After tooth extraction: lifestyle, nutrition and hygiene rules

How does socket healing occur?

The tissues are restored within approximately 10-15 days. At least by this point, the pain will go away, and external changes will no longer cause you concern. Of course, this is a conditional framework - the healing process for each patient occurs individually. Not only the injured gum is restored, but also the bone tissue inside the hole from which the root was extracted. Below we list approximate deadlines for all stages. If your symptoms are shorter/longer, there is no need to panic - you need to evaluate the remaining symptoms: when there are no additional manifestations of pathology, it means that rehabilitation is going according to plan.

• first 3 hours: after tooth extraction, bleeding occurs - this is a common situation, since the tissues have been injured. The hole is completely filled with blood, which normally immediately coagulates - this is how a blood clot or blood clot is formed. It is extremely important for normal rehabilitation! In fact, it is a natural barrier against the penetration of bacteria into the wound. The color of the hole is dark red,
• the first 2-3 days: the dark blood clot persists and thickens, its size decreases. Granulation tissue begins to form inside the hole - young connective tissue, which will become the basis for the restoration of the mucous membrane,
• 3-7 days: the clot brightens and acquires a whitish color. Granulation tissue covers almost the entire socket. Swelling and pain should decrease or even go away completely,
• 7-10 days: the blood clot dissolves, the remains can be seen only in the center of the hole, which has decreased in size. New bone tissue begins to form under the healing gum, which in 4-6 months will fill the defect from the edges to the center,
• after 15 days: young pink mucous membrane covers the entire socket, superficial healing is complete.

Causes of alveolitis

Normally, after a tooth is removed, a clot of blood cells and fibrin, the protein from which a blood clot is built, forms in the socket. It almost completely covers the bottom and walls of the alveoli. The clot serves as a mechanical barrier, biological protection against infection and additional injury to the wound surface. In this case, healing occurs by primary intention. The wound is slowly filled first with loose tissue, then with denser connective tissue, and later with young bone.

But there are situations when the healing process is disrupted.

Inflammation of the socket occurs if:

1. The operation was highly traumatic, which reduced the protective capabilities of one’s own tissues;
2. The blood clot, as the main defense, is broken or completely absent (“dry socket”):

• prolonged bleeding;
• early destruction of the clot;
• non-compliance with the rules of care (for example, increased rinsing, eating hard or too hot food soon after surgery);

• Tooth extraction was carried out for emergency reasons due to an acute infectious process: periodontitis or periodontitis with complications;
• There are common reasons:
• reduced immunity;
• blood clotting disorder;
• elderly age;
• lack of proper dental hygiene.

What to prepare for after removal: what is considered normal, and when to urgently see a doctor

In order to prevent the development of dangerous situations after tooth extraction, you need to notice alarming signs, and even if they are mild, consult a doctor in time - this way you will avoid serious complications. This may be alveolitis, fistula, nerve damage and other pathologies. They cannot be stopped or cured at home.

In the table, we have listed the symptoms and explained in which cases they should alert you, and when the situation remains within the normal range.
What to prepare for after removal

Symptoms to see a doctor immediately

Tooth extraction is considered a minor operation and complications may develop after it. They are most often observed in patients suffering from pathologies of the cardiovascular system.

If disturbing symptoms appear after the intervention, you should see a doctor. Even if no alarming signs are observed, you must visit the dentist 3-4 days after the intervention so that he can assess the condition of the socket and, if necessary, take a control X-ray of the jaw.

Hematoma after wisdom tooth removal

Signs for an urgent visit to the dental clinic:

• persistent discomfort, even after taking painkillers;
• increasing the intensity of pain in the problem area;
• the occurrence of allergic reactions to antibiotics prescribed after tooth extraction;
• the appearance of temperature;
• heavy bleeding 4 hours after extraction.

The sooner the necessary measures are taken, the sooner the soft gum tissue will heal. And in this case, a person has the opportunity to quickly install a prosthesis to fill the missing element of the series.

How to ensure that there are no complications after tooth extraction?

At the first stage, you need to choose a doctor who will carry out professional and careful removal without severe tissue injury. It is important that the operation is performed not by a dental therapist, but by a dental surgeon or even a maxillofacial surgeon - an implantologist. It is a highly specialized doctor who knows how important it is to preserve the volume of bone tissue so that after this operation there are as few restrictions as possible for implantation.

