›Naproxen 500 mg PO
›Then 250 mg PO every 8 to 12 hours as needed
›Avoid in pregnancy third trimester
›Oxycodone 5 mg PO
›Every 6 hours as needed for severe pain
›Avoid with other sedatives
›Nonpharmacologic adjuncts
›Ice packs for swelling first 24 hours
›Warm compresses after 24 hours if swelling persists
›Suspected alveolar osteitis management
›Dental or OMFS follow up for socket irrigation and medicated dressing
›Avoid empiric antibiotics if no infection signs
›Suspected localized infection management
›Antibiotics when signs of spreading infection
›Amoxicillin 500 mg PO every 8 hours
›Duration 5 days
›Local protocol dependent
›Penicillin allergy option
›Clindamycin 300 mg PO every 6 hours
›Duration 5 days
›C difficile risk
›Initial measures
›Direct pressure with gauze bite
›Duration at least 20 to 30 minutes without checking
›Escalation measures
›Tranexamic acid topical
›Soaked gauze application
›Local protocol dependent
›Local anesthetic with vasoconstrictor for focal bleeder
›Suture consideration
›OMFS consultation for refractory bleeding
Deep space infection pathway
›If deep space infection concern
›CT neck with IV contrast if stable airway
›Broad spectrum IV antibiotics
›Ampicillin sulbactam 3 g IV every 6 hours
›Penicillin allergy option
›Clindamycin 600 mg IV every 8 hours
›Add levofloxacin 750 mg IV daily if severe and gram negative concern
›Local protocol dependent
›Early airway planning
›Awake technique consideration
›Surgical airway readiness if obstruction risk
›Reassessment timing
›Pain response within 30 to 60 minutes of therapy
›Airway and swelling reassessment every 30 to 60 minutes if concern
›Triggers to change plan
›Increasing trismus
›New dysphagia
›Worsening swelling
›New fever or instability