Figure 5-57.Tray setup for a complex or impacted surgical extraction.
surgery. Verbal instructions are given only to
emphasize the important written guidelines.
to keep the gauze pack in place over the surgical site
with light pressure until the hemorrhage stops or the
gauze becomes saturated. Following surgery, many
patients are so relieved the surgery is completed that
they will try to talk and ask numerous questions. This
should be firmly discouraged by explaining to the
patient that healing depends on establishing good clots
and steady light pressure. The gauze pack need not be
replaced if bleeding has ceased. A slight ooze can be
expected at times and could continue for a few hours.
Stress to the patient that home care following
dental surgery is important and recovery could be
delayed if this is neglected. Inform the patient that
some swelling, stiffness, and discomfort are to be
expected. If these reactions are greater than expected,
inform the patient to call or return to the dental clinic
The expected effect of anesthesia, both local and
Advise patient to limit activities and avoid
conscious sedation agents, if applicable, should be
strenuous work or exercise for a few days after surgery.
explained to the patient and escort. Inform the patient
Caution the patient to keep the head elevated with