Post Operative Instructions – Tooth Removal

Managing Bleeding

Some bleeding is normal immediately following the extraction. However, excessive or prolonged bleeding can indicate a problem. Here's how to manage it:

• Initial Bleeding: After your procedure, a gauze pad will be placed over the extraction site. Bite down firmly on the gauze for 30 to 45 minutes to help control bleeding. Change the gauze as needed if it becomes saturated with blood.
• Control Bleeding at Home: If bleeding continues, place a clean piece of gauze over the extraction site, bite down firmly, and hold for an additional 30 minutes. If bleeding persists, you may try biting on a moistened tea bag (black tea works best due to its tannins, which help constrict blood vessels). Avoid excessive spitting, sucking, or rinsing, as these actions can dislodge the clot.
• When to Call: If bleeding does not stop after several hours or if you notice large blood clots forming in the mouth, contact our office.

Pain Management

Some discomfort is normal after a tooth extraction. We recommend the following pain management techniques:

• Pain Medication: Take any prescribed pain medications or over-the-counter pain relievers (such as ibuprofen or acetaminophen) as directed. It's best to take medication before the anesthesia wears off to help control discomfort.
• Cold Compress: Apply an ice pack wrapped in a cloth to your cheek for 15 to 20 minutes at a time during the first 24 hours to reduce swelling. Make sure to give your skin a break between applications.
• Avoid Smoking: Smoking can delay healing and increase the risk of complications. Avoid smoking for at least 48 hours after your procedure.

Swelling and Bruising

Swelling is a normal part of the healing process following tooth removal. Here's how to manage it:

• Swelling: Swelling may increase over the first 24 to 48 hours. It will gradually subside over the next few days. If swelling becomes severe or lasts more than a few days, please contact our office.
• Bruising: Some patients may experience mild bruising around the extraction site. This is also normal and should resolve within a week to 10 days.
• Ice: As mentioned, using an ice pack for the first 24 hours can help reduce swelling. After 48 hours, you may switch to warm compresses to ease any remaining discomfort or stiffness.

Diet and Hydration

Eating and drinking after a tooth extraction requires special care to avoid irritation and ensure proper healing:

• Eat Soft Foods: Stick to soft foods like yogurt, mashed potatoes, smoothies, scrambled eggs, and soup for the first few days. Avoid chewing near the extraction site to prevent disturbance to the clot.
• Avoid Hot, Spicy, or Crunchy Foods: Avoid hot, spicy, or crunchy foods that may irritate the extraction site or cause discomfort.
• Stay Hydrated: Drink plenty of water, but avoid using straws for the first 24 hours, as the suction can dislodge the blood clot. Drink from a glass or cup instead.
• Avoid Alcohol and Caffeine: Alcohol and caffeine can interfere with the healing process and may increase bleeding. Avoid these for the first few days.

Oral Care

Taking care of your mouth after a tooth extraction is critical to prevent infection and promote healing:

• Avoid Rinsing for 24 Hours: Do not rinse your mouth for the first 24 hours to allow the blood clot to form and stabilize in the socket.
• Gentle Rinsing: After 24 hours, you can begin rinsing with a warm saltwater solution (1/2 teaspoon of salt in a glass of warm water) to keep the extraction site clean. Gently swish the salt water around your mouth, especially near the extraction site, to promote healing and reduce the risk of infection.
• Brushing: You can resume brushing your teeth the day after the procedure, but avoid brushing directly over the extraction site for the first few days. This will help prevent irritation and promote faster healing.

Activity Restrictions

Rest: It’s important to rest after your extraction, especially on the day of the procedure. Avoid strenuous physical activities, heavy lifting, or exercise for the first 2 to 3 days to prevent increased bleeding or discomfort.

Elevating Your Head: While resting or sleeping, keep your head elevated with pillows. This helps reduce swelling and promotes better circulation around the extraction site.

Possible Complications

Although complications are rare, it's important to be aware of the following:

• Dry Socket: A dry socket occurs when the blood clot that forms in the extraction site becomes dislodged or dissolves prematurely. This can expose the bones and nerves, leading to severe pain. If you experience intense pain a few days after your extraction, please contact our office immediately.
• Infection: Signs of infection include increased swelling, pus, a bad taste or odor in your mouth, or a fever. If you notice any of these symptoms, please contact us right away for further evaluation.
• Severe Pain: If you experience persistent or severe pain that cannot be controlled with medication, or if you notice any unusual symptoms such as numbness or persistent swelling, call our office for guidance.

Follow-up Care

In some cases, follow-up appointments may be necessary to monitor your healing progress or remove any sutures. If a follow-up appointment is scheduled, please make sure to attend. During the appointment, we’ll check for signs of proper healing and address any concerns you may have.

When to Contact Us

Contact us immediately if you experience any of the following:

• Uncontrolled bleeding or persistent bleeding after 4-6 hours
• Severe pain or worsening discomfort after 48 hours
• Signs of infection (fever, pus, excessive swelling)
• Difficulty opening your mouth or swallowing