After the Removal of Multiple Teeth

Immediately Following Surgery

  • Continue biting with firm pressure on the guaze for 1 hour. After this time, the gauze pad should be removed and discarded.
  • For the first 24 hours following surgery avoid spitting, rinsing, kissing, drinking carbonated beverages or sucking/drinking from a straw. Avoid smoking for 72 hours after surgery. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
  • After first 24 hours begin rinsing with warm salt water after every meal until soft tissue heals
  • After first 24hours begin brushing with a soft toothbrush gently directly on surgical site and other teeth
  • Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.
  • Restrict your activities the day of and the day after surgery and resume normal activity when you feel comfortable.
  • To minimize swelling sleep with your head slightly elevated (approximately 30 degrees or with2 pillows) for first 24 hours
  • Place ice packs to the sides of your face where surgery was performed for 48-72 hours (20 minutes on/20 minutes off while awake). This will help reduce swelling. Avoid ice if bonegrafting procedures were performed.
  • 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.
  • Restrict your diet to liquids and soft nonchewable foods for a few days (eg. applesauce,pudding), which are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.

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 3-4 days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration quicker (moist heat 1 week after surgery). The towel should be applied continuously for as long as tolerable beginning 7 days after surgery (remember ice packs are used for the first 72 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.
  •  There may be a slight elevation of temperature for 24-48 hours. If temperature continues, 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 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.

Need More Information?
To learn more about pre-surgery and post-surgery instructions or to schedule an appointment with Dr. Russell, call our office at The Maryland Oral Surgery Group Phone Number 301-967-0183.
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