Procedure Specific Information
After Tooth Extraction
After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 30-45 minutes after the appointment. If the bleeding or oozing still persists, insert 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 since it aids healing. Do not rinse vigorously, suck on straws, smoke, or drink alcohol for 48 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours since this will increase blood pressure and may cause more bleeding from the extraction site.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually begins to subside after 48 hours.
Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You may eat normally as soon as the numbness is gone and you are comfortable.
It is important to resume your normal dental routine after 24 hours. This should include brushing at least twice a day and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After Removal Of Multiple Teeth
A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, a moist tea bag can be used for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove immediate denture for the first 24 hours unless the bleeding is severe. Expect some oozing around the side of the denture.
Use ice packs (externally) on the same side of the face as the operated area. Apply ice for the first 24 hours only. Apply ice continuously while you are awake. A zip-lock bag partially filled with ice and a small amount of water wrapped in a thin towel works well.
For mild discomfort use Ibuprofen (Advil, Motrin) 200mg can be taken two to four tablets every 6 hours for up to three (3) days.
For severe pain, use the prescription given to you. Do not take Tylenol or Acetaminophen with the prescribed pain medication. If the pain does not begin to subside in two days, or increases after two days, please call the office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.
Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day.
Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm water rinse every four hours and following meals to flush out particles of food and debris that may lodge in the operated area. If you have an immediate denture(s) placed, after you have seen your dentist for denture adjustment, take out the denture and rinse three to four times a day.
Good oral hygiene is essential to good healing. Warm water rinses should be used at least four to five times a day, as well, especially after meals. Be gentle initially when brushing and flossing near the surgical areas.
Keep physical activities to a minimum immediately following surgery. Vigorous exercise may cause throbbing or bleeding to occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.
Partial dentures, flippers, or full dentures should be used as discussed with you by your dentist or our staff.
After Placement Of Dental Implants
Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues, please call for further instructions.
Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice pack, or a zip lock bag filled with ice and wrapped in a thin towel, on the cheek in the area of surgery. Apply the ice continuously while you are awake the day of surgery only.
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.
You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, Ibuprofen (Advil or Motrin) may be taken instead of acetaminophen. Ibuprofen, bought over the counter comes in 200 mg tablets. Two to four tablets may be taken ever six hours as needed for pain for up to three days. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it. Do not take Tylenol or Acetaminophen with the prescribed pain medicine.
Be sure to take antibiotics as directed to help prevent infection if prescribed.