After the Removal of Multiple Teeth

Home care is a very important part of treatment following Oral Surgery. The following instructions are recommended to keep you more comfortable and to shorten the healing period.

Bleeding

After multiple teeth have been extracted , a small amount of bleeding is to be expected.  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 30-45 minutes after the appointment. If the bleeding or oozing still persists, place another gauze pad at site and close down firmly for another 30 minutes. You may have to do this several times. To minimize further bleeding sit in a upright position, do not become excited, and avoid exercise. If bleeding does not subside, call for further instructions.

  • Avoid rinsing vigorously, using straws, smoking, or other actions which may dislodge the blood clot.
  • Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.  After you have seen your dentist for denture adjustment, take out denture and rinse 3-4 times a day.
  • Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

Swelling

Swelling is a normal occurrence after surgery. The swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice or ice packs should be applied to the  sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 48 hours, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Diet

No food or liquid should be taken for the first hour following surgery.  Avoid extremely hot liquids or food.  If multiple teeth have been extracted drink at least six glasses of liquid to replenish the blood lost and eat soft nourishing foods.  As the wounds heal, your diet which are comfortable for you to eat.

Prescriptions

Use the pain medication as directed. Call the office if the medication does not 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.

Discomfort

A certain amount of discomfort is to be expected.  This should be effectively relieved by using the prescribed or recommended pain medications.  On the day following surgery, begin rinsing gently    3-4 times daily with a warm salt water solution ( 1/4 teaspoon of salt in 8 ounces of warm water) or diluted mouth rinse.

Other Conditions

Stiffness of face muscles and difficulty in opening the mouth may occur. Heat applications and salt water rinses as directed above will relieve this condition.

Discoloration resembling a bruise may appear. This is due to sight hemorrhage into the tissues at the time of surgery. This should not cause alarm and will disappear in several days.

Finally

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:

  • The area operated on will swell reaching a 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 48 hours after surgery, remember ice packs are used for the first 48 hours only.
  • 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.
  • 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. There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify our office .
  • 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 severe denture sores, which may prolong the healing process.

After a few days you should start feeling better and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction from the medication, call our office immediately at Ridge Road Office Phone Number 316-722-0800.