Post-op Instructions for Extractions

After a tooth is extracted, a blood clot naturally forms in the socket. This clot is vital for proper healing, acting as a protective barrier and foundation for new bone and gum tissue to develop. Our primary goal with post-operative care is to protect this clot and prevent complications like a "dry socket," which can be quite painful.

Bleeding Control is Key: • You'll likely leave our office biting down on a gauze pad. Keep firm, constant pressure on this pad for 30-45 minutes. • Slight oozing or pink-tinged saliva is normal for the first 24 hours. • If heavy bleeding persists, fold a fresh piece of gauze into a thick pad, place it directly over the extraction site, and bite down firmly for another 45 minutes. You can also try biting on a moist tea bag (black tea contains tannic acid, which helps with clotting). If bleeding remains heavy, please contact us immediately. Pain Management: • Take any prescribed pain medication as directed by Dr. Essop, or use over-the-counter pain relievers like ibuprofen (Advil, Nurofen) or paracetamol (Panado) if recommended. • It's often best to take the first dose before the local anesthetic completely wears off. • Please avoid taking Aspirin, Disprin or Grandpa for the pain. Swelling Reduction: • Apply an ice pack to the outside of your cheek, near the extraction site, for 20 minutes on and 20 minutes off during the first 24 hours. This helps minimize swelling and discomfort. Rest, Rest, Rest: • Avoid strenuous activities for at least 24-48 hours. Rest with your head elevated on pillows to reduce swelling and bleeding. Avoid Disturbing the Site: • DO NOT rinse your mouth vigorously, spit, use straws, smoke, or drink alcohol for at least 24-48 hours. These actions can dislodge the blood clot and lead to a dry socket. • Avoid touching the extraction site with your tongue or fingers. • If stitches were placed, do not pull on them or interfere with the stitches in any way. They will dissolve within 7 days. Diet: • Stick to soft, cool foods and liquids for the first 24 hours (e.g., yogurt, mashed potatoes, lukewarm soup, smoothies without a straw, ice cream). Avoid hot, hard, crunchy, or spicy foods. • After 24 hours, eat as per normal but try to chew on the opposite side.

Oral Hygiene: • You can gently brush your teeth starting the day of extraction, but be very careful around the extraction site. • Starting 24 hours after the extraction, gently rinse your mouth with a warm salt water solution (1/2 teaspoon of salt in a glass of warm water) 2-3 times a day, especially after meals. Let the water gently pool over the site and then let it dribble out. Do NOT swish vigorously. Continue this for about a week. Diet: • Gradually reintroduce more solid foods as comfort allows, but continue to avoid crunchy, hard, or very hot foods until the site has healed more. Chew on the opposite side of your mouth. Pain & Swelling: • Swelling usually peaks around 48-72 hours after the extraction and then gradually subsides. Continue with pain medication as needed. Smoking & Alcohol: • Continue to avoid smoking and alcohol for as long as possible, ideally for at least 72 hours, as they can significantly impair healing and increase the risk of dry socket. Medications: • Continue any prescribed antibiotics as directed by Dr. Essop until the course is finished, even if you feel better.

While minor discomfort and swelling are normal, please contact us immediately if you experience any of the following: • Excessive or uncontrollable bleeding. • Severe, throbbing pain that is not relieved by medication (a sign of a possible dry socket). • Increasing swelling after 72 hours. • Fever, chills, or persistent nausea. • Pus or a foul taste in your mouth. Following these instructions carefully will significantly contribute to a smooth and comfortable recovery. At Dr. Essop's practice, we are always here to support you. If you have any questions or concerns at any point during your healing process, please do not hesitate to call us. Your healthy smile is our priority!