Care For Tooth Extractions

 

Within the first 24 hours:

Bite firmly on a gauze pad for at least 30 minutes and as long as necessary to deal with the heavy oozing that is normal after an extraction. Insert a clean gauze pad after one hour if there is profuse oozing. Oozing may continue for 24 hours.

  • Avoid spitting, sucking on candy, or sucking through a straw.
  • Avoid rinsing your mouth, and do not brush or floss next to the extraction.
  • Avoid tobacco products for at least 72 hours.
  • Use allergy medication to prevent sneezing and coughing.
  • To reduce bleeding, avoid vigorous activity, and elevate your head when lying down.
  • Avoid hot, carbonated, or alcoholic beverages and hot or spicy foods.
  • When numbness has subsided completely, drink plenty of fluids, eat only soft foods, and chew on the opposite side.


For pain or discomfort:

Take a pain reliever before the anesthetic has worn off or as recommended.
Use an ice bag over the area to minimize swelling, applying it for 20 minutes on and 20 minutes off.


After 24 hours:

  • Begin eating normally as soon as it’s comfortable.
  • Brush and floss as usual, using care around the extraction site for the first week.
  • Continue with all antibiotics for the full course even if symptoms have subsided.
  • Apply moist heat to any swelling, or rinse with warm salt water two to three times a day for one week.
  • Contact our office if you experience heavy bleeding, pain or swelling for more than two days, a bad taste in your mouth, or if you have a reaction to the medication.

Additional Post Operative Instructions

Immediately following surgery, keep the gauze pad placed over the surgical area with pressure applied by biting down until the bleeding stops. A certain amount of bleeding is to be expected following a surgical procedure. Placing the gauze pad over the area and biting firmly may control excessive bleeding. Slight bleeding, oozing, or redness in the saliva is not uncommon. Repeat as necessary within a one-hour period following surgery.

If you have been prescribed pain medication besides aspirin, Tylenol or ibuprofen (Advil or Motrin), do not drive, operate heavy equipment, work around machinery or tools or engage in any other activity that may be unsafe when groggy, as your reflexes and judgment will be affected by the medication. Do not take more than 800mg every 4-6 hours. Medication should not be taken on an empty stomach. If you have been placed on antibiotics, take the medicine as directed. Antibiotics may be prescribed to help prevent infection.

Swelling around the face, eyes and surgical site is not uncommon. This swelling may not appear until the day following the surgery and may become more noticeable two to three days following surgery. You can help to minimize the swelling by applying a cold compress on the face near the extraction site alternating on for 20 minutes then off for 20 minutes. After 36 hours the ice will have no further impact on swelling. After this period, the application of moist heat to the sides of the face can help reduce swelling.

For 24 hours following your surgery, do not suck on a straw, brush, rinse, spit, or smoke. Avoid hot and spicy foods, carbonated and alcoholic beverages. During the first few days after surgery restrict your diet to liquids and soft foods such as soups, yogurt, juice, and smoothies. Restrict your activities on the day of your surgery, avoid excessive work or play and resume normal activity the following day as tolerated.

After the first day, gently rinse with a warm salt water rinse, approximately one-half teaspoon of salt in an eight ounce glass of water, three times a day.

If any sutures were required, they will dissolve on their own in 7-10 days. It will not be necessary to return to the office for sutures to be removed.

Children should be supervised after having an extraction to make sure they do not bite or their tongue or lips as it can cause serious injury to their soft tissue.

Please call our office if you experience severe pain, excessive bleeding or swelling, or if you have any questions or concerns. In the event of an emergency, please call our office. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.

Bite firmly on a gauze pad for at least 30 minutes and as long as necessary to deal with the heavy oozing that is normal after an extraction. Insert a clean gauze pad after one hour if there is profuse oozing. Oozing may continue for 24 hours.

  • Avoid spitting, sucking on candy, or sucking through a straw.
  • Avoid rinsing your mouth, and do not brush or floss next to the extraction.
  • Avoid tobacco products for at least 72 hours.
  • Use allergy medication to prevent sneezing and coughing.
  • To reduce bleeding, avoid vigorous activity, and elevate your head when lying down.
  • Avoid hot, carbonated, or alcoholic beverages and hot or spicy foods.
  • When numbness has subsided completely, drink plenty of fluids, eat only soft foods, and chew on the opposite side.


For pain or discomfort:

Take a pain reliever before the anesthetic has worn off or as recommended.
Use an ice bag over the area to minimize swelling, applying it for 20 minutes on and 20 minutes off.


After 24 hours:

  • Begin eating normally as soon as it’s comfortable.
  • Brush and floss as usual, using care around the extraction site for the first week.
  • Continue with all antibiotics for the full course even if symptoms have subsided.
  • Apply moist heat to any swelling, or rinse with warm salt water two to three times a day for one week.
  • Contact our office if you experience heavy bleeding, pain or swelling for more than two days, a bad taste in your mouth, or if you have a reaction to the medication.