Extractions

Post-Operative Instructions Following Extractions:

 

Please read and follow these instructions carefully as post-operative care is crucial to your healing and comfort. Unnecessary pain and complications of infection and swelling can be minimized if the instructions are followed. The after –effects of surgery vary per individual, so not all of the information may apply.

DO NOT DISTURB THE AREA:  For the next few days, and especially the first 24 hours, it is very important to allow your body to form a good clot and start the natural healing process. Swishing, sucking through a straw, and smoking can all dislodge the blood clot. Keep anything sharp from entering the wound (crunchy food, toothpicks, eating utensils). Be sure to chew on the opposite side for 24 hours.

BLEEDING:  When you leave the office, you will be biting on a gauze pad to control bleeding. Keep constant pressure and firm on this gauze pad for at least 30 minutes. Don’t change it during this time; it needs to remain undisturbed while a clot forms in the extraction socket. After 30 minutes, you may remove it. You may bite on another gauze or a tea bag for another 30 minutes if you feel it is still bleeding.  Small amounts of blood in the saliva can make your saliva appear quite red. This is normal and may be noticed the rest of the day after the procedure.

SMOKING:  Smoking should be stopped for at least 2-3 days following surgery. The cigarette smoke chemicals will substantially reduce healing and the success of surgery. Also the suction created when inhaling cigarettes can dislodge the blood clot. Smokers are at greater risk of developing a painful Dry Socket.

PAIN:  Some discomfort is normal after surgery. To minimize pain, Take two Tylenol, Advil, or similar non-aspirin pain reliever every 3 to 4 hours until bedtime to maintain comfort. Take it before the anaesthesia wears off. If prescription pain medication is prescribed, take it as instructed on the label. Don’t exceed the dose on the label. Taking with food or milk will help reduce upset stomach. Avoid driving or operating heavy machinery when taking pain prescriptions. Do not drink alcohol while taking prescription pain medications.

NAUSEA: Taking pain medications on an empty stomach will often cause nausea. Reduce nausea by preceding each pain pill with soft food, and taking the pill with a large glass of water.

SWELLING:  Applying an ice bag to the face over the operated area will minimize swelling. Apply for 15 minutes, then remove for 15 minutes. Continue this for the first day.

NUMBNESS:  The local anaesthetic will cause you to be numb for several hours after you leave the office. Be very careful not to bite, chew, pinch, or scratch the numb area. Sometimes the extraction causes residual numbness or tingling for six weeks or longer.

BRUSHING:  Do not brush your teeth for the first 8 hours after surgery. After this, you may brush your teeth gently, but avoid the area of surgery for 3 days.

RINSING:  Avoid all rinsing or swishing for 24 hours after extraction. Rinsing can disturb the formation of a healing blood clot, which is essential to proper healing. This could cause bleeding and risk of dry socket. After 24 hours you may begin gentle rinsing with a saltwater solution (1 teaspoon salt  + 8 ounces warm water). Avoid commercial mouth rinses that may contain alcohol.

DIET:  Eat soft foods for the first two days. Maintain a good, balanced diet. Return to normal regular meals as soon as you are able after the first two days. Drink plenty of water. Avoid alcohol for 48 hours.

ACTIVITY:   After leaving the office, rest and avoid strenuous activities for the remainder of the day. Keeping blood pressure lower will reduce bleeding and aid healing.

ANTIBIOTICS:  If you were given an antibiotic prescription, take all of them as directed until they are gone. Women: some antibiotics can reduce the effectiveness of birth control pills. Use alternate birth control methods for two months.

SINUS:  If your sinus was involved in the procedure, you should avoid blowing your nose or playing a wind musical instrument for one week. Take medications as prescribed, use of decongestant medications is recommended.

FOLLOW-UP APPOINTMENTS:  You may need to return to the office to have sutures removed, or just for a brief follow-up healing check.

Please call the office if you have:

  • Uncontrollable pain
  • Excessive or severe bleeding
  • Marked fever
  • Excessive warm swelling occurring a few days after the procedure
  • Reactions to medications, especially rash, itching, or breathing problems

Please follow these instructions very closely, it will greatly help your comfort, and promote uneventful healing of the area. 

 

Should you have any questions or concerns, please feel free to contact us at MirrorDentistry at (780) 489-9809, or email patientcare@mirrordentistry.com .