PHILADELPHIA DENTIST DR. RICHARD EIDELSON's Post Operative Instructions For Extractions

Voted One of America's Top Dentists • Fellow, Academy of General Dentistry • Assistant Clinical Professor in Oral Medicine 1996 - 1998 • Temple University School of Dentistry • Appointed Director of Dental Services 1998, Simpson House

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Post Operative Instructions For Extractions

Refrain from eating at least 2 hours and until the anesthesia has worn off.

• The initial healing period usually takes one to two weeks, and you'll likely experience some swelling for the first forty-eight hours.
• Avoid chewing for two hours following surgery, or until the numbness has completely worn off.
  Some discomfort after the extraction is normal.
• Be sure to take any antibiotic medication prescribed for you as it will help the area to heal. An analgesic may also be recommended for your comfort and can be taken as directed.
• To avoid nausea, do not take pain medication on an empty stomach.
• You can also decrease pain and swelling by applying an ice pack twenty minutes on, twenty minutes off for the first six hours following the tooth extraction(s).
• A blood clot will form on the extraction site, and this clot is vital to the healing process. To keep the clot intact, avoid touching the extraction site with your tongue or fingers, do not drink liquids through a straw, and do not spit or swish vigorously.
• Blowing your nose or sneezing violently can also dislodge the blood clot and impair healing, so if you have an upper respiratory infection or suffer from allergies, be sure to have the appropriate sinus medication on hand.
• Do not rinse your mouth the day of the surgery. Smoking, or allowing food particles to pack into the tooth's socket, should be avoided, as both will significantly affect the healing process.
• Twenty-four hours following the procedure, you can rinse gently with mouthwash or a warm saltwater solution. (Dissolve one teaspoon of salt with one cup of warm water. Gently swish the solution around the affected area, and spit carefully.) You should do this two to three times each day for the week following the extraction.
• Relax as much as possible and avoid all strenuous activities for the first twenty-four hours following surgery.
• Once the numbness has worn off, you should eat, as nourishment is important to the healing process. Limit your diet to soft foods like yogurt, soft soups, ice cream, or soft-cooked eggs for the first forty-eight hours, and drink at least eight large glasses of water or fruit juice each day.
• Keep your head elevated with pillows to control bleeding. We will give you a supply of gauze sponges to place over the bleeding area.
• Change the pad as necessary, and use them until the bleeding stops completely. You can also bite gently but firmly on a moist tea bag for twenty minutes. Be sure to call our office if bleeding persists or increases.
• The space left by the tooth will feel a bit strange to you at first. Eventually, new bone and gum tissue will grow into the gap left by the extraction.