After Tooth Extraction(s)

In order to assist you in the smooth and comfortable recovery of your treatment, please follow the recommendations below.

Do Not:

  • DO NOT rinse, spit, or brush teeth for 24 hours after surgery
  • DO NOT drink through a straw for 24 hours after surgery
  • DO NOT smoke for 48 hours after surgery
  • DO NOT drink alcohol for 48 hours after surgery
  • DO NOT eat or drink hot temperature food for 24 hours
  • DO NOT eat  spicy, or acidic foods for seven days after surgery
  • DO NOT exercise vigorously for 3 – 4  days after surgery
  • DO NOT probe the surgical site with your tongue, any objects, or your fingers
  • If there is no bleeding you DO NOT need to apply the gauze

Bleeding:

  • PLACING GAUZE: During the day if you are awake and alert use the 2x2’s provided for you. Dampen and fold into quarters and place at the surgical site(s), with the excess placed toward the cheek. When sleeping during the day replace the 2x2’s with the 4x4’s, dampening and folding one end and allowing the excess to hang out of your mouth to prevent accidental swallowing of the gauze. Never sleep overnight with the gauze in your mouth.
  • Bite with continuous pressure over the extraction site with a moist folded gauze until the gauze becomes saturated.
  • Change the gauze every hour until bleeding stops.
  • Remember, it is common to have slight oozing for the first day after surgery. Pressure from biting on gauze almost always helps.
  • If excessive bleeding continues, bite on gauze wrapped around a warm moistened Lipton’s black tea bag to help the blood clot.
  • Discontinue use of the gauze after the bleeding has stopped.
  • You may have sutures placed. If you do, they are dissolvable and should dissolve on their own in approximately 7-10 days.

Swelling & Bruising:

  • It is extremely important to apply ice packs 30 minutes on and 30 minutes off the cheeks, until bedtime, to decrease the inflammation and minimize swelling. We recommend a zip lock bag of crushed ice or a bag of frozen peas.
  • For impacted third molars, keep the pressure dressing in place for the first 24 hours. Sleep with your head elevated with pillows for two days following surgery.   This will help reduce swelling and the appearance of bruises.
  • Remember, swelling & bruising is very common after surgery. It will reach its maximum at 72 hours post–surgery and will gradually resolve over the week.  Everyone heals at a different rate.  Some will swell more or less than others.
  • Keep lips moist with cream or Vaseline to prevent cracking or chapping.

Oral Hygiene and Care:

  • Brush your teeth gently; carefully avoiding the surgical sites, beginning the next day after your surgery.
  • The following day after surgery, start rinsing your mouth with a saltwater rinse (1 tsp salt in one quart of water).
  • It is extremely important to keep your mouth clear of food particles and debris during the first week following surgery.  We recommend that you begin to gently rinse your mouth after each meal.  An accumulation of food or debris may promote inflammation / infection.

Diet:

  • If you have had general anesthesia please refer to general anesthesia for more details.
  • We recommend cold foods (such as Shakes/Pudding/Ice cream/Jello) for the first 24 hours after surgery.
  • 2-3 days after your surgery maintain a soft diet (Soup, mashed potatoes, Soft chicken/fish). Then at your continued care appointment we will give you further instructions.
  • Avoid crunchy and chewy foods, like popcorn, nuts, sunflower seeds, rice, or taffy. As it may take 4-6 weeks for the area to completely heal.
  • If you are a diabetic, maintain your normal diet as much as possible and follow your doctor’s instructions regarding your insulin schedule.

Other Possible Post -Surgery Effects:

DRY SOCKETS:  When a tooth is removed, a “hole” or “socket” is left in the jawbone where the roots of the tooth used to be present.  Normal healing requires the formation and continued presence of a blood clot in that “socket.”

When the clot is lost or does not form properly, you begin to have pain of varying degrees and intensity. The pain usually starts to increase the third to the fifth day after the tooth was removed.  The pain often radiates to the ear or to other teeth.  The pain is usually caused by exposed bone due to the absence of a proper clot. One will notice a bad taste and odor. A dry socket is not a true infection but rather an inflammatory condition.  If you experience the following symptoms, please contact our office for continued care.

BRUISING:

May occur around the cheeks or inside the mouth, but will soon disappear.  The bruising may travel into the neck area and disappear over a period of time.

NUMBNESS:

Loss of sensation of the lip and chin may occur due to administration of a long acting anesthetic for increased comfort, usually following lower wisdom teeth removal. The normal sensation often returns by the following day.

STIFF JAWS/MUSCLES:

Stiffness of the muscles after surgery is to be expected due to the swelling. It should disappear within seven days. The day after surgery begin to lightly stretch your jaw

SUTURES:

Do not be alarmed if they come out as they are made to dissolve on their own.

If you have any questions about your recovery or the above recommendations, please call our office at (925) 934-7888.  During business hours, a member of our team will be happy to assist you.  If this is a life threatening emergency, please contact 911.  After hours, you may call our number and press 9 and leave a detailed message with a call back number and Dr. Alijanian will be paged and  return your call as soon as possible.

We are committed to making your surgical experience a comfortable one.