After the Removal of Multiple Teeth

Control 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

After the tooth is extracted you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will help to keep swelling to a minimum. The swelling usually peaks after 48 hours and then slowly resolves over a few more days.

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.

Diet

Drink lots of fluid on the day of surgery. Restrict your diet to liquids and soft foods which are comfortable for you to eat. Liquid food supplements such as Ensure are very good sources of appropriate proteins, carbohydrates and nutritious fats to caloric intake. As the wounds heal you will be able to advance your diet.

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.

Nausea

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.

Smoking

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.

Finally

The removal of many teeth at one time is quite different than the extraction of 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. Swelling will reaching a maximum in 2-3 days following surgery. Swelling and discoloration (bruising) around the eye may also occur if upper teeth were removed. The application of a moist warm towel will help eliminate the discoloration quicker. The towel should be applied continuously for as long as 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 discomfort at rest or when you swallow. 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 as needed.
  • There may be a slight elevation of temperature for first 24-48 hours following your surgery. If temperature continues, 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 and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.