After the Removal of Multiple Teeth

Bleeding

A certain amount of bleeding is to be expected following your surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by placing a gauze pad over the area and biting firmly for 1 hour. Repeat if necessary. If bleeding continues, bite on a moistened tea bag for thirty minutes. The tannic acid in the tea helps to form a clot by contracting bleeding vessels.  Do not remove immediate denture unless the bleeding is severe, expect some oozing around the side of the denture. If bleeding does not subside, call for further instructions.

Swelling

The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes and sides of the face is not uncommon. This is the body’s normal reaction to surgery. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs which are available at our office. Ice packs should be applied to the sides of the face where surgery was performed. The ice packs should be placed on the face, 20 minutes on and  20 minutes off for the first 48-72 hours.  

For moderate pain, 600 mg of advil or ibprofen may be taken every 6 hours or 800 mg of motrin every 8 hours may be taken by mouth.

For severe pain take the tablets prescribed for pain as directed. The prescribed pain medicine will make you tired and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. 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. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.

Diet

Drink plenty of liquids.  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.

Oral Hygiene

After the fist day, use warm salt water rinse every 4 hours and following meals to flush out particles of food and debris which may lodge in the operated area, (1/2 teaspoon of salt in a glass of warm water, 8 oz.). After you have seen your dentist for denture adjustment, take out denture and rinse 3 or 4 times a day.

Other Complications

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:

  • 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 your mouth are stretched, they may be dry and crack. Your lips should be kept moist with an ointment like Vaseline or chapstick.There may be a slight elevation in 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 spots, which may prolong the healing process.