After Tooth Extraction

Contol of Bleeding

After tooth extraction it is important for a blood clot to form to stop the bleeding and begin the healing process. That is why we ask you to bite on a gauze pad for 30-45 minutes 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.

After the blood clot forms it is important not to disturb or dislodge the clot as it aids healing. 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 the clot and retard the healing process.

Limit vigorous exercise for the 24 hours following your surgery as this will increase blood pressure and may cause more bleeding from the extraction site.

Control of Pain and Swelling

You should begin taking pain medication as soon as you feel the local anesthetic wearing off.

For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every four to six hours (maximum daily dose of Tylenol should not exceed 3000mg). Ibuprofen, (Motrin or Advil) 200mg to 400mg may be taken every 4-6 hours.  Specific dosing of over-the-counter pain medication should be taken as per directions on the medication container. Dr. Bundy may prescribe a higher dose of Ibuprofen.  If so, this prescription Ibuprofen may be taken as directed for pain relief.

For more severe pain Dr. Bundy may prescribe other medications such as narcotics(i.e. Norco, Lortab, Vicodin, Percocet, Tylenol with Codeine, Ultram). Take these medications as prescribed and directed. Narcotic pain medicine may make you sleepy and will slow down your reflexes. Do not drive an automobile or work around dangerous machinery if you have been prescribed a narcotic medication. Avoid alcoholic beverages. You should also refrain from making any pertinent decisions regarding significant business or personal matters while taking these types of medications. 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.

Control of Infection

If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are not present or have resolved.  Antibiotics may decrease the effectiveness of oral contraceptives. If antibiotics are prescribed another form of contraception is advised for the remainder of your cycle.


Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable.

Oral Hygiene

Do not rinse your mouth vigorously on the day of surgery.  The day following surgery you should rinse your surgical sites with warm salt water solution (1/2 tsp of salt in a cup of water). It is important to resume your normal dental hygiene routine for your other teeth 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.


Small amounts of a carbonated beverage (i.e 7-UP) every few hours may aid in terminating nausea.  Follow this with clear liquids or a mild soup (broth).  If your nausea persist contact our office for more assistance.


Smokers are advised not to smoke for one week following surgery.  Smoking will slow the healing process and promote the development of a “dry socket.”

After a few days you will feel begin to feel better and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 4-5 days, or a reaction to the medication such as nausea or a rash… call our office immediately at Littleton Office Phone Number 303-932-7458.