Perry Silva DDS MD
Oral Maxillofacial Surgery
Dipolmate, American Board of Oral and Maxillofacial Surgery
Fellow, American Association of Oral and Maxillofacial Surgery
After 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 sockets and apply biting pressure for 30 minutes. Repeat as needed. 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. If placed, remove the immediate denture to better control the bleeding. 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 36 hours only. Apply ice continuously while you are awake. For mild discomfort use over-the-counter medications such as Tylenol or Ibuprofen (Advil/Motrin). For severe pain, use the prescribed pain medication as instructed. If the pain does not begin to subside after 3 days, or increases after 3 days, please call our office. If an antibiotic has been prescribed, make sure to finish your prescription unless you have an allergic reaction.
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 for the first post-operative day, or while there is bleeding. After the first day, use 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. 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 and reach a maximum in 3 days. Swelling and discoloration around the eyes, cheeks and/or jaw line 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 the first 36 hours only).
A sore throat may develop. This is normal and should subside after 3 days.
If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with a lip balm or ointment like Vaseline. There may be a slight elevation of temperature for 24-48 hours. If your temperature continues to rise, notify our office.
If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist will see you within 24-48 hours after surgery to make the necessary adjustments and relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.