You and Dr. Goldin, Dr. Abjanich or Dr. Donovan may determine that you need a tooth extraction for any number of reasons. Some teeth are extracted because they are severely decayed; others may have advanced periodontal (gum) disease or have broken in a way that cannot be repaired. Other teeth may need removal because they are poorly positioned in the mouth (such as impacted teeth), or in preparation for orthodontic treatment.
Drs. Goldin, Abjanich or Donovan will discuss replacement options of the extracted tooth to avoid long term problems that can occur.
After Extraction Home Care
Some bleeding may occur. Placing a piece of moist gauze over the empty tooth socket and biting down firmly for 45 minutes can control this.
Blood clots that form in the empty socket
This is an important part of the healing process and you must be careful not to dislodge the clot.
- Avoid rinsing or spitting for 24 hours after the extraction.
- Avoid use of a straw, smoking or hot liquids.
If swelling occurs you can place ice on your face for 20 minutes and off for 20 minutes. Repeat this cycle for up to 24 hours.
Pain and Medications
If you experience pain you may use non-prescription pain relief medications such as acetaminophen or ibuprofen.
For most extractions just make sure you do your chewing away from the extraction site. Stay away from hot liquids and alcoholic beverages for 24 hours. A liquid soft diet is recommended.
Brushing and Cleaning
After the extraction, avoid brushing the teeth near the extraction site for one day. After that, you can resume gentle cleaning. Avoid commercial mouth rinses, as they tend to irritate the site. Beginning 24 hours after the extraction you can rinse with salt water (1/2 teaspoon in a cup of water) after meals and before bed.
Dry socket occurs when a blood clot fails to form in the socket where the tooth has been extracted or the clot has been dislodged, and the healing is significantly delayed.
Following the post extraction instructions will reduce the chances of developing dry socket. Dry sockets manifest themselves as a dull throbbing pain which doesn’t appear until three or four days after the extraction. The pain can be moderate to severe and radiate from the extraction area. Dry socket may cause a bad taste or bad breath and the extraction site appears dry. Drs. Goldin, Abjanich or Donovan can apply a medicated dressing to the dry socket to soothe the pain.
After a tooth has been extracted, there will be a resulting hole in your jaw bone where the tooth was. In time, this will fill in with bone and gums will heal over it. This process can take many weeks to months. However, after 1-2 weeks you should no longer notice any discomfort