Post-Operative Instructions: Tooth Extractions

Proper aftercare is essential for a smooth and comfortable recovery following a tooth extraction. Please follow these instructions carefully.

Bleeding

• Bite firmly on the gauze pad placed over the extraction site for 30 to 45 minutes. Replace the gauze as needed.
• Some bleeding is normal for the first 24 hours. If heavy bleeding persists, bite on a moistened tea bag for 30 minutes — the tannic acid helps form a clot.
• Do not spit, rinse forcefully, or use a straw for the first 24 hours, as this can dislodge the blood clot and delay healing.

Swelling

• Apply an ice pack to the outside of your cheek near the extraction site — 20 minutes on, 20 minutes off — for the first 24 to 48 hours.
• Swelling typically peaks 2 to 3 days after surgery and then gradually subsides.

Pain Management

• Take prescribed pain medication as directed before the anesthesia wears off.
• Over-the-counter ibuprofen (Advil, Motrin) can be used as directed for mild to moderate discomfort.
• Avoid aspirin, as it can increase bleeding.

Diet

• Eat soft, cool foods for the first few days — yogurt, applesauce, mashed potatoes, and smoothies (no straw) are good options.
• Avoid hot, spicy, crunchy, or hard foods until the area has healed.
• Stay well hydrated with plenty of water.

Oral Hygiene

• Do not brush or rinse the extraction area for the first 24 hours.
• After 24 hours, gently rinse with warm salt water (½ teaspoon of salt in 8 ounces of water) 4 to 5 times per day, especially after meals.
• Continue brushing your other teeth normally.

Activity

• Rest for the remainder of the day after your procedure. Avoid strenuous activity for at least 48 to 72 hours.
• When lying down, keep your head elevated with pillows to reduce swelling.
• Do not smoke for at least 72 hours, as smoking significantly increases the risk of dry socket and infection.

When to Call Our Office

• Excessive or worsening bleeding that does not subside with gauze pressure.
• Severe pain not controlled by prescribed medication.
• Signs of infection: fever, increasing swelling, or pus discharge.
• Numbness that persists beyond 24 hours.

If you have any concerns during your recovery, please contact our office at 470-239-4289.