Special Instruction to Follow After Multiple Tooth Extractions

► Bleeding

After a tooth extraction, a blood clot needs to form in order to aid in the healing process. This blood clot helps to staunch the bleeding and keeps the wound protected. For the clot to form, place a clean gauze over the wound and bite down, holding it in place for 30-45 minutes. If bleeding persists, repeat with a clean gauze, and continue doing so until the blood flow has stopped.

► Blood Clots

Once the clot is formed, take care not to disturb it. You should avoid heavy mouth rinsing, using straws, smoking, alcohol consumption, and teeth brushing near the wound for at least 72 hours. Disturbing the blood clot can disrupt the healing process or lead to complications. Also avoid exercise as this can increase the blood flow and disturb the clot.

► Pain

There will likely be some minor pain involved with the wound. Swelling is also a possibility. Place a cold ice pack on the cheek by the extraction site to minimize swelling for up to 36 hours. Take any pain medication as prescribed by your doctor. If no medication was prescribed, Tylenol and Ibuprofen can be taken.

► Antibiotics

If antibiotics are prescribed, continue to take them for the full duration of indicated time, even if symptoms of infection are gone.

► Diet

After the extraction, drink plenty of fluids and soft food with as much nutrition as possible. Try returning to your normal diet the next day, chewing on the other side of your mouth if it’s more comfortable.

► Oral Hygiene

After the first 24 hours, resume your normal oral hygiene routine with brushing, flossing, and rinsing. Keep your mouth clean to produce a faster healing environment!

The removal of many teeth at one time is quite different from the extraction of just 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 two days. Swelling and discoloration around the eyes may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as is 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 2-3 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 your temperature continues to rise, notify our 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 to make the necessary adjustments and relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.