After the Removal of Multiple Teeth

Home Instructions After the Removal of Multiple Teeth

A small amount of bleeding is to be expected following the operation to remove multiple teeth. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, bite on a moistened black tea bag for thirty minutes. The tannic acid in the black tea helps to form a clot by contracting blood vessels. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove the immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

Use ice packs (externally) on the cheek near the surgical site. Apply ice for the first 3 to 4 days. Apply ice continuously while you are awake.

For mild discomfort use aspirin, Tylenol, or any similar medication; two tablets every 3-4 hours. Two to three tablets of Ibuprofen (Advil or Motrin) can be taken every 3-4 hours.  Always carefully read and follow the label directions and dosing instructions. 

For severe pain, use the prescription given to you. If the pain does not begin to subside after 2 days or increases after 2 days, please call our office.

If antibiotics are prescribed, continue to take them for the indicated length of time even if signs and symptoms of infection are gone.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day.

Do not rinse your mouth or spit for the first postoperative day, or while there is bleeding. After the first day, gently rinse with an antiseptic mouthwash or a warm salt water rinse every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area. (One teaspoon of salt in one cup of warm 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 that are comfortable for you to eat. As the wounds heal, you will be able to resume your normal diet. Good nutrition is essential for healing.

The removal of many teeth at one time is quite different from the extraction of just 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, reaching a maximum in two days. Swelling and discoloration around the eyes may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as is tolerable, beginning 36 hours after surgery. (Remember: ice packs are used for 3 to 4 days).
  • 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 to 3 days.
  • If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Vaseline. There may be a slight elevation of temperature for 24 to 48 hours. If your temperature continues to rise, notify our office.

PARTIAL OR FULL DENTURES

If immediate dentures have been inserted, partial or full dentures should be kept in the mouth for the first 5 – 7 days while swelling is occurring and present. If you remove them for extended periods of time the tissue may swell and you may not be able to reinsert them for days until the swelling has subsided.

ADJUSTMENT OF PARTIAL OR FULL DENTURES

 Partial or Full dentures should be adjusted by your dentist or denturist in the first 24 to 48 hours if possible.  They may need to be adjusted over the following weeks as the tissue and bone heal. Failure to have dentures adjusted may result in sore spots forming as well as prolonged and painful healing of the area. This may result in ill fitting dentures and continual problems over time.

 *Pain medication should be taken 1 hour prior to seeing dentist or denturist to minimize discomfort with adjustment.

CONTROL OF POSTOPERATIVE BLEEDING AFTER DENTURE PLACEMENT

To control the bleeding, the gauze should be placed to line the top and bottom teeth (in the case of full dentures) or directly between teeth and partial denture, and firm pressure applied. Change your gauze every 30 TO 45 minutes until you are seeing very little spotting or pink staining on the gauze. At this point you no longer require the gauze.

 If you’re having difficulty controlling the bleeding, it may be necessary to remove the partial or full denture and apply direct pressure with the gauze to the extraction site(s). Once bleeding is stopped, replace your partial or full denture.

ORAL HYGIENE

 PROPER ORAL HYGIENE IS ESSENTIAL TO REDUCE INFECTION AND ENHANCE HEALING.

Rinsing should be started the day following surgery. Remove your partial or full denture, rinse, then replace the denture immediately after. Rinse frequently, first thing in the morning, following all meals, and before you go to bed.

If you have an appointment with your dentist or denturist the morning after surgery, they usually want to be the first to take the denture out. In this case, rinse with the denture in place first thing in the morning and after eating. Once you’ve had your denture adjusted it should be removed for rinsing from then on.

 Dentures or Partial dentures themselves need to be cleaned when removed. Brush them first thing in the morning, after every meal and before going to bed.

 You may experience discomfort removing and replacing your denture for rinsing. Rinsing one hour after pain medications will give you optimum comfort.