- Bite hard on the gauze for 30 minutes if you are dismissed with gauze in your mouth. Remove the gauze after 30 minutes and do NOT place new gauze in your mouth if bleeding has stopped. A trail of blood in your saliva is NOT bleeding. Residual bleeding can last up to 36 hours. Bleeding is saturated blood constantly oozing out of the extraction site and it would outflow when you try to speak. If you have bleeding, then place new gauze over the extraction site (NOT between the teeth) and bite hard on it for one hour. Make sure that you swallow your saliva as you bite on the gauze during that time. (Only about 5% of our patients have to apply new gauze after leaving our office.) If you still bleed after doing this, contact our office immediately.
- SWALLOW YOUR SALIVA!!!!!!! Swallowing your saliva will create enough pressure to stop the residual bleeding and stabilize the blood clot. Swallowing your saliva will prevent DRY-SOCKET PAIN.
- To reduce swelling, apply a cold compress in the area—10 minutes on, 10 minutes off in the first hour after surgery. It is normal to develop swelling after the surgery. Just know that the peak of the swelling is around noon the next day. The swelling should resolve slowly after the afternoon the next day. If the swelling gets worse after the next day, you must contact our office immediately. We would like to bring you in for evaluation.
- Do not spit, suck on extraction site, smoke cigarettes, rinse your mouth vigorously, or drink through a straw for at least 4 days. These activities or anything you do to disturb the blood clot will lead to delayed healing and DRY-SOCKET PAIN.
- Take pain medication and other medications as directed. We recommend taking pain medication before the surgery. But if you did not, then it is very important that you take pain medication ASAP before numbness wears off. Just remember that when you have pain, it takes longer for pain medication to take effect. So take pain medication ASAP.
- Wait for numbness to wear off before you eat. This may take a few hours.
- Eat soft food. Chew on the opposite side if appropriate. Do NOT eat temperature hot and spicy food. Return to normal diet as you feel comfortable.
- Limit strenuous activity and exposure to the hot sun heat for two days after the extraction surgery.
- Brush and floss your teeth without disturbing the extraction site. Do NOT use the Waterpik for one week after surgery.
- Rinse your mouth with Chlorohexidine if dispensed you. Rinse with Chlorohexidine for 30 seconds twice daily after you brush your teeth in the morning and at night. You can substitute Chlorohexidine with warm salt and water as well.
- Nausea is not uncommon after surgery. It is sometimes caused by the pain medication. To reduce nausea, you must eat before you take the pain medication and take the pill with a lot of water. If you do not feel better or vomit repeatedly, please call our office immediately.
- If you feel sharp edges in the surgical areas with your tongue, it is probably small slivers of bone working themselves out during the first week or two after surgery. They are not pieces of the tooth. If they bother you, we will remove them. Please come in for an evaluation.
- Do not disturb or touch the wound.
- Avoid rinsing or spitting for 2 days (48 hours) to allow blood clot and graft material stabilization.
- Do not apply pressure with your tongue or fingers to the grafted area, as the material is movable during the initial healing.
- Do not lift or pull on the lip to look at the sutures. This can actually cause damage to the wound site and tear the sutures.
- Do not smoke.
- For mild discomfort, take Tylenol® or ibuprofen every 3–4 hours.
- For severe pain, use the medication prescribed to you.
- If you develop DRY-SOCKET PAIN, you need to come in for treatment. DRY-SOCKET PAIN is noticeable, distinct, persistent, throbbing pain in the jaw often radiating toward the ear. DRY-SOCKET PAIN can develop days after you have been feeling better. DRY-SOCKET PAIN can easily be treated in the office so don’t wait.
EXTRACTION SITE 101
After the tooth is extracted, the bony extraction socket is exposed. Blood fills up the bony socket and solidifies into a clot. The clot is the healing tissue. This clot is necessary for healing. Anything you do to lift or dislodge this clot, you will develop DRY-SOCKET PAIN. Just how painful is DRY-SOCKET PAIN? How do you rate pain when your bone socket is exposed to the air? Let’s avoid developing DRY-SOCKET PAIN.
TOP THREE MISTAKES LEADING TO DRY-SOCKET PAIN
3. Smoking cigarettes
1. Placing dry gauze over extraction site after bleeding has stopped. The blood clot will stick to the gauze and you will remove it. Just bite, we mean really bite hard on that same gauze that we dismiss you with for 30 minutes and then toss it. Swallow your saliva after that. Swallowing your saliva will create enough pressure to stop the rest of the bleeding and swallowing your saliva will ensure that the precious blood clot is intact and stable.