After Removal of Teeth
After removal of teeth, its important for a blood clot to form to stop the bleeding and begin the healing process. Thats 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, or drink carbonated beverages for at least 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.
The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the bodys normal reaction to surgery and eventual repair. The swelling will not become apparent until 1-2 days following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 48 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six hours following surgery, the application of gentle moist heat to the sides of the face is beneficial in reducing the swelling and stiffness.
Adult patients with moderate pain may take one or two tablets of Tylenol or Extra Strength Tylenol every three to four hours. Alternatively Ibuprofen, (Motrin or Advil) 400-800 mg (2-4 200mg tablets) may be taken every 3-6 hours respectively. Please contact our office for instructions or if you have any questions prior to taking any medications.
For severe pain, take the medication prescribed as directed. The prescribed pain medicine will make you sleepy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, or at any time you feel the level of pain is not managed with the above medications you should call the office.
Do not wait for severe pain to take medication. As soon as you feel any beginning of discomfort start with the above regimen. Severe breakthrough pain is very difficult to overcome.
If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are diminished.
Drink plenty 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.
If multiple teeth have been removed and denture inserted.
- Do not remove your denture for the first 24 hours.
- If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist will see you within 24-48 hours after surgery and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process
- Make sure to see your General dentist within 48 hours following surgery.
- Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm salt-water rinse every 4 hours (One half teaspoon of salt in a glass of lukewarm water) and following meals to flush out particles of food and debris that may lodge in the operated area. After you have seen your dentist for denture adjustment, take out the dentures and rinse 3 to 4 times a day.
- Be sure to clean your new dentures daily.
- Restrict your diet to liquids and soft foods, which are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.
- The removal of multiple teeth at one time is quite different than the extraction of one or two teeth. Because the bone must be shaped and smoothed prior to the insertion of a denture, the following conditions may occur, all of which are considered normal:
- Swelling and discoloration around the eyes and down the neck may occur. The application of a moist warm towel will help eliminate the discoloration quicker. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember ice packs are used for the first 48 hours only).
- A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in 2-3 days.
- The corners of the mouth may dry out and crack. Your lips should be kept moist with an ointment like Vaseline. There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify our office.
Your new dentures may feel loose or uncomfortable. This is a very common situation and will be corrected by your dentist during your follow-up care.