Taking care of your extraction socket wound after tooth extraction is very important for extraction socket healing and also to restore normal oral functions quickly.
Instructions for the first day after tooth extraction:
The most important thing in the first day is to keep the blood clot in place inside the socket till the clot become fixed and mature. The blood clot that is formed inside the socket is very important to prevent bleeding and to start the healing process.
First thing you have to keep light pressure on the gauze pad the that the dentist has put over the wound and keep it in place by light biting on it for about an hour if the bleeding continue put another sterile pad for extra 30 min.
Don’t touch the wound with tongue or finger not to dislodge the clot or infect the wound.
Avoid hot food and beverages because hot food will cause more bleeding from the wound .
Avoid eating on the side of extraction for the first day.
Avoid rinsing your mouth or using mouth wash forcibly not to remove the displace blood clot from the socket and to reduce bleeding.
It is normal to have some swelling on the extraction site, To reduce the swelling use ice bag on the extraction site for 30min on and 30min off .
It is normal to have some pain after tooth pulling you can use analgesics to relief the pain after the extraction as your dentist discripe.
Smoking is forbidden in the first day after extraction because the suckling and the hot smoke can increase bleeding and retard healing.
any type of suckling that can cause negative pressure inside the mouth can lead to more bleeding.
Instructions after the first day of tooth extraction:
After the first 24 hours from the extraction the blood clot that is formed inside the socket become mature and fixed to the socket wall and the healing process start so the main concern after the first day is to keep the wound over the extraction clean and prevent the possibility of infection espicially that the extraction socket wound is exposed in the mouth to the oral bacteria and food and can’t be isloated.
From the second day after extraction you should brush your teeth allover the mouth even the teeth on the extraction side but eithout over force.
Use salted water or any mouth wash to rinse your mouth to clean the food depris that may cause infection of the socket wound and repeat this process 4 – 5 timed daily to keep the extraction wound clean.
I prefer that the patient avoid eating on the same side of the extraction for 3-4 days to give the extraction socket a chance to heal without food impaction inside the wound.
When to call your dentist :
It is normal to have little blood oozing for the first 6-12 hours even a little more will be normal but if you have a severe bleeding that continue more than 2 hours you should call your dentist.
If you have swelling on the side of extraction that last more than 48 hours you should call your dentist.
If you have fever, or any other symptoms of infection like redness lymph node enlargement then you should contact your dentist.
If you felt that the socket is empty with a bony white wall or greenish walls then contact your dentist.
If you felt that you have any drug reaction or sensitivity you should contact your dentist.
It is normal to have some pain in the first or even second day that respond well to analgesics , also the tenderness will remain for about 4-7 days but if the pain is severe or remain more than expected call your dentist.
If you felt that you have persistent tingling in your face skin that remain more than 6-7 hours you should contact your dentist .
last thing if you extracted an upper tooth behind the canine and you feel that the fluids you drink is getting out from your nose you should contact your dentist.
I Would like to know what to use when you extracted a tooth and now there is bad smelling come out of your mouth.
Many Thanks
Thobeka
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