—Tooth’s shape, size and position impact the complexity of the extraction
—Tooth that needs highest level of expertise
—May require specialized anesthesia in the office of the oral surgeon
—Impacted, damaged, or decaying teeth may require surgical removal.
If a tooth is extracted, the following post operative instructions must be read and done in order to heal as quickly and as easily as possible.
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 45 minutes after the appointment. If the bleeding or oozing persists, insert another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.
Do not rinse or spit for 24 hours after surgery.
No Alcohol, no carbonated beverages (Soda or anything that has fizz when opened), and no peroxide rinses of any kind (Listerine, Scope)
Keep your fingers and tongue away from the socket or surgical area.
Use ice packs on the surgical area (side of face) for the first 48 hours; apply ice 20 minutes on and 10 minutes off. (Note: Bags of frozen peas work well.)
For mild discomfort, take Tylenol® or ibuprofen every 6 hours.
If you are prescribed an antibiotic, be sure to start the antibiotic regiment and finish it. Do not discontinue it at any point. If you have any allergic reactions, let our practice know immediately to switch you to another antibiotic.
For severe pain, you can alternate between taking Advil and Tylenol every 6 hours. If pain that gets progressively worse continues after day 3, it may be a sign of a potential infection or dry socket. Let us know if this does occur.
Drink plenty of fluids, especially water. (Do not use a straw—this creates suction in the mouth that could cause complications.)
We suggest that you do not smoke for at least 7 days after surgery.
Avoid strenuous activity and do not exercise for at least 3–4 days after surgery. After that, be careful: your regular caloric and fluid intake have been reduced, so you may get light-headed, dizzy, or weak.
If the muscles of the jaw become stiff, the use of warm moist heat to the outside of your face over the spots that are stiff will relax these muscles.
After the first post-operative day, use a warm salt water rinse following meals for the first week to flush out particles of food and debris that may lodge in the surgical area. (Mix ½ teaspoon of salt in a glass of warm water. Mouthwash can be added for better taste.)
Your diet should consist mainly of soft, easily swallowed foods and cool drinks. Avoid anything that might get stuck in your teeth, so no seeds, nuts, rice, popcorn, or similar foods. Avoid anything spicy or sharp for the next 5 days.
For the first 24 hours, cold foods are recommended such as ice cream, yogurt, jello, or milkshakes. After 24 hours, we recommend warm moist foods such as soups.
A Dry socket is a painful dental condition that sometimes happens after you have a permanent adult tooth extracted. Dry socket is when the blood clot at the site of the tooth extraction fails to develop, or it dislodges or dissolves before the wound has healed. Treatment includes flushing the area, re-introduction of bleeding, and applying dry socket dressing. Pain should subside within 5 to 7 minutes.