After the Extraction of Multiple Teeth
- A small amount of bleeding is to be expected following surgery. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, you can bite on a moistened tea bag for 30 minutes. The tannic acid in the tea bag helps to form a clot by constricting bleeding vessels. If bleeding occurs, elevate your head and avoid hot liquids and vigorous movement. If bleeding persists, call our office immediately. Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.
- Ice packs should be applied to the affected sides of the face for 20 minutes on/20 minutes off while you are awake. After 36 hours, ice has no longer has a beneficial effect and after 48 hours. It is normal for the jaw to be swollen or stiff for several days.
- For moderate pain, you may take 1-2 tablets of Tylenol every 3-4 hours. Ibuprofen may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets; 2-4 tablets may be taken every 3-4 hours as needed for pain.
- For severe pain, take the prescribed pain medication tablets as directed. The prescribed pain medicine will make you groggy and slow down your reflexes. Do not drive an automobile or work around machinery while using medication and do not drink alcoholic beverages. The pain should lessen every day. If pain persists or increases after 48 hours, call the office.
- If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.
- Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. 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 saltwater rinse (one teaspoon of salt in a glass of warm water) every 4 hours and following meals to flush out particles of food and debris that may lodge in the surgical area. After you have seen your dentist for denture adjustment, take out denture and rinse 3-4 times a day.
- Restrict your diet to liquids and soft foods that 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 are considered normal:
- Swelling. The area operated on will swell and should reach maximum in two days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration quicker. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember ice packs are used for the first 36 hours only).
- Sore throat. 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.
- Dry lips. 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.
- Temperature. There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify our office.
- Sore spots. If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist will see you within 24-48 hours of surgery and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.