Instructions And Information
Following Teeth Removal
After being discharged from hospital or following an extraction in our rooms, patients should return home and rest quietly.
The following points should be noted and followed:
Bleeding – Some bleeding or redness in the saliva is to be expected for at least 24 hours. Biting on a gauze pad placed directly on the bleeding wound for 30 minutes can control excessive bleeding. If bleeding is so excessive your mouth fills rapidly with blood call your surgeon immediately.
Pain – Expect some pain and tenderness. It is best to take pain relief before the numbness wears off. Your surgeon will advise if prescription pain relief is required. However, over the counter medication like Nurofen or Paracetamol may be sufficient.
Sutures (stitches) – If sutures have been placed, these will usually dissolve within 10-14 days. Some sutures may become loose and fall out prematurely; this will not pose any problems and may be ignored.
Swelling bruising – It is not uncommon to experience some swelling and bruising around the mouth, check, eyes and side of the face. The amount of swelling varies between patients and also depends on the area of extraction. The swelling and bruising may not appear immediately but occur up to 2-3 days post-surgery. You can help to minimise the swelling by applying ice packs to the affected area. For the first 3 hours, apply the ice packs directly to the area, alternating on for 15 minutes then off for 15 minutes. Sleeping with your head elevated will also help to reduce swelling.
Keep the mouth clean – Mouth rinsing, spitting and touching the affected area should be avoided following extraction for the first 24 hours, as this may cause disruption of the blood clot. Rinsing to commence the day following extraction, using either the prescribed mouth rinse or warm salty water 4-6 times a day. Tooth brushing should continue as normal, with the exception of the extraction site. After 2-3 days brushing over the extraction site is encouraged, as this will assist with the break down of the stitches and ensure the area is clean. Some mild discomfort and bleeding is to be expected.
Diet – After general anaesthetic or I.V. sedation, liquids should be initially taken. Do not use straw (the sucking motion can cause more bleeding by dislodging the blood clot) Food and drink can be taken freely according to your tolerance. Patients may prefer to have soft foods for a few days following. If diet becomes restricted you should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss a single meal.
Sinus care – Blowing the nose, sucking liquid through a straw and smoking, all of which create negative pressure, should be avoided for 3 weeks after surgery. Coughing or sneezing should be done with mouth open to relieve pressure, if possible.
Limited mouth opening – Occasionally you can experience stiffness in the jaw muscles following an extraction; applying a warm moist towel to the affected side of the face can relieve this. Chewing gum at intervals may also help relax the muscles.
Physical activity – Limit physical activity during the first 3 days after surgery. Over exertion may lead to post-operative bleeding and discomfort.
Vomiting and nausea – It is not uncommon for patients to feel nauseous after an I.V. sedation or anaesthetic. Feeling nauseous could also be a reaction due to strong pain relief medication; dosage should be halved or regular Paracetamol should be taken instead. If vomiting persists please call our office or your surgeon.
If you have heavy bleeding, severe pain, continued swelling for 2-3 days or a reaction to any medications, call our office immediately on 5229 3200. If after hours please call the surgeon on his mobile number which will be on the post operative instructions you would have been given after your procedure.
Frequently asked questions and concerns –
Sore throat? – pain when swallowing is not uncommon. The muscles get swollen, especially after a general anaesthetic. This will subside in 2-3 days.
Sharp feeling in area of extraction? – Occasionally patients may feel hard, sharp projection with their tongue. This is not a bit of tooth; but the bony walls, which supported the tooth. These projections usually smooth out spontaneously. If not, they can be reduced in another procedure.
Food is getting stuck in the extraction sites? – This is very common, as we have created a hole where the tooth has been removed. Do not probe around the area. If rinsing the mouth is not effective please call into our office and pick up a water syringe to assist flushing the area.
Mon-Fri: 9am to 5pm
Appointments outside of these normal hours may be available on some days