Murphy Kosman Danko
Oral & Maxillofacial Surgery
Westlake, OH, Sheffield Village, OH, Bay Village, OH, Norwalk, OH

Wisdom Teeth and/or Routine Extraction


Take Tylenol or your pain prescription as directed with food. Try to take the pain medication before your numbness wears off completely. If you notice that you develop a rash or hives stop all medications and contact the office as soon as possible. Over exertion may cause throbbing or pain within the first couple of days.


If you have guaze in your mouth when you leave, you may remove it when you get home. You may gently rinse your mouth out with salt water that night. It is normal to have light bleeding for the first 24-48 hours following surgery. If bleeding is excessive, wipe away all masses of clotted blood. Place a piece of gauze or damp tea bag over the socket and apply firm pressure for 20 minutes undisturbed. Repeat as necessary. If there are any stitches in the site, they will dissolve over time unless otherwise stated. They were placed there to control bleeding and hasten the healing period.


Swelling will reach its peak in 2-3 days and slightly subside from then. Medication will be given to help reduce swelling, take as directed. Do not be alarmed regarding swelling or discoloration of the face that occurs following extractions, as it may be perfectly normal and does not indicate infection. With some extractions it is normal to have swelling and discoloration for a week to ten days. It is very important to use ice for the first 48 hours as much as possible. After 48 hours, apply warm moist heat to face (washcloth run under warm-hot water and rung out).


When you leave the office you will be very numb. Be sure to not drink anything too hot that you would burn yourself until the Novocain wears off. A soft food diet is recommended following most extractions. Some examples of soft foods are- Eggs, pancakes, waffles, French toast, spaghetti, macaroni and cheese, spaghetti O’s, lasagna, vegetables in stew, stuffed peppers or cabbage, meat loaf, sloppy joes, tuna, mashed potatoes, apple sauce, rice, cottage cheese, soup, ice-cream, jello, pudding, yogurt, and custard. It is also important to drink plenty of fluids such as pop, juices, coffee, milk, milkshakes, Gatorade and water. Make sure you mix both fluids and food. Good nutrition is important for healing.

Mouth Wash

To aid in healing, salt water rinses work best. Dissolve a teaspoonful of table salt in a glass of warm water. The mouth should be rinsed after eating and before bedtime. Do not rinse your mouth too vigorously as it could result in bleeding. A syringe may be given to you, use as directed after 4-5 days.  Brushing your teeth the night of your surgery is okay as long as you stay away from the extraction sites.

Dry Sockets

“Dry Sockets” may occur after extractions. A “Dry Socket” is when you pre-maturaly loose the blood clot that formed leaving the bone exposed. They may start about 3-5 days following your impacted tooth extraction. A throbbing or pounding sensation may be present that is not relieved by pain medications. Please contact the office if you are experiencing this. A special medicated pack will be placed into the socket and will need to be extracted in 2 days. Once this pack is inserted, your pain will be toleratable in about 20 minutes.


Tightness of the muscles may cause difficultly in opening your mouth. You may have slight ear-aches and feel like you have a sore throat on the day of the surgery. You may have a slight elevation in temperature for 24-48 hours- if longer notify us. Try to not smoke for 48 hours after surgery. Also, try to rest as much as possible for a couple days following surgery.