After Exposure of an Impacted Tooth

An impacted tooth is a tooth that is stuck in the gum and thus cannot be used. Often, surgery is needed to remove the tooth (as in the case of wisdom teeth) or to help the tooth erupt in its proper position to prevent future complications.

Exposing an impacted tooth is the first step to positioning a necessary tooth that cannot naturally grow. Recovery from oral surgery can vary from patient to patient; however, patients can benefit from the care guide below. Feel free to call our office for further clarification at (201) 601-9262.

What to Do Immediately After Surgery

Do not disturb the wound. If surgical packing was placed, leave it alone. The packing helps to keep the tooth exposed. If it gets dislodged or falls out, do not get alarmed but please contact our office for instructions.

It is very important in the first day after surgery to refrain from smoking. Be careful and gentle around the surgical site and avoid probing it with any object.


Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding that rapidly fills your mouth with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues, please call for further instructions.


Swelling is a normal occurrence after surgery. To minimize swelling apply an ice bag or a plastic bag filled with ice cubes on your cheek near the area of surgery. Apply the ice as much as possible for the first 36 hours.


Drink plenty of fluids. Avoid hot liquids or hard foods. Only consume soft food and liquids on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.


You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken four times daily, not to exceed 3200 mg daily for an adult. Consult our practice for individuals under 18. Do not take the two medications at the same time.

For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic to them, or have been instructed by your doctor not to take it. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.


Oral cleanliness is essential to good healing. Clean your mouth thoroughly after each meal, beginning the day after surgery. Brush your teeth normally if possible. Rinse with warm salt water (1 teaspoon of salt in a cup of warm water) six times a day. Continue this procedure until healing is complete.

REMEMBER: A clean wound heals better and faster.


Keep physical activities to a minimum immediately following surgery. If you exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

We recommend that you rest and avoid strenuous activity the first few days after surgery. Wait 3-4 days before getting back to your exercise regimen.


Some may experience nausea and vomiting as a result of swallowing blood, experiencing discomfort, or as a side-effect of anesthesia or pain medication. Quell postoperative nausea by sipping on some ginger ale. Soda crackers can also alleviate symptoms. If nausea persists, quit the prescription pain medication. You may substitute the medication with over-the-counter painkillers. If the sensation of nausea is ongoing, call our office.

At Union City Oral & Maxillofacial Surgery, we want to make sure that you make a full recovery from your delicate procedure. We are available to answer any questions you may have after undergoing surgery. Call (201) 601-9262 or contact us about your concerns.

Union City Oral & Maxillofacial Surgery, P.C.

Nancy Herbst, DDS

311 33rd Street
Union City, NJ 07087

Phone: 201-601-9262

Service Areas

Nancy Herbst, DDS is easily accessible to Manhattan and serves the following New Jersey and New York communities:

●    Bayonne
●    Union City
●    Hoboken
●    Jersey City
●    Weehawken
●    Secaucus
●    Edgewater
●    North Bergen
●    West New York
●    Guttenberg
●    Manhattan
Union City Oral Surgery

Union City Oral Surgery