What to do after tooth extraction: recommendations

If you have just had a tooth removed, it is very important to know what to do after tooth extraction. This will prevent the inflammation of the hole, the development of bleeding or edema, which often occur as a result of patient behavior errors.

For example, patients often rinse their mouth heavily, causing a clot to fall out and develop suppuration, or take aspirin (promotes bleeding and hematomas) ... Also at the end of the article you can see how the teeth of the extracted teeth normally should look different after removal .

Tooth removed: what to do after removal

Below we summarized all the recommendations after tooth extraction, which may be useful to you: what can you rinse your mouth, can you smoke after tooth extraction and can you drink alcohol, how much can you eat after tooth extraction ...

All of the following recommendations are based on their personal 15 years of experience as a dental surgeon, as well as academic knowledge. But if you do not understand something, then you can ask your question in the comments at the bottom of the article.

1. What to do with a gauze pad -

Today, the tooth was removed: what to do after removal with a gauze pad on the hole ... The blood-soaked tampon is an excellent breeding ground for the infection. And the longer you keep it in the mouth, the greater the risk of developing inflammation in the hole of the extracted tooth. If you still have a gauze pad on your well, you should urgently remove it. It is advisable to do this without jerking and not strictly vertically, but to the side (so as not to pull a blood clot out of the hole with the swab).

An exception may be the situation when the hole still podvravlivaet - in this case, a gauze pad can be held a little more. But it is best to spit out this old gauze tampon soaked in saliva and blood, making a new sterile bandage, and put it on top of the hole (biting tight).

Important: saliva, at first, can normally be stained pink due to the excretion of ichor (do not confuse this with bleeding). At the same time, it is not clear why many patients stop swallowing saliva, but accumulate it in the oral cavity. The latter is absolutely not necessary, saliva can be swallowed as usual.

2. How much can you eat after tooth extraction -

Most often, patients are interested in when you can eat, after tooth extraction, which food is best to eat. It is safe to eat after 2 hours, but on the other side (where the tooth was removed) - it is undesirable to chew anything solid or hard in the first days after removal. This is necessary in order not to injure the fresh blood clot in the hole of the extracted tooth.

You can drink water after tooth extraction immediately. As for the food, if you still can not be patient for 2 hours, then you can safely and absolutely immediately drink a glass of kefir or eat yogurt. In general, there is no ban on any specific products, it is only necessary that the cooked food in the first days be soft (for example, if it is meat, then it is scrolled).

3. Attach a cold so that there is no swelling -

What to do after tooth extraction, to prevent the development of edema ... As soon as you come home your first steps - get ice or a piece of frozen meat out of the freezer, wrap it in a towel and attach it to your cheek in the projection of the extracted tooth. This is necessary to avoid or reduce the possible swelling of the soft tissues of the face that may develop (especially if the removal was difficult).

It is necessary to hold ice 3-4 times for 5 minutes, with an interval of 5-10 minutes between each approach. It makes sense to keep ice only in the first hours after removal, then it is useless. But to warm and apply heat is absolutely impossible, because suppuration in this case is provided.

Important: If you want to avoid the development of swelling of the soft tissues of the face to the maximum, then in addition to the use of cold, in the first 2-3 days after removal, take antihistamine (antiallergic) preparations. This group of drugs also has a good anti-edema effect. Especially suitable "Suprastin" 1 tablet a day before bed (for 2-3 days).

4. Can I smoke after tooth extraction -

Smoking after the removal of the tooth is not desirable for at least 3 hours, but it is best to abstain from smoking in the first 1-2 days if possible. This is due to the fact that nicotine causes a sharp spasm of blood vessels in the mucous membrane and surface layers of the bone, which does not have a positive effect on the healing of the wound surface.

5. Can I drink alcohol after tooth extraction -

Due to the stress experienced, many patients separately ask whether it is possible to drink alcohol after tooth extraction. In general, alcohol intake is contraindicated during the first 24 hours after removal, but if the doctor prescribes antibiotics, alcohol cannot be taken during the entire course of antibiotic therapy (ie, 5-7 days).

If antibiotics were not prescribed, then of course some consequences are unlikely to come from a small amount of weak alcohol. But large doses can lead to the fact that the hole may start to bleed again, or a hematoma may appear.


6. What not to do after the removal of the tooth -

What can not be done after the removal of the tooth categorically ....

  • the first 1-2 days you can not take a hot bath (a warm shower can be), as well as sleep, lying on the side of the extracted tooth - all this will contribute to the appearance of edema,
  • during the week to visit the pool or sauna,
  • do hard work (so that there is no bleeding),
  • poking around in the wound with foreign objects, tongue,
  • open your mouth wide and make active mimic movements, because if they are stitched - they can break up
  • Do not take aspirin as a painkiller (it dilutes the blood and this contributes to bleeding and hematoma formation),
  • It is impossible to rinse intensively the oral cavity in the first 2-3 days, as intensive rinsing can lead to the loss of a blood clot from the hole (this will necessarily lead to its inflammation).

7. Painkillers -

If the removal was simple - painkiller after tooth extraction may not be necessary. But if you want to completely prevent the occurrence of pain, then it is better even before the anesthesia has passed - to take a strong tablet analgesic (which one is better to choose - see the link, but remember that you should not take aspirin after removal).

Sometimes the pain is very strong. As a rule, this happens if the removal was performed by a doctor very traumatic or left sedentary bone fragments. The most severe is the pain when the doctor used the drill for drilling the bone, while not using water cooling (this leads to necrosis of the bone tissue as a result of overheating).

