Surgical instructions - WESTERN PENNSYLVANIA ORAL & MAXILLOFACIAL SURGERY

AFTER EXTRACTIONS

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AFTER EXTRACTIONS

After a tooth extraction, it’s important for a blood clot to form in order 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, 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, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process.

In addition, limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

WARNING

After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately.

PAIN AND SWELLING

After tooth extractions, you may feel some pain and experience some swelling. By applying an ice pack or an unopened bag of frozen peas or corn to the area, you will minimize swelling. Usually swelling will subside after 48 hours.

 

Take pain medications as prescribed, but call our 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 can eat normally as soon as you are comfortable.

CARE & CLEANING

AFTER EXTRACTION SURGERY

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. Not only will this speed up the healing process, it will help keep your mouth fresh and clean!

AFTER MULTIPLE EXTRACTIONS

The removal of many 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:

  • Maximum swelling will result in 2 to 4 days, and may also occur around the eye. However, applying a moist warm towel continuously 36 hours after surgery will help eliminate the discoloration quicker. Remember, ice packs are used for the first 36 hours only.
  • A sore throat may develop since the muscles of the throat are near the extraction sites. Swelling of the throat muscles can also cause pain, which is normal and should subside in 2-3 days.
  • After surgery, your lips are likely to become dry and cracked. This is a result from having the corners of your mouth stretched out during surgery. Keep your lips moist with an ointment like Vaseline.
  • Your temperature will be slightly elevated for 24-48 hours. However, if your temperature continues, notify our office.
  • 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.

WHAT TO DO AFTER MULTIPLE EXTRACTIONS

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 and following meals to flush out particles of food and debris that may lodge in the operated area. (One half teaspoon of salt in a glass of lukewarm water). After you have seen your dentist for denture adjustment, take out denture and rinse 3 to 4 times a day.

Use ice packs (externally) on the same side of the face as the operated area. Apply ice continuously (while you are awake) for the first 36 hours only.

For mild discomfort use aspirin, Tylenol or any similar medication; 2 tablets every 3-4 hours. Ibuprofen (Advil, Motrin) 200mg can be taken 2-3 tablets every 3-4 hours.

For severe pain use the prescription given to you. Please contact our team if the pain does not begin to subside in 2-4 days, or increases after 4 days. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.

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 unless the bleeding is severe. Expect some oozing around the side of the denture.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. In order to do this, drink at least six glasses of liquids the first day.

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.

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