The most important thing after the operation itself is to strictly adhere to the instructions and recommendations given by the doctor. If medications are prescribed, they must be taken for a strictly prescribed time. See our short checklist of what you can and cannot do after surgery, as well as detailed recommendations that will help you shorten the rehabilitation period and go through it without pain and complications.

Treatment

Often a person tries to get rid of bad breath on his own - using refreshing sprays or chewing gum. But this approach does not eliminate the causes and acts temporarily - complete disappearance of the unpleasant odor can only be achieved under the supervision of a doctor, who will determine the causes and select individual treatment2,5.

If halitosis is confirmed by tests performed by a doctor, it is considered true. But sometimes a person is sure that his breath is bad, although those around him do not smell anything. Doctors refer to this condition as false halitosis or pseudohalitosis1,3.

As a rule, people with bad breath should first consult a dentist1. For physiological halitosis, proper oral care is taught, including brushing the teeth and tongue1,4,6. If the problem of bad breath lies in dental diseases, then the doctor1.6:

— carries out professional hygiene — removes dental plaque;

- eliminates foci of infection - treats or removes decayed teeth, cleans periodontal pockets;

— prescribes therapy aimed at restoring saliva deficiency;

— in case of inflammatory processes, prescribes drug treatment.

to come back to the beginning

A short checklist: a list of recommendations after tooth extraction

What can and should be done

• hold the cotton swab applied by the doctor for 20-30 minutes,
• within 2-3 hours after surgery, be sure to apply cold compresses to reduce tissue swelling,
• carry out oral baths (not to be confused with rinsing) with antiseptic drugs for 3-5 days: “Miramistin”, “Chlorhexidine 0.5%” or other drugs prescribed by a doctor can be used as medicinal solutions,
• after 3-5 days, start using a toothbrush - only a soft one for the operated area, as well as a new one, without bacteria on it. The teeth of the opposite jaw can be brushed immediately, the main thing is to avoid the area of ​​the extracted tooth,
• chew food on the side opposite the injured area,
• You can drink water immediately, preferably warm water,
• You can eat only after the anesthesia wears off, that is, after 2-3 hours,
• Lead a quiet lifestyle, try to avoid physical activity and heavy lifting for 5-7 days.

What you should absolutely not do

• don't rinse your mouth! Mouth baths in the first 3-5 days are more than enough,
• do not use hot compresses! This is fraught with the appearance of edema and the development of inflammation,
• do not create a vacuum in your mouth: do not puff out your cheeks, sneeze, blow your nose and spit very carefully,
• do not pick the wound, do not touch the clot with your tongue,
• do not drink or eat hot or cold food, only warm food,
• try to quit smoking for at least 2-3 days after surgery,
• Do not drink alcohol for 2-3 days - it does not promote tissue repair. Also exclude it if the doctor has prescribed a course of antibiotics,
• Do not overcool or overheat - give up sports exercises, swimming pools, saunas for 5-7 days.

If your temperature rises after wisdom tooth removal

The symptom may occur immediately after extirpation. This is due to the action of the immune system in response to tissue injury and invasion of foreign elements into the body.

Doctors recommend taking antipyretics and using cold compresses to remove heat locally.

If the patient then develops a fever several days after extirpation, this may indicate the presence of an inflammatory process. The most common is alveolitis. It is accompanied by acute pain, which can radiate to the throat, temple, ear, depending on where the hole is located. If, when you probe the hole with your tongue, you feel an empty cavity, then you need to urgently go to the dental clinic where the surgery was performed.

The most complete reminder for patients after tooth extraction

So, you left the doctor's office - the surgeon asked you to tightly squeeze a gauze pad with your teeth, which will help stop the bleeding. You need to hold it for about 20-30 minutes, that is, while you fill out the necessary documents at the clinic or go home. Remove the tampon carefully, moving it slightly to the side, without sudden movements, so as not to damage the fresh blood clot.

Very important! A thrombus (usually called a “blood clot”) protects the wound from microbes and prevents pieces of food and saliva from accumulating in the hole during the first week of rehabilitation. This is a natural sterile dressing that starts the process of new tissue formation. The most important rule that will protect you from complications and severe inflammation of the wound is to never remove the clot, do not touch it with your tongue or fingers, do not touch it with a toothbrush and protect it from other influences. Gradually it will resolve on its own.

Do not keep the tampon in place for more than 30 minutes - gauze soaked in blood and saliva will quickly become a breeding ground for infection. In addition, a blood clot is forming in the hole - the presence of a foreign body and additional injury are of no use to it. You need to give the wound the opportunity to heal naturally.

