Your dentist might recommend a tooth extraction for a number of reasons. Some patients may suffer from tooth decay, while others may need to remove teeth hindering orthodontic treatment or simply require wisdom teeth removal. A tooth extraction can be a serious dental procedure, and aftercare is just as critical as the procedure itself. As the dental patient, it is important to understand that pain and the risk of infection can be lessened with proper care.
Care immediately following surgery:
- Keep pressure on the gauze pad that your doctor will place over the surgical area by gently biting down. Dampen the gauze sponge with water if it begins to dry out. Try to maintain constant pressure in intervals of 45-60 minutes, repeating as often as needed or until bleeding lessens. Change the gauze as needed.
- Keep your head elevated and try to lower your activity level as much as possible.
- Forty-eight hours after surgery, rinse your mouth with warm salt water every 1-2 hours. Avoid using any mouthwash containing alcohol, as it can irritate the wound.
- Keep your mouth clean by brushing the areas around the surgical site, but be sure to avoid sutures. Touching the wounded area in any fashion should be prevented.
- Use ice packs to control swelling by placing them on facial areas near the extraction.
- Take all prescribed medications in accordance with your dentist's guidelines. If any itching or swelling occurs, contact our practice immediately or go to the nearest emergency room.
- Try to eat softer foods that are, preferably, high in protein.
- Keep your body hydrated by drinking plenty of fluids, but do not drink through a straw for the next five to seven days.
- If you are a regular tobacco user, refrain from smoking for the next three to four days, as smoking increases your chances of getting a dry socket and an infection.
After your tooth has been extracted, healing will take some time. Within three to fourteen days, your sutures should fall out or dissolve. For sutures that are non-resorbable, your doctor will schedule a follow-up appointment to remove the stitches for you. Your tooth’s empty socket will gradually fill in with bone over time and smooth over with adjacent tissues.
Possible complications after a tooth extraction
Bleeding – Bleeding after a tooth extraction is entirely normal. A pinkish tinted saliva and subtle oozing is fairly common during the first 36 hours. If bleeding becomes excessive, control it by using dampened gauze pads and biting down to keep pressure on the area. As an alternative to gauze pads, a moistened tea bag can be used, as the tannic acid helps blood vessels contract. Apply pressure to the gauze or tea bag by gently biting down for 30 minutes. Please remember that raised tempers, sitting upright, and exercise can all increase blood flow to the head, which can cause excess bleeding. Try to avoid these as much as possible. If your bleeding does not reduce after 48 hours, please call our practice.
Bone sequestra (dead tooth fragments) – Some patients have small, sharp tooth fragments that were unable to be completely removed during surgery. During the recovery period, these dead bone fragments, or bone sequestra, slowly work themselves through the gums as a natural healing process. Until the sequestra are removed, there can be some pain. Please call our practice immediately if you notice any sharp fragments poking through the surgery site.
Dry socket – In the days that follow your tooth extraction, pain should gradually subside. Rarely, patients report that pain increases to a throbbing, unbearable amount that shoots up towards the ear. Often, this is a case of dry socket. Dry socket occurs when the blood clot becomes irritated and ousted before healing is complete. Food and debris can then get into the socket causing irritation. Tobacco users and women taking oral contraceptives are at a higher risk of getting dry socket. Dry socket is not an infection but does require a visit to our office. If you think you may be suffering from dry socket, please contact our practice immediately.
Lightheadedness - Because you may have been fasting prior to surgery, your blood sugar levels may be lower than normal. Until your body has had the chance to catch up and process some sugars, you should remember to stand up slowly when getting up from a relaxed position. For somewhat immediate relief, try eating something soft and sugary, staying in a relaxed position, and reducing the elevation of your head.
Numbness – Many patients report still feeling numb hours after their tooth extraction procedure. An extended lack of feeling around the mouth is normal and can last 10-12 hours after surgery.
Swelling – Swelling should subside almost entirely within 10 days after surgery. Immediately following your tooth extraction, apply an ice pack to the facial areas near the extraction. Continue using the ice in 15 minute intervals for the first 36 hours. After 36 hours, ice will no longer be beneficial in reducing swelling, and moist heat should be used instead. To decrease swelling, apply a warm damp cloth to the sides of your face.
Trismus (difficulty opening and closing mouth) – If you experience a sore jaw and difficulty chewing or swallowing, do not be alarmed. Occasionally patients’ chewing muscles and jaw joints remain sore three to five days after surgery. This soreness can also make it difficult to open and close your mouth. Soreness should eventually subside.
If you have any worries, or are experiencing any complications not mentioned, please contact our practice immediately so that we may address your concerns.