After Tooth Extraction

Bleeding

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30-45 minutes immediately after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times to staunch the flow of blood.

After the blood clot forms it is important to not disturb or dislodge the clot. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities may dislodge or dissolve the clot and hinder the healing process. Limit vigorous exercise for the next 24 hours, as this increases blood pressure and may cause more bleeding from the extraction site.

Swelling

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. The swelling usually subsides after 48 hours.

Pain

At times, oral surgery is accompanied by some degree of discomfort. For moderate pain, take 400 mg of Ibuprofen with 500 mg of Acetaminophen (Extra Strength Tylenol) every 4 hours at the same time. It is most effective if taken around the clock for the first 72 hours following surgery.

If pain is not manageable with Ibuprofen and Extra Strength Tylenol, you may replace the Extra Strength Tylenol with one (1) Hydrocodone-Acetaminophen, if prescribed. **DO NOT TAKE EXTRA STRENGTH TYLENOL AND HYDROCODONE-ACETAMINOPHEN AT THE SAME TIME.**

Always verify the dosage on your bottle at home before taking any medications. Dosages vary per bottle.

Ibuprofen Maximum Dose: 2400 mg per day

Acetaminophen Maximum Dose: 3000 mg per day

Do not take the above medications if you are allergic to them or have been instructed not to by your physician. Do not take Ibuprofen products if you take blood thinners such as Coumadin or Plavix. Do not take any of the above medication if you are allergic to them, or have been instructed by your doctor not to take it. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.

Antibiotics

If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone. Drink lots of fluids and eat nutritious, soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

Oral Hygiene

It is important to resume your normal dental routine after 24 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 should feel fine and can resume 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 Carol Stream Office Phone Number 630-909-0500.

Download/Print: Tooth Extraction Post-Op Instructions