Maxillofacial Information

Oral and Maxillofacial Surgery requires up to 6 additional years of hospital-based surgical and anesthesia training. As an Oral and Maxillofacial Surgeon, Dr. Cooke manages a wide variety of problems relating to the Mouth, Teeth, Jaw and Facial Regions. Dr. Cooke practices a full scope of Oral and Maxillofacial Surgery with expertise ranging from Cosmetic Facial Surgery to Corrective Jaw Surgery and Wisdom Tooth Removal. He can also diagnose and treat Facial Pain, Facial Injuries and TMJ disorders, and performs a full range of Dental Implant procedures.

Dr. Cooke's staff is trained in assisting with IV Sedation within our state-of-the-art office setting. Patients are continuously monitored during and after surgery. In addition, General Anesthesia provided by a board certified Anesthesiologist is available within our facility.



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After Tooth Extration

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours.

Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.

After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.