“If you have a complex tooth extraction, especially if you had surgery to remove wisdom teeth, or if you have an underlying condition, such as diabetes, you may need to observe a doctor for a few more hours. For this purpose, we have our own hospital, where you can sit comfortably and relax while we monitor your condition to see if there are any complications. This will give us confidence that the operation will be successful and will reassure you as the patient.”

Vasiliev Alexander Alexandrovich, implant surgeon, more than 10 years of experience make an appointment

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Swelling after tooth extraction (especially if it was complicated) can be prevented by applying a cold compress - to do this, wrap an ice pack from the freezer in a towel and apply it to the cheek (that is, from the outside) for no more than 20 minutes. After 15 minutes the procedure can be repeated. If you don't have ice on hand, frozen vegetables or meat will do, but be sure to wrap them in a bag and a towel to avoid cold burns. Cold constricts blood vessels, reduces pain and swelling, although it does not completely remove swelling. Compresses are effective immediately after surgery for approximately 3-4 hours.

Do not warm up the injury site under any circumstances! A hot compress will only make the swelling worse by increasing blood flow to the area of ​​inflammation. This will lead to serious complications after surgery.

Causes

Why does my breath smell after tooth extraction? There are several factors that provoke the problem:

• Patient's disregard for doctor's recommendations. After tooth extraction, the dentist instructs the patient about the rules of behavior in the postoperative period. For speedy wound regeneration, it is necessary to refrain from consuming hot and cold foods for 24 hours, as well as from rinsing the mouth with antiseptic solutions. Also, you should not touch the hole with your hands, so as not to provoke the destruction of epithelial tissue.
• No blood clot. During complex operations, for example, after the removal of a wisdom tooth, dry socket syndrome is often observed due to a previous infection of the alveoli. Pathogenic flora prevents a clot from forming. Complications after surgery appear within a few days. Patients report throbbing pain and swelling of the cheek.
• The presence of chronic infectious diseases in the oral cavity. The presence of pathogenic flora increases the risk of wound infection after tooth extraction. For people with chronic dental diseases, extraction is prescribed in extreme cases due to the high risk of developing negative consequences.

When can you eat and drink after surgery?

You should not strictly limit yourself in nutrition, you will need strength to recover - you can eat as soon as the anesthesia wears off, namely after 2-3 hours. You can drink it immediately after you remove the cotton swab. Until this point, it is undesirable for food particles or bacteria to get into the open hole.

In the first 3-5 days, you need to take into account several nuances in nutrition so that further healing of the wound goes well:

• food should be warm. Hot or cold food will irritate tissues and cause blood vessels to dilate or constrict, which can cause new bleeding,
• It is better to exclude rough food to avoid mechanical damage to the wound. Soups, purees, baked and boiled foods, minced meat dishes,
• Do not chew food on the side where the tooth was removed to keep the protective clot intact.

Carefully! Many people mistakenly believe that in the first days it is better to drink and eat liquid foods through a straw. But in fact, suction creates a vacuum in the mouth, which can displace the clot or disrupt its integrity. Should not be doing that. For the same reason, you should not spit or suck in your cheeks.

Prevention methods

To avoid the occurrence of halitosis, it is recommended6:

1. Reduce the amount of dental plaque. It is important to promptly clean teeth, dorsum of tongue, dentures and braces from bacteria and accumulated food. To do this, you need to use not only a toothbrush, but also dental floss, brushes and mouthwash.
2. Balance your diet - limit your intake of carbohydrates (sweets), which oral bacteria use as nutrients.
3. Fight bad habits - limit the number of cigarettes you smoke or give up smoking completely, drink less coffee and alcoholic beverages.
4. Increase your fluid intake - this makes saliva production easier.

Bad breath should not lead to problems in communication, especially since it is not difficult to deal with. Professional teeth cleaning, treatment of periodontal diseases and careful personal oral hygiene help get rid of halitosis in 80.7% of patients. Therefore, the right decision would be to make an appointment with the dentist as soon as you notice bad breath. If symptoms persist after eliminating dental causes, you should seek help from a therapist1,5,6.

