After the Removal of Teeth

  • A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding area and apply biting pressure for 30 minutes with ice pack in place. If bleeding continues, a moist tea bag can be used for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and keep the head elevated. If bleeding persists, call our office. Do not remove an immediate denture unless the bleeding is severe (you may remove it after 24 hours). Expect some oozing around the side of the denture.
  • Use ice packs on the face in the operated area. Apply ice for the first 36 hours. Apply ice continuously while you are awake and use the ice wrap while sleeping.
  • For mild discomfort use aspirin, Tylenol or any similar medication; two tablets every 3-4 hours. Ibuprofen (Advil, Motrin) 200mg can be taken 2-3 tablets every 3-4 hours.
  • For moderate pain use the prescription given to you. If the pain does not begin to subside in 24 to 36 hours, or increases after 2 days, please call our office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.
  • Drink plenty of fluids. Drink at least six glasses of liquid the first day.
  • Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm salt water rinse every 4 to 6 hours and following meals to flush out particles of food and debris that may lodge in the operated area. (1/4 teaspoon of salt in a cup of water.). After 24 hours if an immediate denture was placed of if you have seen your dentist for denture adjustment, you may take out the denture, rinse, and replace 2 to 3 times a day.
  • Restrict your diet to liquids and soft foods, which are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.
  • 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 may be considered normal:
    • The area operated on may swell reaching a maximum in 48 to 72 hours. Swelling and discoloration around the eye may occur. The application of a moist warm towel may help lessen the discoloration (bruising). The towel should be applied continuously (remember ice packs should be used up to the first 72 hours only)
    • A sore throat may develop and swallowing may be uncomfortable. 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 or Chapstick. There may be a slight elevation of temperature for 24-48 hours. If temperature continues and is greater than 102°, notify our office. (Take Tylenol or Advil every 4 hours for temperature less than 102° )

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 denture sores (ulcers), which may prolong the healing process.