Surgical Instructions

Before Anesthesia
(General Anesthesia, Deep Sedation, or IV (Twilight) Sedation)

After Tooth Removal

After your tooth extraction, it is important for a blood clot to stabilize. Please bite on a slightly moisten gauze for 20-30 minutes after the appointment and continue to change the gauze every 20-30 minutes until the bleeding stops.

Please NOTE – Biting on a moistened tea bag for 30 minutes also helps to slow the bleeding.

After the blood clot has formed, it is important not to disturb or dislodge the clot as it aids healing.

After your tooth extraction you might have some pain and/or swelling. If directed please use an icepack to the area for the next 48 hours only, this keep swelling to a minimum. Take pain medications as prescribed by your surgeon. Add Ibuprofen if you were directed. It works best if taken at the same time as the prescription medication.

Any antibiotics that are prescribed, please take them for the time period prescribed.

Diet after extractions:

Mouth care after your extractions:

What To Do After Wisdom Teeth Removal

Immediately After Wisdom Teeth Removal

Keep your mouth clean

General Instructions

Diet after extractions:

Mouth care after your extractions:

Dry Socket

  • Bleeding is normal and be expected following surgery.
  • Excessive bleeding is not normal. To help control first rinsing or wiping any old clots from your mouth, then placing a gauze over the extraction site and biting firmly for 20-30 minutes. Do not keep changing gauze during this time.
  • If bleeding continues, bite on a moistened tea bag for thirty minutes.
  • No straws and no spitting.
  • Some swelling that is normally and to be expected.
  • Maximum swelling will not become apparent until the 2-3 days following surgery
  • To help limit the amount of swelling immediate use of ice packs will help. The ice packs should be placed on and off, every 20 minutes while you are awake.
  • DO NOT use ice after 48 hours. After the 48 hours transitioning to heating pads or warm towels. This will continue to help reduce the swelling and help with muscle soreness/jaw stiffness.
  • Please take a pain medication prior to the local anesthetic wearing off. Within 2 hours is best.
  • For mild to moderate pain, Tylenol or Extra Strength Tylenol may be taken every 4-6 hours as directed.
  • Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, over the counter comes in 200 mg tablets: 3-4 tablets may be taken every 6-8 hours as needed for pain.
  • Do NOT exceed 3000mg of Tylenol in a 24-hour period.
  • Do NOT exceed 3200mg of Ibuprofen in a 24-hour period.
  • For severe pain, use the prescribed medication as directed.
  • It is very important to stay hydrated. Drink plenty of fluids. Prevent dehydration by taking fluids regularly. Drink at least 5-6 glasses daily
  • No straws please
  • Eat soft foods by chewing opposite the surgical sites.
  • If you had multiple teeth removed, foods that are soft, cold, and do not require chewing are best.
  • In some cases, bruising of the skin may happen after teeth removal. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively.
  • Moist heat to the area may speed up the removal.
  • If you have been prescribed antibiotics, take the tablets or liquid as directed.
  • Antibiotics are given to help prevent or treat an infection.
  • Immediately discontinue antibiotic use in the event of a rash or other unfavorable reaction.
  • Call 469-698-9800 (phone is answered after hours) if you have any questions or concerns


  • You should then sip sprite or ginger ale. Sip slowly over a fifteen-minute period. When the nausea improves you may begin taking slowing trying solid foods.
  • If nausea does not improve, call the office and anti-nausea medicine may be prescribed.

After Placement Of Your Dental Implant

Oral Hygiene


Wearing Your Denture or Artificial Tooth Prosthesis

  • Slight bleeding and/or redness in the saliva is normal for up to 48 hours.
  • Excessive bleeding can be controlled by biting on moist gauze directly over the site for 20-30 minutes. Firm, consistent mild pressure is best.
  • If bleeding continues please call 469-698-9800
  • Swelling is a normal and to be expected after surgery.
  • To minimize swelling, apply an ice bag on the outside of your face for 20 mins on and off. It is not necessary to apply ice while sleeping.
  • You should begin taking pain medication as soon as you feel the local anesthetic wearing off.
  • For mild to moderate pain, Tylenol or Ibuprofen may be taken every 4-6 hours as directed.
  • Do not exceed 3000 mg of Tylenol in a 24-hour period
  • Do not exceed 3200 mg of Ibuprofen in a 24-hour period.
  • For severe pain, the prescribed medication should be taken as directed. Do not take any medication if you have an allergic reaction, or if you have been instructed by your doctor not to take it.
  • Drink plenty of fluids and avoid hot liquids or hot food until all numbness is gone.
  • Return to a normal diet as soon as possible unless otherwise directed.
  • Be sure to take all the prescribed antibiotics as directed.