After the Removal of Multiple Teeth

Please call us at Scripps Medical Building, Carmel Valley Phone Number 858-793-3393 with any questions or concerns.

A small amount of bleeding or oozing is to be expected following the operation. If bleeding occurs, place a moist gauze pad directly over the bleeding sockets and apply biting pressure for 30 minutes. If bleeding continues, you can replace the moistened gauze pad or bite on a moist “black tea” tea bag placed over the bleeding site for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and keep your head elevated. If bleeding persists, call our office immediately. If inserted at our office, do not remove your immediate denture unless bleeding is severe. Expect some oozing around the side of the denture.

Use ice packs on your face over the operated area for the first 24-36 hours only. Apply ice continuously while you are awake. If you have some swelling after 24-36 hours, you can apply moist heat to those areas of your face to help reduce swelling more rapidly. Also use 2 minute warm saline mouthsoaks 4-6 times a day to help decrease swelling inside your mouth.

If directed by your doctor, for mild discomfort use regular strength Tylenol or ibuprofen (Advil, Motrin) 200mg. Two tablets can be taken every four to six hours with food. If you still have discomfort despite taking Advil as above, take one of your prescribed pain pills every four to six hours as instructed by your doctor at your appointment. If the pain does not begin to subside in two days please call our office. If an antibiotic has been prescribed, continue to take the antibiotic as directed and finish your prescription regardless of your symptoms. Do not take any of the above medications if you are allergic, or have been instructed by any of your doctors to not take it.

Drink plenty of fluids. If multiple teeth have been extracted, drink at least six glasses of non-carbonated liquids the first day.

Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use warm salt-water soaks/rinses for two minutes at least six times a day and following meals to flush out particles of food and debris that may lodge in the operated area. (One teaspoon of salt in a 12 ounce glass of warm water). If you have a denture begin removing the denture and continue soaks/rinses as directed with warm saltwater six times a day.

Restrict your diet to liquids or a non-chew diet while you are still numb after surgery. Advance to soft foods that are comfortable for you to eat. As the wounds heal, you will be able to advance to a normal diet.

The removal of multiple teeth at one time is 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 where surgery was performed will swell, reaching a maximum in two days. Swelling and discoloration on the face could 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 ice packs are used for the first 24-36 hours only).
  • A sore throat may develop. The muscles of the throat can be near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in two to three days.
  • The corners of the mouth may dry out and crack. Your lips should be kept moist with an ointment like Vaseline.
  • There may be a slight elevation of temperature for 24-48 hours. If an elevated temperature continues, notify our office immediately.

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 will prolong the healing process.

Please call us at Scripps Medical Building, Carmel Valley Phone Number 858-793-3393 with any questions or concerns.