After the Removal of Multiple Teeth

Some bleeding is normal, sometimes up to 24 hours.  Bite down on your gauze (we will give you extra gauze) for 45 minutes at a time, and then replace as needed.  When the bleeding is minimal, take the gauze out.  Chewing on it can start the bleeding again.  The old trick of using a tea bag to control bleeding-still works! A moist tea bag can be placed directly at extraction site, biting firmly for 1 hour.  However, heavy bleeding (that you can’t seem to control) should be reported to the office. Avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

Use ice packs (externally) on the same side of the face as the operated area. Apply ice for the first 36 hours only using a regimen of 20 minutes on and 20 minutes off.

For mild discomfort use aspirin, Tylenol or any similar medication; two tablets every 3-4 hours. Ibuprofen (Advil, Motrin) 200mg can be taken 2-3 tablets every 3-4 hours.

For severe pain use the prescription given to you. If the pain does not begin to subside in 3 days, or increases after 2 days, please call our office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day.

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 rinse (gentle soak) every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area. (One half teaspoon of salt in a glass of lukewarm water.). After you have seen your dentist for denture adjustment, take out denture and rinse 3 to 4 times a day.

Restrict your diet to liquids and soft foods, which are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.

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:

  • Some swelling is to be expected, and this may increase for up to 72 hours.  With really difficult wisdom teeth, for example, you may have considerable swelling. Ice packs, applied immediately after the surgery, will help.  Ice cubes in a zip-lock bag, applied on and off for 20 minutes at a time, seems to help- and feels good! (However, place a wash cloth between your skin and the bag.  You may experience bruising over the surgical site- or even in distant areas, such as under the chin. This is not uncommon, and it will go away. You may experience tightness of the jaw muscles, too. After several days, this may respond to mild heat. Apply Vaseline or lip balm if your lips tend to crack or are sore from mild stretching. A slight elevation of temperature can be seen for 24-48 hours
  • 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 or lip balm. There may be a slight elevation of temperature for 24-48 hours. 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.