Post-Operative Instructions:
Multiple Extractions

A small amount of bleeding is to be expected following the operation to remove multiple teeth. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 30 minutes. If bleeding continues, bite on a moistened black tea bag for 30 minutes. The tannic acid in the black tea helps to form a clot by contracting blood vessels. If bleeding occurs, elevate the head, and avoid hot liquids and exercise. If bleeding persists, call our office immediately. Do not remove the immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.

Use ice packs (externally) on the cheek near the surgical site. Apply ice for the first 36 hours only. Apply ice continuously while you are awake.

For mild discomfort, use aspirin, Tylenol^®, ibuprofen (Advil^® or Motrin^®), or any similar medication: two tablets every 3–4 hours.

For severe pain, use the prescription given to you. If the pain does not begin to subside after 2 days or increases after 2 days, please call our office. If an antibiotic has been prescribed, make sure to finish your prescription unless you have an allergic reaction.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least 6 glasses of liquid the first day.

Do not rinse your mouth for the first post-operative day or while there is bleeding. After the first day, use a warm saltwater rinse every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area. (One teaspoon of salt in one cup of warm water). After you have seen your dentist for denture adjustment, take out the denture and rinse 3–4 times a day.

Restrict your diet to liquids and soft foods that are comfortable for you to eat. As the wounds heal, you will be able to resume your normal diet.

The removal of many teeth at one time is quite different from the extraction of just 1 or 2 teeth. Because the bone must be shaped and smoothed before the insertion of a denture, the following conditions may occur, all of which are considered normal:

• The area operated on will swell, reaching a maximum in 2 days. Swelling and discoloration around the eyes may occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as is 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 of the throat muscles can cause pain. This is normal and should subside in 2–3 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^®. There may be a slight elevation of temperature for 24–48 hours. If your temperature continues to rise, notify our 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 to make the necessary adjustments and relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.