should not smoke for at least three days after surgery. As a smoker
you are very likely to develop the problem referred to as a dry
socket so if you still have pain after 3 to 4 days you need to ring
us so we may be of assistance.
15. "Can I drink alcohol after oral surgery?"
You should not drink alcohol for three days after having oral
surgery.
16. "Why are my lips and tongue numb after the procedure?"
Your lips and tongue are numb from the effects of local
anesthetic injections administered once you were asleep to ensure
you have no pain or discomfort. It will slowly wear off over the
first two hours after the procedure.
17. "Is it normal to still have some numbness in my lip, chin or
tongue several days after having wisdom teeth out?"
No but it is a well-understood phenomenon that was explained
during the consent procedure prior to the sedation and the surgery.
It is generally due to trauma to one of the nerves which lies close
to the tooth that was removed and usually resolves slowly with time.
This occurs in approximately 10% of people. You should contact us to
make us aware of the situation or if you are concerned.
18. "Why use intravenous sedation versus a general anesthetic for
the extraction of wisdom teeth?"
Intravenous sedation is safer than a general anesthetic, you
generally recover more quickly and more pleasantly. There are some
circumstances where a general anesthetic is more suitable, but we do
not carry out cases under general anesthetic in dental practices for
reasons of patient safety.
19. "When can I clean my teeth?"
You can clean your teeth the next day as far back as it is
comfortable, clean carefully in the area of the surgery.
20. "Will the use of ice packs be of benefit to my healing?"
No. We believe ice packs will not benefit you and will also be
most uncomfortable for most people.
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