How to do oral hygiene

The main task is to preserve the blood clot on the wound of the extracted tooth, while maintaining cleanliness and health in the mouth. How to properly care for your teeth during this period:

• There is no need to carry out any hygiene procedures immediately after tooth extraction. It is better to postpone the first brushing of your teeth until the next morning. You will need a brush with soft bristles. And it’s better to take a new one so that it is sterile. You need to brush your teeth with a small amount of paste, avoiding the wound area, and clean adjacent teeth with caution.
• Do not rinse your mouth (including after brushing your teeth) or use an irrigator in the first three days! The clot may dissolve or be washed away with the flow of fluid, and treatment will have to be restarted. Instead of rinsing, make mouth baths - just take water into your mouth and carefully spit it out. If the doctor prescribes antiseptic drugs, rinse with them,
• try not to touch the open wound with your tongue, hands or toothpick - this can damage or dislodge the clot and introduce an infection into the hole.

You can’t neglect hygiene - bacterial plaque will accumulate in your mouth, which can cause inflammation.

Causes of bad breath

Halitosis occurs when the exhaled air contains volatile compounds with an unpleasant odor. Their sources can be 1,2,3,4,6:

• some food products (garlic, onions, cabbage);
• products of carbohydrate fermentation (fermentation);
• decaying food debris;
• waste products of bacteria.

However, the main cause of bad breath is the production of hydrogen sulfide by anaerobic bacteria in the mouth. Their peculiarity is their ability to live without oxygen and in places that are difficult to reach with a toothbrush, for example, on the back surface of the tongue and the back wall of the pharynx, between the teeth, in gum pockets, on the tonsils, in the natural grooves of the teeth1,2,3.

to come back to the beginning

Risk factors

Factors that promote the growth of oral bacteria can cause halitosis. They are conventionally divided into local and general1.

In 80-90% of cases, halitosis is found to be caused by one of the following reasons1,2,3,4,6:

• caries and its complications;
• inflammation in the periodontium;
• diseases of the oral mucosa;
• poor hygiene, especially poor cleaning of teeth, tongue, orthopedic and orthodontic devices (prostheses or braces) - neglect of oral care leads to the accumulation of food debris, which is food for microbes, between the teeth, near the gums, on the back of the tongue, on the elements of the device ;
• deficiency of saliva with xerostomia or “dry mouth syndrome” - with a decrease in salivation, the natural cleansing of the oral cavity is disrupted and favorable conditions are created for the proliferation of microbes.

If local causes of halitosis are associated with the oral cavity, then general ones are associated with the condition of the whole organism1,2. But indirectly, general factors can influence oral health by promoting mucosal dryness and bacterial growth1,2.

Thus, the following factors can contribute to the proliferation of bacteria and the appearance of bad breath:

• Nutritional features. Eating large amounts of protein (meat, fish), coffee, carbonated drinks (sweetened with sweeteners) and alcohol promotes the growth of bacteria that produce “fragrant” volatile compounds1,2,3.
• Smoking. Although nicotine and tobacco combustion products have an unpleasant odor, this is not the only cause of halitosis in smokers. Due to smoking, the oral mucosa becomes dry, the number of bacteria on it increases, and inflammatory processes in the periodontium may occur1,2,3. All this contributes to the appearance of bad breath.
• Hormonal changes. Women may experience bad breath during menstruation. “Menstrual breathing” occurs due to fluctuations in the level of hormones that affect the properties of saliva, making it more viscous2. In addition, stress hormones can influence the growth of oral bacteria that produce volatile compounds2.
• Some medications , such as antibiotics and hormones (glucocorticosteroids), reduce saliva production, which promotes the growth of anaerobic bacteria3.

to come back to the beginning

Medicines after tooth extraction: what to take at home

To prevent complications, your doctor will prescribe home remedies for you. Which medications you can take depends on your specific situation, body characteristics, allergic reactions and possible concomitant diseases.

How to reduce pain after tooth extraction

Your doctor will recommend the medications to you. You should take painkillers as needed - at night or when the anesthesia wears off. If the pain becomes severe in the first days, you can take analgesics prescribed by your doctor every 4-6 hours, but no more than 4 days in a row.

Important! Do not take aspirin or other blood thinners.

What antibiotics should you take?

Antibacterial drugs are needed if the immune system itself cannot cope with pathogenic microbes, and infectious inflammation begins. But antibiotics suppress the activity of “good” microorganisms and also have many side effects. Therefore, they are prescribed strictly based on health conditions at the time of tooth extraction and how the operation went. As a rule, they are necessary if there is concomitant inflammation in the oral cavity, an infectious process in the acute stage in the body as a whole, or if a large number of teeth were removed at once.

When receiving a further treatment plan, you need to purchase medications immediately, without delay, so that you can help yourself in case of increased pain and discomfort. The doctor’s recommendations must be strictly followed, avoiding “amateur activities.”

