Tooth Extractions Post-Op
Follow these instructions carefully to ensure your successful healing following extraction(s)
Do not disturb the area
For the next few days, and especially the first 24 hours, it is very important to allow your body to form a blood clot over the wound, and start the healing process. Swishing, sucking through a straw or smoking can all dislodge the clot.
Bleeding
Bite on the gauze, keeping slight pressure for at least 30 minutes. Don't change it for the first 30 minutes after you leave the office, it needs to remain undisturbed while a clot forms. After 30 minutes, you can remove it and change it if the bleeding persists. A moist tea bag can also be used. Small amounts of blood can make your saliva appear quite red. Oozing from the site is considered normal for the first 24 hours.
Smoking
Don't smoke or use tobacco for at least 72 hours. Healing and success of the surgery will be substantially reduced by the smoke chemicals in your body. Also, the suction created when inhaling can dislodge the clot.
Pain
Some discomfort is normal after surgery. To minimize pain, use any non-aspirin type pain medication, as directed. Take them before the anesthesia wears off. If prescription medication is ordered, take them only as directed. Take medication with food, and avoid driving or alcohol when taking prescription pain medication.
Swelling
Applying an ice bag over the affected area will minimize swelling. Apply for 20 minutes, then remove for 20 minutes. Continue for the first 24 hours. After 24 hours, you may apply heat to the affected area.
Numbness
The local anesthetic will cause you to be numb for several hours. Be very careful not to bite, chew, pinch or scratch the affected area.
Rinsing & Brushing
Avoid all rinsing for the first 24 hours. It may dislodge the clot which is essential for proper healing. After 24 hours, you may begin gentle rinsing with a saltwater solution (½ teaspoon of salt and 8 ounces warm water). Avoid commercial rinses. Do not brush your teeth for the first 12 hours. Afterward, brush gently and avoid affected area for 3 days.
Diet
Eat only soft and nutritious foods for the first 2 days. Drink plenty of fluids, especially water. Return to normal, regular meals as soon as you are able.
Activity
Rest and avoid strenuous activities for the remainder of the day. Keeping blood pressure low will reduce bleeding and aid healing.
When To Call Us
It is normal to experience some discomfort for several days, but, call us right away if you have any of the following:
Heavy or increased bleeding,
Pain or swelling that increase or continues beyond 2-3 days,
A bad taste or odor in your mouth,
Marked fever,
Reaction to medication, especially rash, or itching
Excessive warm swelling occurring days later
Following these instructions very closely will greatly help your comfort, and promote uneventful healing of the area. If any of the instructions are not followed, you might have significantly more discomfort, and the success of the surgery may be affected.