922 Waltham Street, Suite 205

Lexington, MA 02421

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After Tooth Extraction

Dr. Kim: 617-410-6460 (text/call)

Instructions for today (until bleeding stops):

  • Avoid hot fluids/food today.
  • No vigorous rinsing, drinking through a straw, or spitting for today so the blood clot will not be disturbed.
  • Today rest as much as possible with your head elevated. No vigorous exercising for 3 days.
  • Slight bleeding is normal for several hours following surgery. If persistent bleeding occurs place a wet teabag on the involved area and apply light direct pressure for 15-20 continuous minutes. Repeat as necessary.

Instructions for the rest of 2 wks:

  • Do not pull back the lips or cheeks to look at the area as this can disturb the surgical site and increase complications.
  • Avoid eating on the surgical area (ie. biting into food with front teeth if surgical area is in the front) for 2 weeks. Avoid acidic, small seeds (sesame seeds, strawberries, etc.), nuts (almonds, peanuts, etc.) and crunchy food (chips, etcs). Drink plenty of fluids.
  • Do not use tobacco or drink alcohol as these will compromise healing process.
  • Swelling can be lessened by placing a cold compress on the face alternating on and off for 10 min during the first 24-48 hours. Keep in mind that bruising and swelling may peak around 4th or 5th day following surgery.
  • Take pain medications as needed for pain. The best thing to do is to alternate OTC Motrin (advil/ibuprofen) 200mg x 3 pills and OTC Tylenol 500mg every 4-6 hours for 3 days, then as needed afterwards. If prescribed, take them according to directions. If you take Medrol or antibiotic, make sure to finish the dose.
  • Starting tonight, hold warm salt water (one cup of warm water + teaspoon of salt) in your mouth (towards surgical area) for 1 minute and drain out, 2-3 times a day for 2 wks
  • After the periodontal treatment, proper oral hygiene must be maintained in surgical area to aid in healing. Please keep brushing remaining teeth (just avoid surgical area not to disturb stitches). In surgical area - after 2 weeks, carefully brush the teeth while avoiding the gums. Gentle flossing can be resumed in 2 weeks after sutures are removed.
  • After surgery, teeth sensitivity may occur. This is remedied by maintaining proper oral hygiene and by the use of specially formulated toothpaste, such as Sensodyne.
  • Some sutures dissolve in 7-14 days. Otherwise, return for your appointment to have sutures removed. If non-resorbable sutures loosen or come out within 7 days post-surgery, please inform Dr. Kim.