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 Exposure of Impacted Teeth

Do not disturb the wound. If surgical packing was placed, leave it alone. The pack helps to keep the tooth exposed. If it gets dislodged or falls out do not get alarmed.

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding which results in your mouth filling rapidly with blood can frequently be controlled by biting with pressure on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call for further instructions.

Swelling

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag or a plastic bag or towel filled with ice cubes on the cheek in the area of surgery. Apply the ice continuously as much as possible for the first 36 hours.

Diet

Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Pain

You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength. Tylenol may be taken every 3-4 hours. Ibuprofen (Advil, Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed.

Oral Hygiene

Mouth cleanliness is essential to good healing. Clean your mouth thoroughly after each meal beginning the day after surgery. Brush your teeth as best you can. Rinse with warm salt water (1/2 teaspoon of salt in a cup of warm water) six times a day. Continue this procedure until healing is complete.

REMEMBER: A clean wound heals better and faster.

Activity

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.