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Geoffrey R. Bauman, DMD, MS | Surgical Exposure of an Unerupted Tooth in Newark

Geoffrey R. Bauman, DMD, MS / Board Certified,  American Board of Periodontology
Fellow, Midwest Implant Institute



Surgical Exposure of an Unerupted Tooth

Considerations for the surgical area: You should avoid talking as much as possible for the first 2 days. Do not chew in the area of the surgery for 3 weeks.  Try not play with the surgical area with your tongue.  Do not rub your cheek or lip over the area of the surgery.  Try not to sleep with pressure on the area where the surgery was done.  Do not swish mouth rinses or any other liquid in the mouth including water for 1 week.  This will create movement in the surgical area.  If some of the stitches start hanging down and you can’t tolerate them, you may call to come in and have them removed.


Home care:  Do not perform any brushing or flossing until the second day after the surgery.  On the second day, you may begin brushing and flossing all the areas of the mouth not involved with the surgery.  You will be given a mouthwash (Peridex or Listerine) to use in the surgical area in the morning and evening after you have brushed and flossed the non-surgical areas.  However, do not vigorously rinse with this or any other liquid.  Just allow it to pool over the surgical site for about 1-2 minutes and then spit out.


Pain:  Some discomfort should be expected post-surgically; however, the dentist will have given you prescriptions or recommended non-prescription medications to control pain.  Take the medication as directed.  Even a doubling of the recommended dose can cause severe problems.  Take your first dose of ibuprofen or Tylenol before the numbness wears off.  If the ibuprofen is not adequate, then start taking the narcotic in addition to the ibuprofen (don’t stop taking the ibuprofen).  Do not take Tylenol in addition to the narcotic as there is already Tylenol in the narcotic pill).   If a narcotic (Vicodin, Tylenol #3) was was prescribed and you find that you do not need it, dispose of it as per FDA recommendation for "Dangerous Drugs" at a certified "Take-back" site if available, or in the toilet.  Do not save this medication for pain at a later date.  Narcotics can be detected by blood or urine test and you may be prosecuted for taking the drug without a current prescription.  Most pain medications have the potential to cause nausea and vomiting.  This effect is decreased by taking the medications with 8 oz of fluid. With narcotics, it helps to remain still (even walking around can be a problem) to prevent nausea.  If nausea ensues with narcotics, you must stop taking them. It will only get worse otherwise.


Bleeding: It is recommended that you change bed linens to some that you will not be concerned if they are stained because there is often a little oozing at night during sleep.  You will experience some slight oozing of blood around the surgical areas and it is rarely a problem.  However, if you notice faster bleeding, particularly in the palate where the graft was taken, dampen a piece of gauze or facial tissue, fold it over for some thickness, and place moderate pressure with this over the site where the bleeding is coming from.  It will not stop the bleeding just to lay the gauze over it; you must apply some pressure.  Apply pressure for at least 20 minutes without removing the gauze pressure from the area (do not wipe the area with the gauze).  It will break the clot and continue to bleed if you remove the gauze pressure sooner than 20 minutes.  Do not create suction in your mouth to try to gather the blood to spit.  That will make the area bleed faster.  Just spit out and apply pressure as described above.  If it still doesn’t stop, then just apply pressure and call Dr. Bauman. 


Diet: Your diet should include the equivalent of 8 glasses of water per day.  1000mg per day of vitamin C may be helpful for healing.  For the first post-surgical day, the diet should consist of liquids only.  This may include things of the consistency of a milk shake or pudding.  On the second day through the first 2 weeks, you may eat softer foods such as little bites of baked potato or ground beef (not hamburgers) in an area of your mouth that has not been treated surgically. About two weeks after the surgery, a normal diet may be chewed on the side of the mouth not treated by surgery.  At one month after the surgery, healing should be nearly complete for normal function as prior to surgery.


Exercise:  Avoid heavy physical exercise for at least 3 days after surgery.  After that play it by ear.  No contact sports for 10 days after surgery.



FOR COMPLICATIONS CALL:  Dr. Bauman (740) 366-3559