Care of Mouth After Extractions

First 24 hours after extractions

  1. DO NOT RINSE MOUTH TODAY OR BRUSH THE AREA OF THE EXTRACTION SITE.
  2. Do eat soft bland (nothing spicy) foods such as: scrambled eggs, oatmeal, clear soup, etc. Don’t eat hard foods such as nuts and chips. Don’t eat sticky foods and anything too hot or too cold. Acidic foods and beverages such as orange juice, carbonated beverages (sodas of any kind) and alcohol should also be avoided for a few days as these interfere with healing.
  3. Avoid eating until the anesthesia wears off in order to avoid biting your cheek or tongue.
  4. BLEEDING.  Following extractions some bleeding is to be expected.  DO NOT SPIT, this creates negative suction and disrupts the process of normal clotting. If persistent bleeding occurs, place a folded gauze pad (s) over bleeding area and bite down firmly for 45 minutes. Do not “chew” on the gauze simply clamp down on it. Replace gauze about every 30 minutes.  You can also place a folded moistened tea bag (regular tea bag such as Lipton) over the extraction site and bite down firmly for 45 minutes. Tannic acid in tea helps the clotting process. If you are still bleeding after 24 hours call the office.
  5. Don’t drink through a straw, smoke, blow your nose forcefully, spit or sneeze with your mouth closed. All of these things can dislodge the blood clot that is part of the normal healing process and can lead to what is called a dry socket.
  6. If you were given SOCKIT! Follow the directions on the insert. It may be used as often as needed.
  7. Pain. For mild to average pain use any non-aspirin type of medication you like such as Motrin, Advil or Tylenol. Aspirin can interfere with the clotting process. If you were given a prescription for pain take as directed on the bottle.
  8. Arnica, a homeopathic remedy that can be found at pharmacies or health food stores, can help with swelling and pain. Use as directed. Arnica is very safe and can be taken along with any medication.
  9. Do place an ice pack on the cheek area to help reduce swelling. Alternate 20 minutes on then 20 minutes off.

The next few days following extractions

  1. Rinse mouth gently with a teaspoon of salt in a cup of warm water. This should be done 4 x a day. Stay away from traditional mouthwashes for at least 48 hours.
  2. Brush your teeth normally but lightly in the area of the extraction.
  3. Don’t drink through a straw, smoke, blow your nose forcefully, spit or sneeze with your mouth open for at least 3 days.  All of these things can dislodge the blood clot that is part of the normal healing process and can lead to what is called a dry socket.
  4. After 36 hours moist heat can be applied to area if there is any residual soreness.
  5. BONY EDGES.  Small sharp bony fragments may work up through the gums during healing.  These are not roots. If annoying symptoms occur call the office at once.

It can take 3-4 weeks for the site to heal and up to 6 months to completely heal. Dr. Camacho is always available should you have any questions. Should you need to reach him during the day please call the office at 210-493-9944. If you are a current patient and need to reach him after hours his home number is 210-408-9181 and his cell is 210-254-8272. Dr. Camacho will speak with you or return your call personally and not an answering service. Here at Cosmetic Dentistry of San Antonio we are committed to providing individualized personal care and part of that includes Dr. Camacho having an open communication line with his patients.

To make an appointment, call 210.880.2570 or click here to request an appointment online.