After Extractions

A small amount of bleeding is to be expected following the tooth extraction 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, elevate your head and avoid hot liquids and exercise. If bleeding persists, call DFW Oral & Maxillofacial Surgery immediately. Do not remove immediate denture 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 36 hours only. Apply ice continuously while you are awake.

For mild discomfort, use aspirin, Tylenol or any similar medication. Take two 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. If the pain does not begin to subside in two days, or if it increases after two days, please call our 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 salt water rinse (one half teaspoon of salt in a glass of lukewarm water) every four hours 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 them 3 to 4 times a 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.

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 after oral surgery for tooth extraction:

• The area operated on will swell, reaching a maximum in two days. Swelling and discoloration around the eye 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 36 hours only).
• A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling in the throat muscles can cause pain. This is normal and should subside in 2–3 days.
• If the corners of the mouth are stretched, they 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 one of our oral and maxillofacial surgeons in Irving, Mesquite, and Ennis, Texas.

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.

Please call one of our Doctors or our team today if you have any questions or concerns.