Tahoe Oral Surgery
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    • Wisdom Teeth
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      • Single Tooth Replacement
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      • Teeth In A Day
    • Grafting
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    • 3D Imaging
    • Oral Pathology
    • Facial Trauma
    • Corrective Jaw Surgery
  • Patient Info
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    • Introduction
    • First Visit
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      • Get To Know OMS
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      • Administration of Anesthesia
      • Having Third Molar Surgery
      • Having Impacted Canine Surgery
      • Corrective Jaw Surgery
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      • Obstructive Sleep Apnea
  • Surgical Instructions
    • Before Anesthesia
    • Wisdom Tooth Removal
    • Dental Implant Surgery
    • Extractions
    • Multiple Extractions
    • Exposure of an Impacted Tooth
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Wisdom Tooth Removal

The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and the complications of infection and swelling can be minimized if the instructions are followed carefully. A video of post operative instructions is available along with the instructions below.

Immediately Following Surgery

  • The gauze pad placed over the surgical area should be kept firmly in place by biting on it for one hour after surgery, then replace with another gauze for another hour. After this time, utilize gauze over the surgery site if you are concerned about further bleeding.
  • Vigorous mouth rinsing or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
  • Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.
  • Restrict your activities the day of surgery and resume normal activity when you feel comfortable.
  • Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for explanation.

Bleeding

A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea bag helps to form a clot by contracting bleeding vessels. To minimize further bleeding, do not become excited, sit upright, and avoid exercise. If bleeding does not subside, call for further instructions.

Swelling

The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Pain

For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every three to four hours or Ibuprofen, (Motrin or Advil) two-four 200 mg tablets may be taken every 3-4 hours.

For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. 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.

Diet

After general anesthetic or I.V. sedation, liquids should be initially taken. Do not use straws. Drink from a glass. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away form the surgical sites. High calorie, high protein intake is very important. Refer to the section on suggested diet instructions at the end of the brochure. Nourishment should be taken regularly. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss a single meal. You will feel better, have more strength, less discomfort and heal faster if you continue to eat. Caution: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit for one minute before standing.

Keep the mouth clean

No rinsing of any kind should be performed until the day following surgery. You can brush your teeth the night of surgery but rinse gently. The day after surgery you should begin rinsing at least 5-6 times a day especially after eating with a cup of warm water mixed with a teaspoon of salt.

Discoloration

In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Antibiotics

If you have been placed on antibiotics, take the tablets or liquid as directed. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or other unfavorable reaction. Call the office if you have any questions.

Nausea and Vomiting

In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour including the prescribed medicine. You should then sip on coke, tea or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides you can begin taking solid foods and the prescribed medicine.

Other Complications

  • If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As stated before surgery, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. So be careful. Call Dr. Martin if you have any questions.
  • Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or ibuprofen should be taken to reduce the fever.
  • You should be careful going from the lying down position to standing. You were not able to eat or drink prior to surgery. It was also difficult to take fluids. Taking pain medications can make you dizzy. You could get light headed when you stand up suddenly. Before standing up, you should sit for one minute then get up.
  • Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots, they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, they can be removed by Dr. Martin.
  • If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as vaseline.
  • Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days.
  • Stiffness (Trimus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.

Finally

Sutures are placed the area of surgery to minimize post-operative bleeding and to help healing. Sometimes they become dislodged, this is no cause for alarm. Just remove the suture form your mouth and discard it. The sutures will be dissolve approximately one week after surgery.

The discomfort and swelling typically peaks 48-36 hours after surgery and should subside more and more each following day. If your post-operative pain or swelling worsens or unusual symptoms occur call my office for instructions.

There will be a cavity where the tooth was removed. The cavity will gradually over the next month fill in with the new tissue. In the mean time, the area should be kept clean especially after meals with salt water rinses or a toothbrush.

Your case is individual, no two mouths are alike. Do not accept well intended advice from friends. Discuss your problem with the persons best able to effectively help you: Dr. Martin or your family dentist.

Brushing your teeth is okay – just be gentle at the surgical sites.

A dry socket is when the blood clot gets dislodged prematurely from the tooth socket. Symptoms of pain at the surgical site and even pain to the ear may occur 3-5 days following surgery. Call the office if this occurs.

If you are involved in regular exercise, be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

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Oral Surgery Client Testimonials

If you have to have oral surgery for any reason, you couldn’t pick a better place than Tahoe Oral Surgery & Implant Center. The staff makes you feel welcome and Dr. Martin is lovely!!!!
Kay Taylor
Dr. Martin and staff are amazing and wonderful. I highly recommend Dr. Martin for all your surgical needs for your teeth.
Steven J.
I didn’t even need to take one aspirin throughout the entire process.  His office is state of the art and his staff are wonderful. I would highly recommend them for any Oral Surgery needs.
Tracy S.
I highly recommend [Dr. Martin] and would not hesitate to drive back to Tahoe to have my son seen again (in fact, I already did!).
Erin E.
Dr. Martin and his staff have been and were during my procedure absolutely amazing and kind and professional. For … oral surgery, he and his staff are the best place to be taken care of.
Alison B., Truckee, CA
Dr. Martin is great, after having a wisdom tooth removed I had no problem or pain. I would highly recommend Tahoe Oral Surgery.
Sandy Wingate
Dr. Martin and his staff are awesome and super nice! I definitely recommend Dr. Martin to anyone looking for an oral surgeon!
Lyndsay F.
Dr. Martin and his staff are so professional that I’m compelled to write my first review of anyone. He was considerate and calming, answered any questions I had, reviewed procedures and relieved any anxiety I had for my implant.
David C. , Zephyr Cove NV
Great work and great staff! They made what was, to me, a scary procedure into something that I said was easy mid-way though. I’d highly recommend Dr. Martin and his staff.
Erin McGuffin Jernigan
Dr. Martin and his office staff were extremely professional, their compassion and caring was awesome! I would recommend Dr. Martin to anyone in need of an oral surgeon.
Pam M., Truckee, CA

Tahoe Dental Implant Blog

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More Info

  • Introduction
  • First Visit
  • Scheduling
  • Financial & Insurance Policy
  • Patient Registration
  • Privacy Policy & Disclaimer
  • Referring Doctors
  • FAQs

Surgical Instructions

  • Before Anesthesia
  • Wisdom Tooth Removal
  • Dental Implant Surgery
  • Extractions
  • Multiple Extractions
  • Exposure of an Impacted Tooth

Truckee (& mailing)

Tahoe Oral Surgery and Implant Center
40165 Truckee Airport Road
#303 (2nd floor)
Truckee, CA 96161
530-587-5440

South Lake Tahoe

Tahoe Oral Surgery and Implant Center
591 Tahoe Keys Blvd.
Suite D4
South Lake Tahoe, CA 96150
530-541-4042
Daniel C. Martin, DDS and Dr. Rachel Appelblatt, DDS, MD your Truckee and Lake Tahoe Oral Surgeons

Proudly Offers the Following Oral Surgery Services:

Dental Implants, All-on-4™, Teeth-in-an-Hour™, Bone Grafting, Jaw Bone Health, Jaw Surgery, Jaw Bone Deterioration, Ridge Augmentations, Sinus Lift, Nerve Repositioning, Socket Preservation, Pre-prosthetic Surgery and treatment of Facial Trauma, and Oral Pathology.

Serving the following California and Nevada communities: Truckee, South Lake Tahoe, Reno, Gardnerville, Minden, Carson City, Tahoe City, Kings Beach, Incline Village, Zephyr Cove, Stateline NV, Sierraville.

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