Extraction Aftercare
Extraction Aftercare
Table of Contents
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Do’s
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Don’ts
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Bite on the gauze pad for 45 minutes to control bleeding. |
Do not rinse or spit for 24 hours. Swallow saliva normally. |
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If bleeding persists, replace gauze and |
Do not use a straw. |
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Notify us immediately if bleeding |
Do not smoke for at least 5 days to reduce risk of infection. |
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Drink plenty of fluids (avoid straws) |
Do not touch the extraction site with fingers or tongue. |
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Brush teeth as usual, gently, |
Do not use vigorous rinsing or swishing for the first 24 hours. |
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Be cautious when resuming regular activities |
Do not engage in strenuous activities or exercise. |
While You Are Still Numb
- Numbness usually wears off in a few hours — don’t be alarmed if it lasts a bit longer.
- Do not bite or pinch your lip, tongue, or cheek to “test” numbness.
- To check if the numbness is gone, gently graze both sides of your lips — they should feel the same.
- Avoid eating until the numbness has completely worn off as you can accidentally bite your lip, tongue and/ or cheek which can lead to painful ulcers, chips or fracture of your teeth or existing fillings.
- Drink only room temperature or cold water during this time.
For the Remainder of the Day
- Do not rinse or spit for 24 hours after the extraction.
- Use a tissue to wipe your mouth as needed, or swallow your saliva (yes, it is okay to swallow your saliva, which may have a tinge of blood taste).
- Do not use a drinking straw as this creates suction in the mouth that could cause complications.
- Drink straight from the cup.
- Avoid smoking for at least 5 days to reduce risk of infection.
- Keep fingers and tongue away from the socket or extraction area.
- Drink plenty of fluids. (Remember: do not use a straw)
- Do not perform any strenuous activities or do any exercise today.
- Notify us if you develop a fever.
Bleeding
- Continue to bite on the gauze pad for 45 minutes after the appointment.
- Do not disturb the blood clots as bleeding will persist should the blood clots dislodge.
- If the bleeding or oozing persists, insert another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.
- If the bleeding doesn’t stop in 24 hours or there is excessive bleeding, call us immediately.
Discomfort
- Please take the pain medication once you arrive home as this will help to provide a comfortable recovery experience.
- Do not wait until the numbness has subsided.
- Post-extraction pain and soft tissue discomfort is expected but usually last for 3-4 days.
- For simple extractions, you may choose to take your usual pain medication, following the recommended dosage.
- For complex extractions and oral surgery, pain medication will be prescribed. Please follow the instructions for the pain medications carefully.
- For mild discomfort, please take your usual painkillers. If you prefer to have painkillers prescribed to you, please kindly inform us.
Swelling
- Facial swelling and bruising may occur on the side of the extraction, which may last a few days.
- Placing an ice pack may help to reduce the swelling and discomfort.
- You can put it for 10 minutes and take it for 10 minutes and repeat the cycle as necessary.
Diet
- Your diet should consist mainly of non-abrasive, soft, easily swallowed foods and cool drinks as soon as the numbness wears off and for the first few days after the extraction.
- Avoid hard, sticky, chewy, crusty, or small-seeded foods—such as nuts, popcorn, or rice—as they can irritate the extraction site or become trapped in the socket, potentially causing complications.
Oral Hygiene
- Start warm saltwater or prescribed mouthwash rinses from the day after extraction after meals to gently flush out food particles and debris.
- You may brush your teeth as usual, but be very careful, avoiding any direct contact with the extraction site.
Other Post-Treatment Instructions To Note
- Temporary numbness of lips or tongue can occur.
- Jaw stiffness (trismus) may occur; usually resolves in a few days.
- Avoid strenuous activity for 3–4 days; be cautious when resuming regular activities as your regular caloric and fluid intake has been reduced, so you may get light-headed, dizzy, or weak.
- Difficulty opening the mouth or mild discomfort when swallowing should resolve in 7–10 days.
- Apply Vaseline or lip balm to prevent cracked lips.
- Avoid traveling overseas for at least 7 days post-extraction to allow us to monitor your healing and provide care promptly if any issues arise.
Emergency Situations (Call Us Immediately)
Call our clinic immediately if you experience the following:
- Excessive or uncontrolled bleeding
- Bleeding that continues beyond 24 hours or cannot be controlled by gauze pressure.
- Severe or worsening pain
- Pain not relieved by prescribed or over-the-counter medications.
- Persistent swelling or bruising
- Swelling that worsens after 48–72 hours, or swelling accompanied by difficulty breathing or swallowing.
- Signs of infection
- Fever, chills, pain, foul taste or smell in the mouth, or pus from the extraction site.
- Numbness or altered sensation
- Numbness of lips, tongue, or cheek lasting more than 24 hours.
- Difficulty opening the mouth or swallowing
- Trismus or discomfort that does not improve within a week.
- Other concerning symptoms
- Dizziness, fainting, or any reaction you feel is unusual after the procedure.
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*Remember: If in doubt, it’s always safer to call us. Prompt attention can prevent complications and ensure a smooth recovery!