Exposure & bond recovery

Protect the site and chain

Leave the surgical area alone. A surgical pack helps keep the tooth exposed; if it loosens or falls out, do not be alarmed. The small gold chain bonded to the tooth is a handle for the orthodontist—do not touch or pull it. Your orthodontist will usually activate it in about one week.

Bleeding, pain, and fluids

• If gauze was placed, bite gently and remove it after about 45 minutes. For continued bleeding, use fresh gauze for 45 minutes; a moistened tea bag may be used for 30 minutes if needed.
• Do not rinse or spit vigorously while bleeding.
• Begin pain control when you get home. The practice sheet directs alternating 800 mg ibuprofen (or as directed) and acetaminophen every 3–4 hours for the first 48 hours.
• Stay hydrated, avoid alcohol, and do not use straws.

Food, smoking, and hygiene

• Use soft foods and advance as comfortable by day 3 or 4. Avoid nuts, sunflower seeds, and popcorn around the surgical area.
• Do not smoke or vape for at least 10 days.
• Brush the night of surgery but not directly over the wound.
• If prescribed an antibiotic while using oral contraceptives, use an alternate birth-control method for the rest of the cycle.

When to call

Bruising and temporary numbness near the site can occur. Call if numbness remains after one week, or for ongoing pain, swelling, fever, a bad taste, or another concern.