Instructions After Tooth Extraction

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. 

  • Apply pressure by biting on gauze pad 30-45 minutes after the appointment.
  • Remove the gauze after 30-45 minutes.  If the bleeding or oozing persists after 45 minutes, place another gauze pad and bite firmly for another 30 minutes. 
  • It is normal to have bloody saliva. However, if excessive bleeding continues, contact the office. 

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. 

  • Do not rinse your mouth, suck on straws, smoke, drink alcohol or brush teeth the day of surgery.  These activities can displace or dissolve the clot, slow the healing process, and cause a dry socket. 
  • Limit vigorous exercise for the next 24 hours.  Exercise may increase blood pressure and cause excessive bleeding. 

Some teeth are more difficult to remove than others.  After a tooth is extracted you may feel some pain and experience some swelling. 

  • Apply an ice pack to the area to keep swelling to a minimum. 
  • For impacted wisdom teeth, apply an ice pack 20 minutes on, 20 minutes off, rotating for the first two days following surgery.  
  • Keep head elevated to minimize swelling. Swelling normally peaks around 48 hours.
  • Use the pain medication as directed. If antibiotics are prescribed, continue to take them for the indicated length of time, even if symptoms of infections are subside. 
  • Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat a normal diet as soon as you are comfortable.

It is important to resume your regular dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day, being careful not to brush the extraction site. This will speed healing and help keep your mouth fresh and clean.

After a few days you should feel well enough to resume normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, contact our office immediately at (502) 361-0134, (502) 241-0714 or (270) 825-7441.