After the Removal of Multiple Teeth
New York Oral, Maxillofacial, and Implant Surgery (NYOMIS) in Scarsdale NY
A small amount of bleeding is to be expected following the procedure. If bleeding occurs, place a rolled up gauze pad directly over the bleeding area and apply biting pressure for 30 minutes. If bleeding continues, you can try biting on a moist tea bag, wrapped in a gauze pad, for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and elevate your head. If bleeding persists, call our office immediately. If you left our office with an immediate denture in place, do not remove the 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 48 hours only. Apply ice continuously while you are awake.
For mild discomfort use aspirin, Tylenol or any similar medication; two tablets every 3-4 hours. Ibuprofen (Advil, Motrin) 200mg can be taken 2-3 tablets every 3-4 hours.
For moderate to severe pain use the prescription given to you. If the pain does not begin to subside in 2 days, or increases after 2 days, please call our office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms. If you develop severe stomach upset or a rash or hives after taking any medication, call our office at New York Oral, Maxillofacial, and Implant Surgery Phone Number 914-472-0100.
Drink plenty of fluids. Drink at least six glasses of liquid the first day. This will help counteract any blood loss from the procedures.
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 (one half teaspoon of salt in a glass of lukewarm water) every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area. If you had an immediate denture placed at the time of surgery, 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. Occasionally 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 eye may occur. The application of a moist warm towel will help eliminate the discoloration quicker. The towel should be applied continuously for as long as tolerable beginning 48 hours after surgery (remember ice packs are used for the first 48 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 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 24-48 hours. If temperature continues, 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 and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.