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Frequently
Asked Questions > Extraction
Q: I’ve
had my tooth out – what should
I do now?
A: Take it easy for the rest
of the day. Take as little exercise
as you can, and rest as much as you
can. Keep your head up to avoid any
bleeding.
Q: What precautions should I
take?
A: Avoid hot food or drinks until
the anaesthetic wears off. This is important
as you cannot feel pain properly and
may burn or scald your mouth. Also be
careful not to chew your cheek. This
is quite a common problem, which can
happen when there is no feeling. |
EXTRACTION
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If you do rest, try to keep your head higher
for the first night using an extra pillow
if possible. It is also a good idea to use
an old pillowcase, or put a towel on the pillow,
in case you bleed a little.
Q: Should I rinse my mouth out?
A: Do not be tempted to rinse the area
for the first 24 hours. It is important to
allow the socket to heal, and you must be
careful not to damage the blood clot by eating
on that side or letting your tongue disturb
it. This can allow infection into the socket
and affect healing.
Q: Is there anything else I should
avoid?
A: Avoid alcohol for at least 24 hours,
as this can encourage bleeding and delay healing.
Eat and drink lukewarm food as normal but
avoid chewing on that area of your mouth.
Q: When should I brush?
A: It is just as important, if not
more so, to keep your mouth clean after an
extraction. However, you do need to be careful
around the extraction site.
Q: What do I do if it bleeds?
A: The first thing to remember is that
there may be some slight bleeding for the
first day or so. Many people are concerned
about the amount of bleeding. This is due
to the fact that a small amount of blood is
mixed with a larger amount of saliva, which
looks more dramatic than it is.
If you do notice bleeding, do not rinse out,
but apply pressure to the socket. Bite firmly
on a folded piece of clean cotton material
such as a handkerchief for at least 15 minutes.
Make sure this is placed directly over the
extraction site and that the pad is replaced
if necessary.
If the bleeding has not stopped after an hour
or two, contact your dentist.
Q: How soon can I have a cigarette?
A: It is important not to do anything
which will increase your blood pressure, as
this can lead to further bleeding. We recommend
that you avoid smoking for as long as you
can after an extraction, but this should be
at least for the rest of the day.
Q: Is there anything I can do to help
my mouth?
A: Different people heal at different
speeds after an extraction. It is important
to keep your mouth and the extraction site
as clean as possible, making sure that the
socket is kept clear of all food and debris.
Don’t rinse for the first 24 hours,
and this will help your mouth to start healing.
After this time use a salt-water mouthwash,
which helps to heal the socket.
A teaspoon of salt in a glass of warm water
gently rinsed around the socket twice a day
can help to clean and heal the area. Keep
this up for at least a week or for as long
as your dentist tells you.
It is important to keep to a healthy diet;
and take a Vitamin C supplement, which will
help your mouth to heal.
Q: I am in pain, what should I take?
A: There will usually be some tenderness
in the area for the first few days, and in
most cases some simple pain relief is enough
to ease the discomfort. What you would normally
take for a headache should be enough. However,
always follow the manufacturer’s instructions
and if in doubt check with your doctor first.
Do not take aspirin, as this will make your
mouth bleed.
Q: Are there any medicines I should
avoid?
A: As we have said, it is important
not to use anything containing aspirin as
this can cause further bleeding. This happens
because aspirin can thin the blood slightly.
Asthma sufferers should avoid Ibuprofen-based
pain relief. Again check with your chemist
or dentist if you are worried or feel you
need something stronger.
Q: I am still in pain, what could it
be?
A: Sometimes an infection can get in
the socket, which can be very painful. This
is where there is little or no blood clot
in the tooth socket and the bony socket walls
are exposed and become infected. This is called
a dry socket and in some cases is worse than
the original toothache! In this case, it is
important to see your dentist, who may place
a dressing in the socket and prescribe a course
of antibiotics to help relieve the infection.
You may also feel the sharp edge of the socket
with your tongue and sometimes small pieces
of bone may work their way to the surface
of the socket. This is perfectly normal.
Q: Will my dentist need to see me again?
A: If it has been a particularly difficult
extraction, the dentist will give you a follow-up
appointment. This could be to remove any stitches
that were needed, or simply to check the area
is healing well.
Your dentist will also want to discuss the
options available to you for replacing your
lost tooth.
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