After the Removal of Multiple Teeth

Patient Instructions For Post Multiple Tooth Extractions

Don’t hesitate to call the office with any questions or concerns. ☎ Nampa Office Phone Number 208-467-1227

A small amount of bleeding is to be expected following the operation. 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 36 hours only. Apply ice continuously while you are awake.

For mild discomfort use Ibuprofen, 400-600mg every 6 hours, as needed for pain. Tylenol can also be taken as directed. Ibuprofen and Tylenol can be alternated, if needed for pain control.

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 at ☎ Nampa Office Phone Number 208-467-1227. If an antibiotic has been prescribed, make sure to finish your prescription unless you have an allergic reaction.

Drink plenty of fluids. It is important to stay well hydrated to help with your healing. Your nourishment intake is reduced.

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 following meals to flush out particles of food and debris that may lodge in the operated area. (One third teaspoon of salt in one cup of warm water). If a denture was made, you will need to remove the appliance while rinsing and as directed by whomever made the denture.

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 may swell, reaching a maximum in two days. Ice compresses 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). Switching to a moist heat compress will likely be beneficial after that.
  • 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 your temperature continues to rise, notify our office.☎ Nampa Office Phone Number 208-467-1227

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. There may be boney prominences that interfere with the denture fit. Most of the time these smooth down as more healing occurs. If the boney areas continue to be a problem, then please contact the office for Dr. Ballenger to evaluate you.

If sutures were placed try not to bother them. Sometimes they become dislodged. This is no reason for alarm. Just remove the suture from your mouth and discard. The sutures are dissolving, unless otherwise indicated. They will dissolve in most cases within 7-10 days.

There may be stiffness (trismus) of jaw muscles causing difficulty in opening your mouth. This is a normal post-operative event which takes time to resolve. A moist heat compress and gentle stretching, starting a few days after surgery, will help.

Please do not hesitate to call our office with any further questions or if problems develop. ☎ Nampa Office Phone Number 208-467-1227