Peoria District Dental Society



Tooth Extraction Homecare

Anesthesia

You can expect to experience numbness for a few hours. Length depends upon the type of anesthetic used and the amount and location of the injection.

Bleeding

A gauze pack will be placed at the time of the extraction over the site of the tooth or teeth removed. This pack should be left in place for at least 30 minutes after you leave the office. Do not chew on the pack. There may be some oozing after the pack is removed. If the site is still bleeding, place an additional gauze pack over the site. Apply moderate pressure by closing your teeth over the pack. Maintain this pressure for an additional 30 minutes. If the pad becomes soaked with blood, replace it with a clean one as necessary. If heavy bleeding continues beyond an hour, call your doctor.

The Clot

After an extraction, a clot forms within the tooth socket. This clot is an important part of the healing process. Sucking or smoking or rinsing should be avoided. Any mouthwash or alcoholic beverage will also dissolve the clot. These things will lead to a dry socket and extend your healing time and pain experience. Avoid all activities that may disturb the clot for the next 24 hours. Do not clean the teeth next to the extraction site for 24 hours. Limit strenuous activities for 24 hours. Sutures may be self dissolving or if silk suture is used may require a visit on the 3rd day for removal.

Medication

Any medication prescribed should be used as directed. Do not increase dosages unless directed to do so by the doctor. If you have prolonged pain, swelling, bleeding, or fever, call the doctor. If your doctor cannot be reached, go to an emergency room.

Swelling and Pain

After a tooth is removed, there will be some discomfort and some swelling. You can help reduce swelling and pain by applying cold compresses to the face. Use an ice bag or pack, placing a towel over the face to prevent a burn.

Diet

After an extraction, drink liquids and eat soft nutritious foods. Avoid hot liquids and alcoholic beverages. Begin eating solid foods the next day. For about two days, try to chew foods on the opposite side of the extraction site.

Rinsing

The day after the extraction - after 24 hours has passed - begin "gently" rinsing your mouth with warm salt water [ about a teaspoon of salt in an 8 oz. glass of warm water]. Rinse after each meal. Avoid rinsing vigorously and avoid using a mouthrinse during this early healing period.

Oral Care

It is important to continue to brush at least twice daily using a fluoride toothpaste, and clean between your teeth daily with floss. Immediately following an extraction, avoid cleaning the teeth near the healing tooth socket. Always use a soft brush, brushing the tongue as well. This will help eliminate the bad breath and unpleasant taste that is common after an extraction.
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