Bleeding

Normal bleeding may occur for up to 24 hours following surgery and is controlled by firm pressure on gauze pads placed over the tooth socket. Maintain pressure on the socket for 30 minutes after surgery and then replace gauze pads if necessary for further 30-minute intervals if necessary. Smoking, drinking with a straw and physical activity may cause bleeding; avoid them for 24 hours after surgery. If bleeding persists, a moist tea bag should be placed in the area of bleeding and bite firmly for one hour. If bleeding is continuous and fills the mouth easily, emergency care may be needed.

Swelling

It is not unusual for swelling to occur following surgery. Apply an ice pack to the outside of the face 15 minutes on and 15 minutes off for six hours after the surgery. This will help keep the swelling to a minimum, but may not completely eliminate it. You may not notice any swelling until the next day. Swelling often peaks 2-3 days after the procedure, and it may take a week to subside.

Muscle Soreness

Difficulty in opening the jaws and muscle stiffness are common after extractions, specifically wisdom teeth. This is normal and will improve within a few days. Chewing sugar free gum at intervals and applying warm heat over the face at the site of the muscles will reduce soreness.

Mouth Care

Brush and floss as usual, avoiding the surgical site for the rest of the day. After 24 hours, rinse with salt water (one teaspoon of salt mixed with warm water) for 30-second intervals at least three times a day; continue for a week. Resume normal oral hygiene after 24 hours but be particularly cautious in the extraction site. Lightly cleanse the area only with a wet toothbrush without toothpaste.

Advise no smoking

Smoking is not advised postoperatively for a minimum of one week. Nicotine in any form interferes with the healing process and increases the incidence of infection, dry socket and other complications.

Diet

After an extraction, diet may consist of soft foods which can be easily chewed and swallowed. No seeds, nuts, rice, popcorn, etc.

Dry Socket

A dry socket is when part of the blood clot dissolves or is removed from the extraction site. This is not a serious complication, but it can lead to pain. If this is the case a dental visit is required to place medicated gauze in the area.

Each situation is unique to the individual but it is best for the client to stay well informed, commit to proper hygiene and follow the dentist's instructions.