After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for 60 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 60 minutes. You may have to do this several times. You will be given extra gauze, but should you run out once you are at home, you may substitute a moistened tea bag for the gauze.
After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 48 hours. 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.
After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually begins to subside after 48 hours.
Use the pain medication as directed. Call the office if the medication doesn’t seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink plenty of fluids on the day of the extraction. You can usually eat normally by the third day.
Occasionally an upper tooth will have roots that are located near or actually within the sinus cavity. Removal of these teeth can cause an opening to develop between the mouth and the sinus. Your post-operative instructions may include sinus precautions. You should avoid blowing your nose for two weeks, as well as any activities that cause pressure to build up in the sinuses such as blowing up balloons or playing certain musical instruments. You may be instructed to use a nasal spray or nasal decongestants. These openings will usually seal on their own, however, surgical closure may be indicated in some cases.
It is important to resume your normal dental routine after 48 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.
After a few days you will feel like resuming your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately at (785) 228-0500
