After Removal of Multiple Teeth
After removal you can expect the following:
A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes.
If bleeding continues, a moist tea bag can be used for 30 minutes. If bleeding occurs, avoiding hot liquids and exercise, and elevating the head higher than the body will help. If bleeding persists, call our office immediately.
Do not remove the 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 48 hours only. Apply ice 20 minutes on and 20 minutes off while you are awake.
After 48 hours, transition to heating pads/warm towels which will help to reduce swelling, bruising, muscle stiffness, and jaw soreness.
For mild discomfort use aspirin, Tylenol or any similar medication; two tablets every 3-4 hours. Do not take more than 4000mg of Tylenol in any 24-hour period. Ibuprofen (Advil, Motrin) 200mg can be taken 2-3 tablets every 3-4 hours.
Do not take more than 3000mg of Tylenol OR 3200mg of Ibuprofen in any 24-hour period.
For severe pain, use the prescription given to you. If the pain does not begin to subside in 2 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 removed, the blood volume lost during surgery needs to be replaced. Drink at least six glasses of liquid the first day.
Do not rinse your mouth for the first 36 hours after surgery, or while there is bleeding. After the first day, use a warm salt water rinse 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:
- The area treated may swell, reaching a maximum in two days. Swelling and discoloration around the eyes may occur. 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 48 hours after surgery (remember ice packs are used for the first 48 hours only).
- 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.
- There may be a slight elevation of temperature for 24-48 hours. If temperature elevation continues, notify our office.