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 wrapped in moist guaze for thirty minutes. The tannic acid in the black tea helps to form a clot by contracting blood vessels. Avoid hot liquids, exercise, and keep your head elevated. If bleeding persists, call our office.
Do not remove the immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.
Use ice packs or frozen vegetable bags on the cheek near the surgical site, 20 minutes on and 20 minutes off, while through out the day for comfort and to decrease swelling. Apply ice for the first 36 hours only.
For mild discomfort use aspirin, Tylenol, or any similar medication; two tablets every 3-4 hours. Two to three tablets of Ibuprofen (Advil or Motrin) can be taken every 4-6 hours. For severe pain, use the prescription given to you. If the pain does not begin to subside after 2 days, or increases after 2 days, please call our office. If an antibiotic has been prescribed, make sure to finish your prescription unless you have an allergic reaction..
Drink plenty of cold fluids. Keep fluids and food lukewarm for the day of surgery. 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 or regular water rinse every 6 hours including following meals to flush out particles of food and debris that may lodge in the operated area. (One teaspoon of salt in one cup of warm water). If salt is not available regular water is sufficient. 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. (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.