Important: Numerous studies show that the strength of pain after tooth extraction is reduced by an average of 30-50%, if the doctor puts stitches on the hole of the extracted tooth. In addition, the convergence of the edges of the mucous membrane by suturing - allows you to protect the blood clot from falling out and injury, dramatically reduces the risk of developing inflammation of the hole, almost completely eliminates the occurrence of bleeding.

After the usual simple removal, most dental surgeons very rarely suture. I can recommend for the future - always, before removing, ask your surgeon to put 1-2 seams on you, even if the removal is simple, and even if you have to pay 300-400 rubles for it. The stitches, as a rule, cannot be removed (they dissolve themselves), but they will reduce pain and reduce the risk of complications.

8. Antiseptic rinses / baths -

Remember that you can not strongly rinse your mouth for the first few days after removal, because You can easily rinse the blood clot out of the hole. In a well without a clot, food will constantly fill, rot there, causing inflammation and pain. It is better to replace the rinses with the baths (pick up the antiseptic solution in the mouth, hold it and spit it out, or slightly chew it).

When antiseptic baths are worth doing -

  • if the tooth was removed due to inflammation,
  • a cut was made on the gum to open the flux,
  • if you have teeth with untreated caries or dental plaque, an infection in which can lead to suppuration of a blood clot.

Antiseptic baths are better to do with a 0.05% aqueous chlorhexidine solution. The solution is sold ready, costs about 30 rubles, has a pronounced antiseptic effect, a little bitter taste. Baths should be done 3 times a day, keep the solution in your mouth for about 1 minute each time.

9. Antibiotics after tooth extraction -

Antibiotics after tooth extraction should be prescribed by a dental surgeon, and not taken independently. An antibiotic for tooth extraction is always prescribed in situations where -

  • the tooth was removed on the background of inflammation,
  • there was a difficult removal
  • There is a risk of complications.

Amoxiclav after tooth extraction is one of the most effective and popular drugs among dental surgeons. He has a tropism for bone tissue. Adults need Amoxiclav 625 mg (each tablet contains amoxicillin 500 mg and clavulanic acid 125 mg). The drug is taken 2 times a day for 5-7 days.

However, if diarrhea often develops with your antibiotics, it is best to use another antibiotic, Unidox-Soluteb (100 mg tablets; taken 2 times a day for 5-7 days). This antibiotic causes indigestion much less frequently. We recommend these two antibiotics to choose from.

Important: because These antibiotics are not cheap, we will alternatively specify another Russian drug like Lincomycin 0.25 capsules (taken 2 capsules 3 times a day, only 5-7 days). It is an inexpensive, fairly effective drug, but unfortunately it greatly affects the intestinal microflora.

10. If there is blood from the hole -

There are several effective methods that will stop the bleeding. Most often, the wound is bleeding in people who have high blood pressure (hypertension). However, the rise in pressure can be triggered by perfectly healthy people due to psychological stress.

The first thing to do is to apply a tightly twisted tampon of a sterile bandage on the wound, and then immediately measure the pressure. And if it is elevated, take the appropriate drug. Read more about how to stop bleeding - read the article:
→ "How can I stop bleeding from a tooth hole at home"

11. If you have high blood pressure -

If you regularly measure the pressure, if it is higher than the worker - drink the appropriate drug. Otherwise, there is a very high risk of bleeding or hematoma formation. The first can lead to weakness and dizziness, and the formation of a hematoma is fraught with its suppuration and the need for its opening.

12. If you have diabetes -

If you have a device for determining blood sugar at home, it is advisable to immediately measure sugar. Stress from the removal contributes to the release of adrenaline, the concentration of which largely depends on the indicators of blood sugar. This will help you prevent feeling sick.

13. Removal of sutures after removal -

After removal of the tooth, the sutures are usually removed no later than 7-8 days. However, suture removal may not be necessary if, for example, catgut is used as a suture material. This material resolves itself in a 10-day period. When you see that the shovchiki are very loose, they can simply be removed with clean fingers.

14. Dental treatment after removal -

Treatment after tooth extraction is desirable to continue no earlier than 7 days. If the removal was difficult, then sometimes it may take up to 14 days. This is due to the fact that there are many pathogenic infections in carious teeth, which, when drilling a tooth, can easily get into a blood clot and lead to suppuration.

How normally should the hole of the extracted tooth look -

As you will see below - after a tooth is removed, the blood clot is first intensely burgundy in color. Gradually the surface of the clot becomes whitish / yellowish (this is the norm, as fibrin effusion occurs). Normal blood clot the next day should already be dense. If the clot becomes loose - this means its disintegration, and you should familiarize yourself with the symptoms of inflammation of the hole in order to consult a doctor in time.

What does the gum look like after tooth extraction (normal) -

Oral care after tooth extraction -

Oral care requires careful care after tooth extraction. Teeth should be cleaned as usual, including a group of teeth in the area of ​​the extracted tooth. The latter are simply cleaned more carefully, so as not to injure the blood clot. Rinse the mouth of the foam should also be careful not to rinse out the clot from the hole.

You also need to care for the gum after tooth extraction (for this purpose, it is enough antiseptic baths, which we described above). But the lack of proper hygiene will cause the accumulation of mild microbial plaque, which is fraught with suppuration of the hole and the development of alveolitis. We hope that the article on the topic: Torn out a tooth what to do - was useful for you!

Author: dentist Kamensky K.V., 19 years experience.

Watch the video: Patient Walk-through of Wisdom Teeth Extraction. Boston Children's Hospital (February 2020).

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