Background
In some cases, teeth may be positioned abnormally, a tooth may be missing, or there may be a lack of space in the jaw. In such situations, it can be difficult or impossible to achieve an optimal result using orthodontic braces alone.
The orthodontist may therefore refer you to an oral and maxillofacial surgeon (OMFS) for a minor surgical procedure, such as exposing a non-erupting canine or molar, removing an obstructing tooth, or placing mini-screws. Using X-rays or a 3D scan, it is determined which procedure is required and how it will be performed.
The goal of the procedure is to achieve the desired final result together with the orthodontist: a functional and well-aligned dentition. Most of these procedures can be performed under local anesthesia. My experience as an oral and maxillofacial surgeon and the close collaboration with the orthodontist allow me to treat you or your child professionally and efficiently.
What can you expect after the procedure?
Normal symptoms:
- Swelling: Usually peaks on day 2 and gradually decreases from day 3 onward.
- Pain: Can be well controlled with the prescribed pain medication.
- Difficulty opening the mouth: Due to irritation of the chewing muscles.
- Bruising: Rare, but it may extend from the cheek to the neck.
- Numbness of the lip or chin: A temporary effect after removal of a wisdom tooth in the lower jaw.
- Slight bleeding: Especially during the first hours; the saliva may remain slightly pink for up to 24 hours after the procedure.
- Pain medication: Start taking the prescribed painkillers before the anesthesia has completely worn off.
- Cooling: During the first 24 hours, regularly cool the cheek with a cold pack.
- Oral hygiene:
- Do not rinse your mouth during the first 24 hours.
- After that, rinse with the prescribed mouthwash.
- Continue brushing your teeth but avoid the wound area as much as possible. Use a soft toothbrush.
- Diet:
- Avoid hot, hard, and spicy foods.
- Choose foods such as yogurt, soup, mashed potatoes, or applesauce.
- Lifestyle guidelines:
- Strictly avoid smoking and alcohol during the first week.
- Avoid heavy lifting, straining, and sports during the first week.
When should you contact us?
Please contact us if you experience:
- Heavy or persistent bleeding that does not stop after 30 minutes of pressure with a gauze
- Increasing pain or swelling after day 4
- Fever above 38.5°C
- Persistent numbness of the lip or chin after several days
- Increasing difficulty swallowing or opening the mouth
We are available by phone for questions or concerns. In case of emergency outside office hours, you can contact the on-call oral and maxillofacial surgeon.
