After the Removal of Multiple Teeth

Home Instructions After the Removal of Multiple Teeth

A small amount of bleeding is to be expected following the operation to remove multiple teeth. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, remove the gauze and replace it with a new piece of gauze and repeat the procedure until the bleeding is reduced to a mild oozing.  Slightly moistening the gauze will help prevent clot dislodgement when changing the gauze.  You can also 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. To prevent break through bleeding avoid hot liquids, exercise, and keep the head slightly elevated above the level of the heart for the first 24 hours post-operatively. If bleeding persists, call our office. Do not remove the immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture the first 24 hours after placement.

Use ice packs (externally) on the cheek near the surgical site for the first 24 hours only will reduce the peak post-operative swelling, which usually occurs three days after surgery. 

For mild discomfort use aspirin, Tylenol, or any similar medication; two tablets every 3-4 hours. Two to three tablets of Ibuprofen (Advil or Motrin) can be taken every 3-4 hours as a substitute.

For moderate pain, use the milder pain reliever prescription given to you (usually 600 mg Ibuprofen). Foe severe pain, use the stronger pain reliever prescribed.  If the pain does not begin to subside after 3-4 days, or increases after 4 days, please call our office. Do not drive or operate equipment after taking a narcotic pain reliever.  If an antibiotic has been prescribed, make sure to finish your prescription unless you have an allergic reaction.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day after surgery.

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 every 4 hours and following meals to flush out particles of food and debris that may lodge in the surgical sites (one teaspoon of salt in one cup of warm water).  After you have seen your dentist for denture adjustment, take out the denture and rinse 3 to 4 times a day.

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.  In the case of multiple extractions this may take as long as two to three weeks.

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 will swell, reaching a maximum in three days. Swelling and discoloration around the eyes may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as is tolerable, beginning the day after surgery. (Remember: ice packs are used for the first 24 hours only).
  • A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in 2-3 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. There may be a slight elevation of temperature for 48-72 hours. If your temperature continues to rise, notify our office.

If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist will see you within 48-72 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.