Wisdom teeth removal is a common surgical procedure. Proper preparation is important for a smoother procedure and recovery. Understanding the steps to take before surgery can help ease anxiety and promote healing.
Essential Pre-Surgery Steps
Before your wisdom teeth removal, several practical steps are important to follow. If you are undergoing IV sedation or general anesthesia, your oral surgeon will instruct you not to eat or drink anything, including water, for at least 6 to 8 hours prior to the appointment, often after midnight the night before. This fasting period helps prevent complications such as aspiration during anesthesia.
Reviewing your current medications with your surgeon is important. Certain medications, such as blood thinners (e.g., aspirin, ibuprofen, naproxen, warfarin) and some herbal supplements (e.g., garlic, ginseng, ginkgo biloba, Vitamin E), can increase bleeding risk and may need to be stopped several days or even a week prior to surgery. Discuss all prescription, over-the-counter drugs, and supplements with your surgeon. Maintain good oral hygiene before the procedure, including brushing your teeth before the appointment.
Arranging transportation is necessary, as you will not be able to drive yourself home after receiving anesthesia. A responsible adult must accompany you to the office, remain during the procedure, and drive you home. On the day of surgery, wear loose-fitting, comfortable clothing with sleeves that can be rolled up past the elbow for easy access for an IV. Arrive on time or slightly early for your appointment to allow for any last-minute paperwork and preparation.
Key Questions to Ask Your Oral Surgeon
Discuss the procedure with your oral surgeon to gain clarity and reduce apprehension. Inquire about the anesthesia options available, which include local anesthesia, nitrous oxide (laughing gas), intravenous (IV) sedation, or general anesthesia. Understanding the type of anesthesia and what to expect during and immediately after its administration will help you feel prepared.
Ask for an overview of the procedure, including its expected duration and what will happen during the extraction. Discuss the pain management plan, which may involve prescribed medications or recommendations for over-the-counter options like ibuprofen or acetaminophen. Understand when and how post-operative instructions will be provided for clear guidance during recovery.
Obtain information for emergency contact or after-hours care in case unexpected issues arise post-surgery. Ask for a recovery timeline, including when you can resume normal activities, work, or school, and when any swelling or discomfort might subside.
Setting Up for a Smooth Recovery
Preparing your home environment before wisdom teeth removal contributes to a comfortable recovery. Stock up on soft foods, as chewing will be restricted initially. Examples include yogurt, mashed potatoes, applesauce, smoothies, pureed soups (lukewarm or cold), scrambled eggs, and Jell-O. Avoid foods that are hot, crunchy, chewy, or contain small seeds, as these can irritate the surgical sites or dislodge blood clots.
Have pain relief readily available. This includes over-the-counter options like ibuprofen or acetaminophen, as well as any prescription pain medications your surgeon provides. Ice packs are useful for managing swelling, which often peaks 2-3 days after surgery. Apply ice packs to the outside of your cheeks for 20 minutes on and 20 minutes off during the first 24-48 hours.
Ensure adequate hydration by having plenty of water and clear liquids on hand. Avoid using straws for the first few days, as the sucking motion can dislodge the protective blood clot at the extraction site, leading to a painful condition called dry socket. Prepare a comfortable rest area with pillows and blankets, ideally a spot where you can keep your head elevated to help reduce swelling. Arrange for a support system, such as a friend or family member, to assist with errands or provide care during the initial recovery period.