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 After tooth extraction  

          

           

 After tooth extraction, the wound usually closes in about two weeks. It takes three to
 six months for the bone and soft tissue to be restructured.

 Here is what to expect and what to do after a tooth extraction to allow for a smooth and
 a healthy healing.

 Pain after tooth extraction

 Post surgical discomfort can be expected after any surgical procedure. The analgesic
 medication prescribed for you-Lodine, ibuprofen or Anaprox/Naprosyn will relieve this
 discomfort and pain after tooth extraction when used as directed. This medication is a
 non-steroidal anti-inflammatory drug that actually prevents the formation of the
 chemicals produced by the body that cause discomfort. Other stronger medication may
 be prescribed. The local anesthetic used during surgery may produce numbness for 3-12
 hours depending on the type of anesthetic used.

 Care after tooth extraction

 * Unless otherwise instructed, do not rinse your mouth the day of the tooth extraction.

 * The day following tooth extraction, rinse gently using warm salty water (1/2 a
    teaspoon of  salt dissolved in an 8 oz. Glass of warm water). Continue for 1 week. 
    Rinse after eating to keep food particles out of the incision or tooth socket. Do not
    rinse vigorously or the clot may be disturbed. Avoid using a commercial mouthwash for
    one week
 
 
 * Ice packs may be helpful in preventing swelling. Ice may be used only the first 24
    hours after surgery. Apply ice for 20 minutes every hour. Do not use after 24 hours.

 * The bleeding will stop quicker if you lie down with your head raised.

 * If heavy bleeding continues, call your dental care provider. Red tinged saliva is normal
    for several days and is no indicative of bleeding. Gauze placed against the incision or
    socket will always draw blood from the clot and this, likewise, is not a sign of bleeding.

 * Do not use a straw of spit for 5 days after the procedure. These activities can draw
    the clot from the socket prematurely.

 Foods to eat after a tooth extraction

 You may eat soft foods after the bleeding is controlled and the packs have been
 removed. Eat soft foods such as eggs, soup, ice cream, cooked cereal, noodles, yogurt,
 etc. In 4-5 days begin eating solid foods and try to return to normal diet.

 Can you brush and floss after a tooth extraction?

 It is important to continue to brush and floss your teeth at east once daily. Also brush
 your tongue to eliminate the bad breath and unpleasant taste that are common after an
 oral surgeon procedure.
 Avoid brushing the surgery site until it has healed sufficiently. Sutures may have been
 used to close the incisions. Unless otherwise informed, these are dissolvable. This process
 usually begins in 3-5 days and is complete in 7-10 days.

 Swelling after tooth extraction

 Swelling is normal after any kind of surgical procedure. A steroid may have been
 administered if the procedure was done with a general anesthetic and this will prevent
 most of the swelling. The swelling usually reaches its peak 72 hours after the surgery and
 then begins to subside. Three days after tooth extraction, warm heat may be applied to
 the face to hasten this process if significant swelling has occurred.

 Control of the blood clot

 After the surgery, a blood clot forms in the socket or incision.This clot is important in
 aiding the healing process. Gauze packs may have been placed that are used to apply
 pressure to the socket or wound. Keep the original packs in place for 1 hour or until they
 become saturated. New packs are placed by folding a gauze into a small square and
 placing the pack directly over the socket, then biting firmly on the gauze. Keep the packs
 in place as long as possible (1-2 hours). Frequent packing changes may disturb the
 established clot, causing its loss.

  Dry Sockets after tooth extraction

 * A dry socket after tooth extraction can occur if a blood clot is lost prematurely. The
 symptoms of a dry socket are increasing pain 3-5 days after the surgery, at a time when
 the pain should be decreasing. Dry sockets are usually treated by returning to your 
 dental care provider

 Dry sockets can be prevented by following these simple instructions:

 Follow the diet instructions, a soft diet is very important in preserving blood clot. Also,
 avoid smoking, using a straw, spitting and vigorous activity for 3-5 days after the
 surgery.

 * Stiffness of the jaw is normal for several days to weeks after the surgery, depending
 on the extend of the procedure.
 After 3 days, heat may be helpful in overcoming this, otherwise, let nature take its
 course.

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