Tooth Extraction

Tooth Extraction: Post-Operative Instructions

A Few Simple Guidelines

Sometimes, teeth need to be removed due to decay, disease or trauma. Having a tooth “pulled” is called a tooth extraction.

When you have an extraction, it’s natural that changes will occur in your mouth. Our dentists will give you instructions to follow after the extraction, and it’s important to contact our office if you have any questions or concerns after the extraction. Here are some general guidelines to help promote healing, prevent complications, and make you more comfortable.

Anesthetics

Before the extraction, you will be given an anesthetic to reduce your discomfort. Your mouth will remain numb for a few hours after the extraction. While your mouth is numb, you’ll want to be careful not to bite your cheek, lip or tongue. Do not eat any foods that require chewing while your mouth is numb. The numbness should go away within several hours. If it doesn’t, contact your dentist.

Bleeding

Our dentists will place a gauze pack on the extraction site to limit bleeding. This will also help a blood clot to form, which is necessary for normal healing. This gauze pack should be left in place for 30 to 45 minutes after you leave our office.

Do not chew on the pack. There may be some bleeding or oozing after the pack is removed. If so, here’s what to do:

• Fold a piece of clean gauze into a pad thick enough to bite on. Dampen the pad with clean, warm water and place it directly on the extraction site.

• Apply pressure by closing the teeth firmly over the pad. Maintain this pressure for about 30 minutes. If the pad becomes soaked with blood, replace it with a clean one.

• Do not suck on the extraction site or disturb it with your tongue.

• A slight amount of blood may leak from the extraction site until a clot forms. However, if heavy bleeding continues, please contact our office. (Remember, though, that a little bit of blood mixed with saliva can look like a lot of bleeding.)

Do Not Disturb!

The blood clot that forms in the tooth socket is an important part of the normal healing process. You should avoid doing things that might disturb the clot. Here’s how to protect it:

• Do not rinse your mouth vigorously, or drink through a straw for 24 hours. These activities create suction in the mouth, which could loosen the clot and delay healing.

• Avoid alcoholic beverages or mouthwash containing alcohol for 24 hours.

• If you are a smoker, talk to our dentists before the surgery on ways to limit smoking after the surgery.

• Limit strenuous activity for 24 hours after the extraction. This will reduce bleeding and help the blood clot to form.

• Sometimes the blood clot does not form in the first day or two after the extraction, or it forms but breaks down. The result is called dry socket. This can be very painful and should be reported to your dentist. A dressing may be placed in the socket to protect it until the socket heals and to reduce any pain.

Cleaning Your Mouth

Do not clean the teeth next to the healing tooth socket for the rest of the day. You should, however, brush and floss your other teeth well and begin cleaning the teeth next to the healing tooth socket the next day. You can also brush your tongue. This will help get rid of the bad breath and unpleasant taste that are common after an extraction.

The day after the extraction, gently rinse your mouth with warm salt water (half a teaspoon salt in an 8 oz. glass of warm water) after meals to keep food particles out of the extraction site. Try not to rinse your mouth vigorously, as this may loosen the blood clot. If you have hypertension, discuss with your dentist whether you should rinse with salt water. Avoid using a mouthwash during this early healing period unless your dentist advises you to do so.

Medication

If your dentist has prescribed medicine to control pain and inflammation, or to prevent infection, use it only as directed. If the pain medication prescribed does not seem to work for you, do not take more pills or take them more often than directed-call your dentist.

Swelling and Pain

After a tooth is removed, you may have some discomfort and notice some swelling. This is normal. To help reduce swelling and pain, try applying an ice bag or cold, moist cloth to your face. Your dentist may give you specific instructions on how long and how often to use a cold compress.

When to Call the Dentist

If you have any of the following issues, call your dentist immediately. If you cannot reach your dentist, go to a hospital emergency room.

• fever, nausea or vomiting

• ongoing or severe pain, swelling, or bleeding

• pain that gets worse with time instead of better

Eating and Drinking

After the extraction, drink lots of liquids and eat soft, nutritious foods. Avoid hot liquids and alcoholic beverages. Do not use a straw. Begin eating solid foods the next day or as soon as you can chew comfortably. For the first few days, try to chew food on the side opposite the extraction site. When it feels comfortable, you should resume chewing on both sides of your mouth.

Follow-Up

If you have sutures that require removal, our dentists will tell you when to return to the office.

 

 

 

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©2019 American Dental Association

Keeping Ahead of COVID-19

Providing a safe environment for treatment and control for infectious disease is always a priority at Paul Stanovick DDS. Our expansive reception area and large outdoor deck provides space to easily support regulations surrounding social distancing. The treatment rooms provide an extra layer of protection as they are sanitized between each patient and provide clean air through air purifiers located in each room. We encourage that all patients schedule for their essential or ongoing treatment. Proactively treating your dental needs will benefit both your health and reduce the need for corrective treatment over time. We do ask that any high-risk patients postpone any elective dental treatment at this time. You will see some changes during your next appointment as we have added precautions to protect patients and staff. All patients will be asked to fill out a COVID-19 screening form as well as have their temperature taken. You will be asked to enter the building with use of facial protection and asked to wear it until you are in the treatment room. Hand sanitizer is also available throughout the whole building for your use. You may notice that our magazine and children’s books have been removed from the reception area as they are harder to disinfect. We have installed plexiglass around our front reception area for added distancing between front staff and patients waiting for appointments. Air purifiers have been placed in every operatory with two larger purifiers in the front and back of the office. We have provided face shields, lab jackets and barrier gowns for all clinical staff. Our hours of operation will still remain Monday -Friday 8am-5pm. We are trying our best to re-appoint patients that missed March 2020 & April 2020 dental appointments. We are looking forward to seeing you again and are happy to answer any questions you may have about treatment and the safety precautions we are taking here at the practice. If you would like to make an appointment you can give us a call or text 804.781.1919. Thank you for your patience during these changing times and for your trust in us with taking care of your dental needs. Sincerely, Dr. Paul Stanovick, Dr. Brant Stanovick, and Staff.