FOLLOW THESE INSTRUCTIONS CLOSELY
While your mouth is numb, be careful not to bite your cheek, lip, or tongue. The numbness should subside within a few hours. It is best to wait for the numbness to subside prior to any significant chewing or eating.
A gauze pack is typically placed on the surgery site to limit and confine any bleeding while clotting takes place. This gauze pack should be left in place for 30 to 45 minutes after you leave our office. Do not chew on the pack. There may be some bleeding or oozing after the pack is removed. If so, fold a piece of clean moist gauze into a pad. Place it directly on the extraction site for 30 minutes with continuous pressure do not check the site every few minutes this will disturb the clot and prevent clot formation. Apply firm to moderate pressure by closing the teeth firmly over this pad. Do not talk during this time, so the pressure is constant. This may need to be done several times.
If sinus grafting procedure was performed, nose bleeds may occur the first to second day. Please avoid exerting excess sinus pressure by avoiding blowing of the nose or sneezing by redirecting out the mouth. Take anti-histamines if allergies are an issue.
THE BLOOD CLOT
After an extraction, avoid activities that might disturb the clot. Heres how to protect it:
- Do not smoke, or rinse your mouth vigorously.
- Do not drink through a straw for up to 7 days.
- Limit strenuous activity for up to 7 days after the extraction/surgical treatment. If you feel a throbbing sensation from the surgical site, then you are doing to much activities.
These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.
SWELLING AND PAIN
You may have some discomfort and swelling. You can help reduce swelling and pain by applying intermittent cold ( 10 minutes on and 10 minutes off) to the face for 3-4 hours after the extraction (the first 24-36 hours can be beneficial). An ice pack is preferable.
For mild discomfort use aspirin, Tylenol or any similar medication; two tablets every three to four hours. Ibuprofen (Advil, Motrin) 200mg can be taken two to three tablets every three to four hours.
For severe pain, use the prescription given to you. If the pain does not begin to subside in two days, or increases after two days, please call the office. If an antibiotic has been prescribed, finish your prescription unless an allergy or problem with the antibiotic arises.
Drink lots of liquids (if many teeth have been removed, then drink plenty of liquids up to 6 glasses of liquid for the first day) and eat a soft, nutritious diet. Avoid alcohol and hot liquids for the first week. Room temperature liquids are permitted. Do not use a straw for the first 7 days. Restrict your diet to liquids and soft foods that are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.
The day after surgery gently rinse your mouth with warm water or warm salt water (1/2 teaspoon salt and cup warm water) every 4 hours. Rinsing after meals is important to keep food particles out of the surgery site. Remember NOT to rinse vigorously. Avoid using mouthwash during this early healing period unless it is prescribed.
If surgical packing was placed, leave it alone. It may dislodge and pieces may fall off or even the whole packing material may fall out. If it gets dislodged or falls out, do not get alarmed- it is not an emergency, just leave the area alone.
MULTIPLE TOOTH EXTRACTION
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):
The area operated on will swell, reaching a maximum in 3-4 days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration. 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 into the throat muscles can cause pain. This is normal and should subside in two to three 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 the office.
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.
If there are any questions or concerns that may arise or there is an urgent matter, please call the office at 603-224-9474 or the doctors: Dr. Wang @ 603-219-1973 (mobile) or Dr. Vest @ 603-219-1103 (mobile).