After the Removal of Multiple Teeth

A small amount of bleeding is to be expected following the operation. If 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 elevate the head. If bleeding persists, call our office immediately. If a denture has been inserted by our office at the time of surgery, do not remove this “immediate denture” unless the bleeding is severe. 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 the first 36 hours only. Apply ice continuously while you are awake.

For mild discomfort use Tylenol or any similar medication; two tablets every 4-6 hours. Ibuprofen (Advil, Motrin) 200mg can be taken 2-3 tablets every 6-8 hours.

For severe pain use the prescription given to you. If taking the prescription medication, do not take Advil or Tylenol or any other over the counter medication without first discussing this with our office.  If  discomfort does not begin to improve after 3 days, or increases after 3 days, please call our office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.

Drink plenty of fluids. Drink at least six glasses of liquid the first day.  Tissues that have had surgery feel better and heal faster when they are well hydrated.

Do not rinse your mouth for the first post-operative day, or while there is bleeding. If you have been prescribed an antibacterial mouth rinse, you may gently swish with it the evening after surgery. After the first day, gently swish warm salt water every 4 hours or so to help flush particles of food and debris that may have lodged in the operated area and to help promote healing. (One teaspoon of salt in a glass of lukewarm 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 which 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, with swelling reaching a maximum in two-three days. Swelling and discoloration under the eye may occur. The application of a moist warm towel will help eliminate the discoloration more quickly. 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 2-3 days.
  • If the corners of the mouth are stretched, they can become may dry and crack. Your lips should be kept moist with an ointment like Vaseline. A slight elevation in temperature for the first 24-48 hours after surgery is normal. If temperature elevation continues beyond this, notify our office.

If immediate dentures have been inserted, sore spots on the gums can develop. In most cases, your dentist will see you within 24-48 hours after surgery and make the necessary adjustments to prevent or relieve those sore spots. Be sure and follow through with these appointments, as failure to do so may result in severe denture sores, which may prolong the healing process.