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Patient Instruction

Extraction of a Tooth

After an extraction, it is important for a blood clot to form in the socket. If a blood clot fails to form, is dislodged, or is dissolved, a dry socket may form. This is a very painful infection of the bone and requires additional treatment. The following instructions are intended to help prevent this from occurring.

We will be sending several pieces of gauze home with you. Bite on the gauze for 30-45 minutes after the procedure is completed to help form the initial clot. The additional gauze may be used if more time is required or the gauze becomes overly saturated with blood and saliva. You may have to do this several times. If the bleeding has not slowed or stopped after a few hours, call our office for further instruction.

  • Do not put any negative pressure on the socket:
      Smoking, sucking through a straw, rinsing and spitting vigorously, or picking at the site with your toothbrush are all examples of negative pressure and will dislodge the clot.
  • Do not rinse or consume anything that may dissolve the clot:
      Carbonated and alcoholic beverages will dissolve the clot as will mouth rinses with alcohol.
  • Limit yourself to calm activities for the first 24 hours to keep blood pressure down and limit bleeding.
  • After the tooth is extracted you may have a little swelling. Use an ice pack if needed for 20 minutes on and 20 minutes off. The swelling usually starts to go away after 48 hours.
  • Use pain medications only as prescribed.
  • Drink lots of water and eat soft foods the first day. Gradually ease into harder foods over the course of the week as you can tolerate them.
  • Gently rinse with warm saltwater rinses the next day using a rinse-swish-spit technique.
  • Begin your normal dental routine after 24 hours. Bushing and flossing are very important to the health of your remaining teeth.
  • Place a towel over your pillow tonight as a little bit of blood and a lot of saliva will look like a lot of blood and stain your pillow.

Call us if you have heavy bleeding, severe pain, swelling after 3 days, or any reactions to the medications we prescribed.

 

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