Drs. Barringer and Crestetto, PA
Oral & Maxillofacial Surgery
901 North Winstead Avenue, Suite 130, Rocky Mount, NC 27804
P: 252.443.7331 • F: 252.937.2381

After Removal Of Multiple Teeth

A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, a moist tea bag can be used for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office immediately. Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

Use ice packs (externally) on the same side of the face as the operated area. Apply ice for the first 36 hours only. Apply ice continuously while you are awake.

For mild discomfort over the counter medications can be used if tolerated and not contraindicated. Use caution when mixing over the counter meds with prescription medications as some prescriptions contain Tylenol or ibuprofen already.

For severe pain, you may take pain medications that were prescribed for you at the appropriate dose and intervals noted on your prescription bottles. Over the counter medications like Tylenol or ibuprofen can be taken according to manufacturer directions if there are no contraindications to use and no allergies to these medications. Care should be taken when mixing prescription and non prescription medications as some prescription pain medications may already contain Tylenol or ibuprofen. Call the office if the medication doesn’t seem to be working.

If the pain does not begin to subside in two days, or increases after two days, please call the office.

If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. If diarrhea occurs please contact our office or the doctor on call; this situation may be, or may become, serious. Your antibiotic may need to be discontinued or changed.

Finish your prescription regardless of your symptoms.

Drink plenty of fluids. It is important to stay hydrated as some minor blood loss may occur at the time of surgery.

Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, a gently use warm salt-water rinses every four hours and following meals to flush out particles of food and debris that may lodge in the operated area. (One teaspoon of salt in a glass of lukewarm water.). After you have seen your dentist for denture adjustment, take out the denture and rinse three to four times a day.

Restrict your diet to liquids and soft foods that are comfortable for you to eat. Avoid chips, nuts and other particulate foods that can irritate the extraction socket. 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 surgical area will likely swell, reaching a maximum in about two to three days. Swelling and discoloration around the eye may 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 36 hours only).
  • A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling near or associated with the throat muscles can cause pain. This is normal and should subside in two to three days.
  • If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Vaseline or Chap Stick. There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify the office.

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 may prolong the healing process.