After the Removal of Multiple Teeth
Home Instructions After the Removal of Multiple Teeth
A small amount of bleeding is to be expected following the operation to remove multiple teeth. If bleeding occurs, place a gauze pads directly over the bleeding sockets and apply biting pressure for 30 minutes. Repeat as necessary until there is only a small amount of pink on the guaze pads. If bleeding continues, bite on a moistened black tea bag for thirty minutes. The tannic acid in the black tea helps to form a clot by contracting blood vessels. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately.
Use ice packs (externally) on the cheek near the surgical site. Apply ice for the first 36 hours only. Apply ice continuously while you are awake.
For mild discomfort use Tylenol or Extra Strength Tylenol; two tablets every 3-4 hours. Or Two to three tablets of Ibuprofen (Advil or Motrin) can be taken every 3-4 hours.
For severe pain, use the prescription given to you. If the pain does not begin to subside after 2 days, or increases after 2 days, please call our office. If an antibiotic has been prescribed, make sure to finish your prescription unless you have an allergic reaction..
Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day.
Do not rinse your mouth for the first post-operative day, 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 teaspoon of salt in one cup of warm water). After you have seen your dentist for denture adjustment, take out the denture and rinse 3 to 4 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 resume your normal diet.
The removal of many teeth at one time is quite different from the extraction of just 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 to three days. Swelling and discoloration around the eyes may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as is 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 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 your temperature continues to rise, notify our office.
Immediate Denture Placement After Multiple Extractions
In the event that an immediate denture was placed, Do NOT remove the denture for the first 24 hours. Slight bleeding and oozing may occur around the side of the denture. Use the gauze to bite down on the denture to promote clotting and decrease bleeding. After 24 hours, take the denture out ONE TIME for no more than 5 minutes. Rinse mouth gently with salt water and replace denture. After 48 hours, take the denture out TWO TIMES for no more than 5 minutes. Rinse mouth gently with salt water and replace denture. After 72 hours, we recommend wearing the denture as much as possible as long as there is no discomfort. Gum shrinkage may occur within the first 6 months after surgery and you may experience periods of a loose fitting denture. In this case, seek the advice of your general dentist, who can put in a temporary liner and make adjustments on the denture.
If immediate dentures have been inserted, sore spots may develop. In most cases, your general dentist will see you within 24-48 hours after surgery to make the necessary adjustments and relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.