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After an Extraction
Instructions
1. Bleeding
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Bite firmly on the gauze pad placed over the extraction site for 30 to 60 minutes.
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Slight oozing or blood-tinged saliva is normal for the first 24 hours.
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If bleeding continues, replace the gauze and bite down for another 30 minutes.
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Avoid spitting, sucking through a straw, or rinsing vigorously for the first 24 hours.
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2. Pain Management
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Take prescribed pain medications as directed or use over-the-counter pain relievers (e.g., ibuprofen or acetaminophen).
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Avoid aspirin, as it may increase bleeding.
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3. Swelling
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Swelling is common and usually peaks within 48–72 hours.
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Apply an ice pack (wrapped in a cloth) to the cheek near the extraction site: 20 minutes on, 20 minutes off for the first 24 hours.
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4. Diet
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Drink plenty of fluids, but avoid hot drinks, carbonated beverages, and alcohol for 24 hours.
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Eat soft foods such as soup (cool), mashed potatoes, yogurt, and smoothies (no straws).
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Gradually return to a normal diet as the area heals.
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5. Oral Hygiene
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Do not brush the extraction site for the first 24 hours.
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After 24 hours, gently rinse with a warm saltwater solution (½ tsp salt in 1 cup water) after meals and before bed. Do not spit forcefully.
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Resume gentle brushing of other teeth after the first day.
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6. Activity
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Rest and avoid strenuous activities for the first 24–48 hours.
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Keep your head elevated while sleeping to reduce bleeding and swelling.
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7. Smoking/Vaping
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Do not smoke or vape for at least 72 hours. It increases the risk of dry socket (a painful condition where the clot dislodges).
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8. Dry Socket Signs
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Increasing pain 2–4 days after extraction
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Bad taste or foul odor from the socket
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Visible bone in the socket If these occur, contact your dentist immediately.
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9. Stitches
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If you received sutures, follow your dentist’s instructions. Some dissolve on their own; others may need removal.
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10. When to Call the Dentist
Contact your dentist or oral surgeon if you experience:
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Heavy bleeding that doesn't stop
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Severe pain not relieved by medication
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Swelling that worsens after 3 days
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Signs of infection (fever, pus, foul taste)
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Difficulty swallowing or breathing