Therapeutic oral baths during tissue restoration

Intense rinsing is prohibited - this way the solution can wash out the blood clot and expose the socket, causing the tissue to become inflamed and difficult to heal. Rinses are replaced with medicinal baths. For this, both plain water and antiseptics prescribed by the attending physician are suitable: a solution of “Chlorhexidine” 0.05% (in this concentration it is sold in a pharmacy) or “Miramistin” you just need to hold it in your mouth for about 30-60 seconds, and then spit it out. You need to repeat the procedure after meals, 3 times a day.

Such baths will become a mandatory component of the prevention of inflammation if you have the following problems in the oral cavity:

• other teeth are damaged by caries or have tartar on them. Pathogenic microorganisms in sediments can lead to the development of alveolitis,
• cuts were made on the gums to expose the gumboil,
• under the extracted tooth or the tissue nearby was inflamed.

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How to relieve pain after wisdom tooth removal

The doctor prescribes drugs for pain relief to the patient. If there is no list, but the pain is severe, then you can buy Tempalgin, Baralgin, Ketanov and similar medications. Medicines must be taken according to instructions. If you take too many tablets, it will lead to side effects. One tablet is usually enough to stop an attack. Take three times a day.

In addition to medications, pain can be reduced with cold. A cold compress is applied to the cheek for 15 to 30 minutes up to four times a day. You can use pieces of ice or frozen food from the freezer. They are placed in a plastic bag and a towel, and then applied to the sore spot.

General recommendations after surgery

On the first or second day after tooth extraction, you want to lie down and sleep - this is the body’s natural reaction to the stress experienced. After the release of stress hormones - adrenaline and cortisol - stabilization and rest are needed. Don't deny yourself this.

However, there are recommendations regarding sleep: you should raise the pillow higher and sleep reclining so that your head is elevated. This will prevent unnecessary pressure on the jaw and cause bleeding. To increase the inclination of the bed, place a pillow under the mattress or use two pillows.

Otherwise, maintain a calm regime without physical overload, pressure surges and overheating. That is, for the first time it is better to refuse air travel, hard work, playing sports and lifting weights, visiting the pool, bathhouse or sauna. You should not take a hot bath (a short warm shower would be preferable) and stay in the sun for a long time or sunbathe in a solarium. All this increases blood pressure, which is fraught with new bleeding. It is ideal if you have a couple of days off to recover after your teeth are removed.

Types of alveolitis:

• Serous;
• Purulent;
• Purulent chronic type.

With the serous version, the patient suffers from aching pain, which noticeably intensifies during meals. Body temperature does not increase, and general health is within normal limits. There is no blood clot in the hole where the tooth was removed. Leftover food accumulates there. This form of the disease develops within 3 days after surgery. If treatment is not started immediately, complications will arise.

Purulent alveolitis after tooth extraction is characterized by severe pain. An unpleasant odor appears from the oral cavity. Body temperature rises to 38 degrees. A person feels depressed, tired, lethargic. The skin becomes pale. The pain intensifies while eating food. Possible swelling of the facial muscles and enlarged lymph nodes. Palpation causes pain.

The chronic form of the disease implies periodic stabilization of the condition. Overgrowth of soft tissue occurs. Pus forms in the hole after surgery. A bluish tint may be observed.

Frequently asked questions after tooth extraction

In this section, we answered the most popular questions that arise in the first days after tooth extraction.

How long will the wound bleed after tooth extraction?

The appearance of blood after removing a tooth from the socket is a normal phenomenon, since the periodontal tissues are penetrated by many capillaries and vessels.
When they are injured, even minimally, the hole fills with blood necessary for the formation of a blood clot. Normally, this occurs within 20-30 minutes and depends on the individual characteristics of blood clotting. Minor, very light bleeding may occur for another 2-3 days after surgery. It is important to distinguish blood from ichor - a clear liquid, slightly yellowish in color. Due to the small amount of blood, it can sometimes be pinkish. Ichor can normally be released from the socket within 12-14 hours after tooth extraction.

But if, 3-5 hours after the operation, the bleeding not only does not decrease, but also intensifies, you need to consult a doctor.

I removed the tampon from the wound 20 minutes after the operation, but the wound is still healing. What to do?

If the wound is still bleeding a little after removing the compress, you can apply another swab of sterile gauze (available at the pharmacy). It is lightly moistened with boiled water or chlorhexidine, applied to the wound and the jaws are squeezed tightly. Also, do not keep the new tampon in place for more than 20 minutes, so as not to provoke the development of infection.

