Wisdom Tooth Surgery Pre and Post Instructions



 DIET – You are not allowed to eat or drink anything for six hours prior to the surgery.  If you need to take regular medications, please do so with only sips of water.  Insulin controlled diabetics should speak with Dr. Semmel for special instructions.

 DRIVER – You must have someone that can drive you home after the surgery.  Your driver must be present at the time you check-in and must remain on the property throughout your surgical procedure.  A responsible adult should be present to observe you for the first 12 hours after surgery.

 PRESCRIPTIONS – If you were not given prescriptions at the time of your consultation appointment, please call the office one week prior to your scheduled surgery to have prescriptions prepared.  You will need to pick up the physical prescriptions from the office.  Narcotic pain medicine prescriptions can no longer be phoned-in to the pharmacy.

 CAMERAS AND OTHER RECORDING DEVICES are not permitted in the clinical or recovery areas of the office.



 ACTIVITY – You should rest and avoid exercise for the first 48-72 hours after your surgery. 

 DIET – Liquid only diet on the first day, but avoid hot liquids.   Maintain a soft diet for at least the next two days.  Avoid hard, sharp food items for one week.  Remove gauze from mouth before drinking or eating.  Avoid using straws for the first three days.  Suggested soft foods include:  soups, stews, mashed potatoes, pasta, ice cream, smoothies, milkshakes, yogurt, pudding, applesauce, scrambled eggs, or nutrition supplements such as Boost or Ensure.

 BLEEDING – Leave gauze packs in place for 20 minutes.  Take gauze packs out at home.  If bleeding is still present, replace gauze packs and leave them in for another 20 minutes.  You may remove the gauze once bleeding has stopped.  If bleeding continues, place a moistened tea bag over the surgical site and bite with firm pressure for 20 minutes.  Slight bleeding is common up to 48 hours after surgery.  If bleeding cannot be controlled, contact our office.

 SWELLING – Swelling is common after extraction of wisdom teeth.  Apply ice packs to the sides of the face, alternating 20 minutes on and 20 minutes off for the first 48 hours to help with swelling.  Swelling will peak 2-3 days after surgery.

PAIN – You can expect some pain after surgery.  Take your prescribed pain medicine after you are able to drink something.  Your pain and swelling will typically peak about 2-3 days after surgery.  Take pain medicine as needed.  Do not consume alcohol with narcotic pain medicines.

 SMOKING – Avoid smoking for one to two weeks. 

 CLEANING – Maintain normal oral hygiene, but keep your tooth brush away from the surgical areas for the first week.  Gently rinse your mouth with salt water to keep the surgical areas clean.  You should use the irrigation syringe to clean the extraction sockets after the third day.  Use warm salty water in the irrigation syringe.

 SUTURES – Do not forcibly pull your lips or cheeks away to visualize the surgical site.  It is possible that the sutures can be torn.  Sutures will normally dissolve in 5-7 days.  If sutures come out prematurely, do not panic.  Sutures only need to be replaced if significant bleeding resumes.

 FEVER – Slight elevation in temperature is normal within the first few days after surgery.  Call the office if the fever persists.

Please contact the office if you have questions or concerns. 

910-509-1422 (office phone) or 910-620-3897 (alternate phone)