After the Removal of Multiple Teeth
Some bleeding is to be expected following the operation. If brisk 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, avoid hot liquids, exercise, and keep your head elevated. If bleeding still persists, call our office. Do not remove immediate denture unless the bleeding is severe or you have been instructed to do so by your dentist. 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 20 minutes on followed by 20 minutes off for the first 36 hours only.
For mild discomfort use aspirin, Tylenol or any similar medication; two tablets every three to four hours. Ibuprofen (Advil, Motrin) 200mg, up to four tables can be taken every six to eight hours.
For severe pain, use the narcotic prescription (usually Hydrocodone or Tylenol with codeine) given to you. If the pain does not begin to subside in three days, or increases after three days, please call the office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.
Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use some warm clean water to rinse following meals to flush out particles of food and debris that may lodge in the operated area. After you have seen your dentist for denture adjustment, take out the denture and rinse three to four times a day.
Restrict your diet to liquids and soft foods that 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 operated on will swell, reaching a maximum in two-three days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember ice packs are used for the first 36 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 two to three 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 continues, notify the 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.