Sacramento Dentistry Group | Sacramento Invisalign® Dentist | Sacramento, CA

Extractions Post-Op Instructions

Post-operative care is important following oral surgery and recovery may be delayed if this care is neglected. Some swelling, stiffness, oozing of blood and discomfort is expected after surgery.

1. Bleeding

The gauze pad which was placed after surgery acts as a protective dressing and should be left in place for 2 hours with gentle pressure applied. Some oozing is to be expected and covering one’s pillow with a towel when sleeping will prevent the ooze from staining the pillow. If excessive bleeding is noticed, this is not normal. Most often, however, this can be controlled by the use of clean gauze placed directly over the surgical site and held with firm pressure for approximately 1 hour until the bleeding is controlled. If bleeding continues, call the office number at any time.

Women please note: Some antibiotics may interfere with the effectiveness of your birth control pills. Please check with your pharmacist.

2. Pain

If it is necessary, you will be provided with a prescription for medication. This can be filled at any drugstore and should be used as directed. Pain may be expected soon after the surgery and will reach its maximum during the first few hours. It is recommended that the prescription be started approximately 1-2 hours after the surgery and continued as directed. It is helpful to take the pain medication with 7-Up or gingerale to decrease the possibility of nausea. Grinding up the medication and taking it with food also is easier on the stomach. The best pain medicine is 800 mg of Ibuprofen (for adults) to be taken every 6 hours for the first week of surgery. This will perform two things, decrease the swelling, and alleviate pain.

3. Nausea

If nausea is encountered in the immediate post-operative period, it is often increased by taking the pain medication. Remember not to take the pain medication without something in your stomach. The post-operative nausea may be relieved by taking 1-oz. of a carbonated drink such as Ginger Ale every hour for 5-6 hours or a pinch of salt with bicarbonate of soda in a glass of water. This can be followed with mild tea, broth, and soft foods before resuming your regular diet.

4. Swelling

Swelling and stiffness are to be expected. This swelling may increase over the first 2 days, and then it should start to subside. Swelling can be somewhat controlled by the use of ice and heat as follows:

a) Ice Use ice for the first 12-24 hours applying it to the cheeks for 20 minutes
and removing it for 20 minutes alternately.

b) Heat Swelling and stiffness may be relieved by warm, moist heat applied to the
jaws on the 2nd and 3rd days following the surgery. The stiffness which can sometimes occur will usually be relieved by the heat application, the use of chewing gum at intervals, and gentle stretching exercises beginning the day after surgery.

5. Nourishment

Nourishment should not be neglected. On the day of surgery, a light diet is recommended (Instant Breakfast, Jello, soups, mike shakes, broth, etc.). The following day, a soft diet to a regular diet as tolerated may be started. The patient should not use a straw for several days, since this may dislodge the blood clot.

6. Oral Hygiene

Rinsing, spitting, and tooth brushing should be avoided on the day of the surgery. Starting on the day after surgery, frequent gentle rinsing with mild, warm salt water is encouraged. If you have been provided a syringe (Monoject), use it to flush food and other debris from the healing socket. Brushing should also be resumed, being careful to avoid the surgical site for the first two days. Good oral hygiene is important to normal wound healing.

7. Activities

Activities for the first 24 hours should be minimal. Rest quietly with head elevated. Smoking should be discontinued for at least 3 days. Do not expect to return to work or normal activities immediately. Two to three days rest is recommended and subsequently resuming activities as they are tolerated. Vigorous physical activities and sports should not be resumed until the surgical areas are comfortable, swelling is resolved and a normal diet is possible. Usually contact sports should not be resumed for approximately 1 week postoperatively. Musical wind instruments should not be played for at least 1 week to 10 days after most oral surgery.

8. Bruising

Depending on the nature of the surgery which was performed and the nature of the person, some discoloring on the face may be seen for 3-5 days after the surgery. If this happens, do not be alarmed.

9. Numbness

Many times the roots of the lower teeth are adjacent to the nerve in the lower jaw. When the tooth is removed, the nerve may be slightly disturbed which may lead to a numbness of your chin, lower lip, and your lower teeth on that side. No one can determine exactly how long this will remain, but it is rarely permanent.

10. Taste and Odor

After the surgery, a bad taste and odor may occur. This is usually secondary to a lack of appropriate cleaning in the area. Commercial mouthwash may be used along with normal rinsing and brushing.

11. Uncommon Problems

Many people fear the possibility of a dry socket, which is a very unusual complication. If you have pain, however, that is not relieved by the pain medication or aspirin, this may be the case. If possible, you should return to our office or if the distance is too great, see your local dentist. Pain in the ear, difficulty in swallowing, and difficulty in opening and closing the jaws are symptoms which can occur with varying frequency, and usually are not significant. Swelling at a later date is uncommon, but if the swelling increases after 5-7 days, please contact our office.

12. Emergency

If there is any difficulty in breathing, fever, excessive bleeding or any other disturbing problems following the surgery, you should call the office immediately. There is a 24-hour answering service after office hours that can reach the doctor.

Remember Your Follow-up Visit

It is often advisable to return for a postoperative visit to make certain healing is progressing satisfactorily. A follow-up visit will be scheduled. In the meantime, maintain a healthful diet, observe rules for proper oral hygiene, and visit your dentist for regular checkups.


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