After Removal Of Multiple Teeth

A small amount of bleeding is to be expected following the operation. To reduce bleeding place a gauze pad directly over the bleeding socket and apply firm, gentle biting pressure for 30 minutes.  You may continue this process, changing the gauze as needed when it becomes completely saturated.  If bleeding continues without slowing, a moist black tea bag can be used for 30 minutes.  The tannic acid in the tea helps reduce bleeding by constricting the blood vessels.  Most herbal teas lack these tannins and are not effective in this capacity.  Avoid hot foods and liquids, reduce activity, avoid exercise, and keep your head elevated while resting or sleeping (a reclining chair or several pillows can be used). If bleeding still persists call our office immediately. Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

If you had multiple teeth extracted followed directly by insertion of a denture it is important that you do not remove your denture for at least 24 hours.  Increases in soft tissue swelling while your denture is not in place may result in the inability to reinsert your denture for several days.

Use cold packs on the outside of the face directly over the operated area in cycles of 20 minutes on, followed by 20 minutes off, for the first 36 hours.

For mild discomfort use Ibuprofen (Advil, Motrin) sold over the counter two to three 200 mg tablets every three to four hours. Alternatively one to two Extra Strength Tylenol can be used every four to six hours.

For severe pain, use the prescribed medication as directed. If the pain does not begin to subside in four days, or increases after three days, please call the office. If an antibiotic has been prescribed, complete your prescription regardless of your symptoms.

Drink plenty of fluids. Do not use straws when drinking from a glass. The sucking motion can cause more bleeding by dislodging the blood clots. Avoid liquids or foods warmer than room temperature the first 24 hours after surgery as the heat can increase your bleeding. Soft foods and liquids should be eaten on the day of surgery (i.e. ice cream, gelatin, yogurt, apple sauce, pudding, cream of wheat, polenta, overly cooked pasta, etc.).You may eat anything soft and cool. High calorie, high protein intake is very important. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days so you should compensate for this by increasing your fluid intake. At least five to six glasses of liquid should be taken daily. Try not to miss a single meal. You will feel better, have more strength, less discomfort, and heal faster if you continue to eat.  Most people remain on a softer diet of foods that are comfortable to eat for the first two weeks.  As the wounds heal, you will be able to advance your diet.

Do not rinse your mouth for the first 24 hours after surgery. After the first day, use a warm salt-water rinse following all meals and snacks to flush out food particles or debris that may lodge in the operated area using one teaspoon of salt in an 8 oz. glass of warm water Dr. Cline-Fortunato will examine you the day after your surgery if you had multiple teeth extracted and a denture immediately placed.  After this appointment you should take out denture and rinse both your denture and your mouth three to four times a day.  You should also make arrangements to see your family dentist for a post operative denture adjustment at this time (if this has not been previously arranged).

The removal of many teeth at one time is quite different than the extraction of 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 will swell, reaching a maximum in two days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember cold packs are used for the first 36 hours only).
  • A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause tenderness. This is normal and should subside in two to three days.
  • If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Aquaphor or K-Y gel. There may be a slight elevation of body temperature for 24-48 hours. If temperature greater than 100 degrees Fahrenheit continues, notify the office.

If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist will see you within 24-48 hours after surgery and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.