Extractions: Postoperative Instructions

• DO NOT DISTURB THE WOUND: In doing so you may invite irritation, infection and/or bleeding. Be sure to chew on the opposite side for 24 hours and keep anything sharp from entering the wound.

• DO NOT SMOKE FOR 12 HOURS: Smoking will promote bleeding and interfere with healing.

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

• MOUTH WASH: Avoid all rinsing for 24 hours after extraction. This is to insure the formation of a healing blood clot which is essential to proper wound healing. Disturbance of this clot can lead to increased bleeding or the loss of the blood clot. If the clot is lost, a painful condition called dry socket may occur. You may use warm salt water or mild antiseptic rinses after 24 hours only if prescribed.

• DO NOT SPIT OR SUCK THROUGH A STRAW: This will promote bleeding and may dislodge the blood clot causing a dry socket.

• BLEEDING: When you leave the office, you will be given verbal instructions regarding the control of postoperative bleeding. A rolled up gauze pad will be placed on the extraction site and you will be asked to change this dressing every 20 minutes or so depending on the amount of bleeding that is occurring. It is normal for some blood to ooze from the area of surgery. We will also give you a package of gauze to take with you to use at home if the bleeding should continue. Should you need to use the gauze at home, remember to roll it into a ball large enough to cover the wound. Hold firmly in place, by biting or with finger pressure, for about 20-30 minutes. If bleeding still continues, you may fold a tea bag in half and bite down on it. Tea contains Tannic Acid , a styptic, which may help to reduce the bleeding. Please be sure to inform us prior to your appointment if you have bleeding problems or are taking blood thinning medications such as Warfarin or Aspirin.

• PAIN: Some discomfort is normal after surgery. Analgesic tablets ( i.e. Advil, Tylenol etc.) may be taken under your dentist's direction. Prescription medication, which may have been given to you, should also be taken as directed. If pain continues, call your dentist.

• SWELLING: This is normal following surgical procedures in the mouth. After 2-3 days, the swelling should begin to recede. If swelling persists or interferes with your ability to eat or talk or swallow, do not hesitate to call our office. To prevent swelling, apply an ice pack or a cold towel to the outside of your face in the area of the extraction during the first 12 hours. Apply alternately, 20 minutes on then 20 minutes off, for an hour or longer if necessary.

• DIFFICULTY IN OPENING MOUTH: You may have difficulty opening your mouth. This is because the jaw muscles become stiff from holding your mouth open during surgery. It usually lasts 3 to 4 days. Massage the jaw muscles gently. Apply moist heat for 10 minutes, remove for 10 minutes and repeat. Eat soft nutritious food like eggs, milk shakes, juices, soup (warm, not hot), pasta, rice, bananas. Do not force your mouth open.

• DIET: As stands to reason, liquid and soft foods are recommended for the first couple days (ie- milkshakes, yogurt, soups, mashed potatoes, bananas...) Also, please take all medications as directed, since they are prescribed to not only control discomfort, but to reduce swelling and infection. It is a very good idea to begin taking medications prior to the numbness wearing off to allow you a smooth transition and comfort. Eat normal regular meals as soon as you are able after surgery. It is also important to drink plenty of fluids. As always, please call to report any unusual occurrences.