Instructions After Tooth Extraction

07.06.2022 01:15:05

The Extraction of the tooth is surgical procedure where it is of vital importance to follow the post operative instructions. You are advised to follow all the instruction mentioned below to avoid any possible infection and unnecessary pain. Please do not hesitate or contact our front office if you have any problems or concerns following your tooth extraction.

Immediately after Extraction

  • You should keep the sterile gauze or the surgical site with some pressure- by closing the Jaw hard until the bleeding from the surgical site stops.
  • You should take the pain medication prescribed by your doctor well before the effect of the local anesthetic starts to wear off. But make sure your you take the medication as prescribed. 
  • You should avoid the use of straw while drinking, spitting or smoking as these can have some detrimental effects on healing. You are advised to drink straight from the glass.
  • Try to restrict your exhaustive activities on the day of extraction and should resume the activity only if you feel comfortable.
  • You can use an ice pack on the face or cheek next to the surgical site. Apply it for 15 to 30 minutes with an interval of 10 minutes and repeat until you sleep. Repeat the ice packs the next day.
  • You can start rinsing the next day gently with some Luke warm salty water 6 to 8 times a day. Avoid using alcohol containing mouth rinses for next few days.
  • Avoid hot and crunchy hard food for the first 24hrs. You can eat soft food as the local anesthesia wears off. Avoid chewing directly from the surgical site. You can resume a regular diet if you feel you are up to it. Please stay well hydrated and nourished as this will help you heal faster.
Instructions-after-extraction

Bleeding

Usually minor bleeding problem is expected after surgery. It takes 30 minutes to 2 hours for bleeding to stop. A little oozing is normal and sometimes may last for several hours, Upper Jaw surgery sites can occasionally cause some bleeding from the nose which is normal and expected to stop quickly.

  • At the surgical site you can apply clean sterile gauze with pressure for 25 to 45 minutes.
  • If you are still bleeding, you can remove the gauze after 25 to 45 minutes, replacing it with fresh new gauze. Important: make sure the gauze is placed directly on the surgical site with pressure. You should hold the gauze with pressure for another 60 minutes which should most likely arrest the bleeding.
  • If you find that this is not working, you should use a moistened tea bag replacing the gauze. The tea bags contain tannic acid, which helps in blood coagulation (Blood clot formation).
  • If everything fails, you should call the front desk at ADC™- Centre for Restorative and Implant Dentistry.

Swelling

It is normal for most Patients to experience some swelling after Tooth Extraction surgery. Swelling can be mild or severe. It differs from patient to patient. The swelling is generally higher for first 48 hours before it starts subsiding. Sometimes it may last for several days. Some bruises may also appear on the face.

  • You can use an ice pack on the face or cheek next to the surgical site. Apply it for 15 to 30 minutes with an interval of 10 minutes and repeat until you sleep. Repeat the ice packs the next day.
  • Please get in touch with the front desk if you encounter nausea and vomiting.
  • On day three, switch to Luke warm saline rinses instead of ice packs. Luke warm water with a table spoon of common salt helps in increased blood circulation, which reduces the swelling.

Medication

You were probably given one or more prescriptions for medication. Take all medications with a full glass of water and as directed. Call us immediately if you complain of diarrhea or nausea, any allergic reactions or unable to swallow your pain pills.

  • Antibiotic: Continue the antibiotics as prescribed by doctor. Do not leave the medication halfway.
  • Pain Medicine: Continue the pain medicine as prescribed. Remember that some pain medicines or narcotics can make you feel sleepy, so avoid driving, working or consuming alcoholic drinks.
  • Mouth Rinse: Chloro-hexidine mouth wash or Listerine. Swish for forty seconds, and spit. Use it atleast two times a day.

Sutures

The dental office will reschedule your appointment after 7 to 10 days to remove the sutures if any.

Diet

Avoid hot and crunchy hard food for the first 24hrs. You can eat soft food as the local anesthesia wears off. Avoid chewing directly from the surgical site. You can resume a regular diet if you feel you are up to it. Please stay well hydrated and nourished as this will help you heal faster.

Special Considerations

Sometimes facial muscles stiffness can cause problems in moth opening for several days. Luke warm saline rinses and heat compression can provide great relief. Increase in the temperature of the site, slight fever can also be experienced along with discomfort caused by referred pain. However this situation is only temporary and will soon subside.

Dry Socket

If you start experiencing pain in the chin area, surgical site, adjacent teeth or the full jaw after third or fifth day of tooth extraction, most likely you have encountered a Dry Socket. The pain from the Dry Socket can last for several days. However the exact cause of Dry Socket is still unknown but excess use of medication (Contraceptive Pills), Smoking, Aging and tedious tooth extraction surgery is believed to be some of the causative factors. Please contact our front office if you encountered a Dry Socket.

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