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Post Operatory for Dental Extractions

Below are general instructions which are very important steps to help reduce pain, bleeding and promote good healing and prevent infections or dry socket. 

​Always ask your Doctor for additional or alternative instructions regarding your specific case including possible need for prescribed medication. 



1. Keep the gauze swab (where used) in place with pressure for at least 30 minutes. 
Replace the gauze swab after that at least one more time or as many time as needed. 

2. 
DO NOT Mouthwash for at least 6 hours after the surgery. It is ok to drink water or fluids during this period.
After that only 
GENTLY with luke warm water with added salt or with the prescribed one until the following day.
After 24 hrs , mouthwash normally after every meal until the wound is healed


3. Brush your teeth normally and keep an excellent oral hygiene until your review.
Be cautious to avoid trauma to the wound or dislodgment of the clot with the tooth brush. 


4. Rest and/or sleep with your HEAD RAISED (extra pillow) for the first night.
Slight blood stain on your pillow is to be expected.


5. NO SMOKING until the wound is healed. 

6. AVOID ALCOHOL during healing process or until your review.

7. Strenuous exercise should be avoided for the first week or until the wound is healed. 
This should be discussed with your Doctor and followed accordingly to your specific case.



➢ To minimize a possible swelling you may be advised to use an ice pack. Ask your doctor if it will be necessary in your case.


​DIET: Choose liquids and soft foods until socket has healed. Ice-cream, smoothies, yoghurt and juices with no seeds. 

Due to numbness after local anaesthetic, you should avoid hot drinks and hot food as you are at risk of burning your lip / mouth and be careful to not bite your lip. 

➢ There should be little bleeding mixed with saliva following the procedure.
If bleeding recurs apply pressure with the gauze swab for 30 minutes. 
Where significant bleeding persists contact your surgeon or local hospital.




​Preventing Dry Socket
 


1. What is dry socket? 

Dry Socket is a fairly common complication associated with tooth extractions.
The 
formation of a dry socket occurs when the blood clot which forms in the tooth socket 
after an extraction is not properly retained and becomes dislodged.

Since this clot is an 
important factor in protecting the bony socket and initiating the healing process, if it is 
lost healing is interrupted and delayed. 

2. Symptoms of a dry socket 

With more extractions patients will experience some level of discomfort on the first days 
following the procedure, each day after there should be reduced pain as the healing 
process progresses. 

When a dry socket forms the patient typically notices that the level of pain and 
discomfort progressively diminishes for the first few days, however, after 3-5 days pain 
begins to intensify.

The pain can be very severe with a throbbing component that may 

radiate from the extraction sire to the patients eye or ear. 
Additionally the patient may notice a foul odour and taste. 

3. What causes a dry socket? 

The exact cause of a dry socket is yet to be determined.

There are, however, several 
contributing factors that have been suggested, which place the dental patient at greater 
risk.

Patients who do not follow their dentist’s post-operative instructions have 

increased risk of developing a dry socket. 

To help prevent a dry socket it is very important to follow the guidelines below :

➢ Good oral hygiene is extremely important 

➢ Avoid vigorous mouth rinsing before the clot is formed 

➢ Avoid sucking on a straw 

➢ Do not disturb the clot with your tongue 

➢ Do not smoke 

➢ Do not drink hot liquids on the first day such as hot coffee, tea or soup. 

4. Treatment 
​

There is no real treatment for a dry socket.
It is a self limiting condition that will improve 

and disappear with time.
Additional analgesics are often prescribed but are not always 

effective.
​Placement of a sedative dressing often helps with pain relief but is 

unfortunately only temporary pain relief.



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