After the Removal of Multiple Teeth
A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, bite on a moistened black tea bag for thirty minutes. The tannic acid in the black tea helps to form a clot by contracting blood vessels. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove the immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.
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.
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. Restrict your diet to liquids and soft foods that are comfortable for you to eat. As the wounds heal, you will be able to resume your normal diet.
Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm salt water rinse every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area. Salt water rinse can be made by dissolving one teaspoon of salt in one cup of warm water. After you have seen your dentist for denture adjustment, take out the denture and rinse 3 to 4 times a day.
The removal of many teeth at one time is quite different from the extraction of just 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 eyes may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as is tolerable, beginning 36 hours after surgery. Remember: ice packs are used for the first 36 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 your temperature continues to rise, 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 to make the necessary adjustments and relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.
Download/Print: Tooth Extraction Post-Op Instructions