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Extractions
An extraction is the removal of a tooth (or teeth) that is non-restorable, non-useful, or harmful to the patient. There exists many systemic precautions that should be discussed. Post extraction precautions include some of the following:
- Pressure-bite on gauze or sponge over extraction site for at least 45 minutes after an extraction. A wet tea bag will stop bleeding as well. Pressure stops bleeding.
- No rinsing or mouthwash use for at least 24 hours post extraction. After 24 hours, rinse with Peridex twice a day for 30 days.
- No spitting, No spitting! No saltwater rinses!
- Avoid any sucking pressure that may dislodge clots such as using straws, smoking, etc.
- Avoid toothpaste and do not brush the affected area for 24 hours. Spitting will cause you to start bleeding.
- Avoid alcohol for a few days.
- Place ice on the face for 20 minutes, alternating with 5 minutes off, for a period of 8 hours. Ice is a natural drug that keeps you from having pain later.
If bleeding persists, it is important to call your dentist. If sutures were placed after an extraction, it is important to return for removal of sutures and to evaluate healing. If swelling occurs (which may happen after an extraction), it can be minimized by immediately placing ice on the side of the extraction. Ice should be used only on the day of surgery. For pain and infections, your dentist may prescribe oral pain medications and/or antibiotics.