Blood flows for more than 3 hours. This is fine?

You should immediately consult a doctor in the following situations:

• bleeding does not subside in the first 30 minutes and continues for several hours or even days,
• secondary bleeding: in the dentist’s office the hole stabilized, and when you returned home, the bleeding started again, and quite profusely and for a long time.

The reasons are different: taking certain medications (for example, blood thinners or hormonal drugs), menstruation in women, hypertension, diabetes mellitus, abnormalities in blood clotting and other blood diseases, drinking alcohol on the eve of extraction, as well as violating the dentist’s recommendations. Therefore, it is important to inform your doctor in advance about your existing diseases and medications, so that the doctor can prevent an unfavorable outcome.

When will my stitches be removed after surgery?

The wound is stitched for a more reliable connection of the alveolar walls and faster healing. You usually do not need to have your stitches removed by a doctor. We use special surgical threads that dissolve after 7-10 days and eliminate the need to return to this issue. If nothing bothers you and the stitches look healthy, then you don’t need to see a doctor.

Why didn’t the surgeon stitch up my wound after the tooth extraction?

The doctor always evaluates how the situation is developing - how extensive the intervention was, whether the gum had to be cut, how many roots the tooth has, how quickly the blood clots. If the wound is small and the prerequisites for healing are normal, then stitches are not necessary.

Is it possible to drink alcoholic beverages after tooth extraction?

We understand that amid the stress experienced, for some, a natural impulse is to relax with the help of alcohol, especially if the tooth extraction was difficult. But the answer is clear - no. Alcoholic beverages should not be consumed 24-48 hours before removal and for at least 2-3 days after surgery. Due to the dilation of blood vessels under the influence of alcohol, bleeding will open again in the hole, and a hematoma may appear on the mucous membrane. And if you have been prescribed antibiotics, then combining alcohol with them is dangerous, and alcohol is contraindicated until you finish taking the medication.

Is it possible to smoke regular cigarettes? What about electronic cigarettes, hookah and vaping?

Smoking in the first 2-3 days after tooth extraction has an adverse effect on the condition of the wound. Nicotine causes a sharp contraction of blood vessels, and the tars and chemical compounds that make up cigarettes irritate the mucous membrane and slow down healing. If stitches were placed, we do not recommend smoking for 2-10 days after tooth extraction.

Hookah mixtures contain glycerin, which causes tissue dehydration. E-cigarette formulations use propylene glycol, which is converted into toxic compounds that inhibit nerve impulses. Many people believe that vaping is safer than regular cigarettes, but there is still an additional chemical load on the wound. So the restrictions on hookah, vaping and electronic cigarettes are exactly the same as on tobacco - try not to smoke for several days after tooth extraction.

It has been proven that the risk of alveolitis - an infectious inflammation of the tooth socket - increases by 40% if the patient smoked immediately before tooth extraction1.

After a tooth was removed, caries was discovered on the adjacent one. Can it be cured immediately?

It is better to postpone treatment of other teeth or professional hygiene after tooth extraction for two to three weeks, unless otherwise indicated by a doctor. The fact is that when drilling a carious cavity or cleaning deposits, pathogenic microflora can enter the wound and cause its inflammation. But in some cases, when treatment is absolutely necessary, an experienced doctor will take measures to protect the socket using special membranes and protective devices.

I have problems with blood pressure. Is it possible to have surgery?

If you have problems with blood pressure, you need to monitor it regularly. Before tooth extraction and during the recovery period, you will need to take additional medications prescribed by your doctor in order to normalize your condition and indicators.

I have diabetes, but they recommended that I have a tooth removed. Is it dangerous?

If you have been diagnosed with diabetes, you probably have a blood sugar monitor. It is important to maintain normal indicators and take into account additional rules:

• Tooth extraction is possible at the stage of disease compensation, when sugar levels are stable for several months. In the decompensated stage, elective operations are not performed due to the risk of bleeding and the body’s reaction to anesthesia,
• you should go for an operation to remove teeth in the morning,
• Immediately before tooth extraction, it is better to administer an increased dose of insulin to prevent a spike in sugar.

Due to stress before surgery, sugar levels may increase, so it is better to consult with an endocrinologist in advance about which drug to take to avoid a sharp jump in blood sugar. You also need to know that rehabilitation after tooth extraction in patients with diabetes mellitus is slower.

How long should I use a soft brush after surgery?

After the wound has healed, that is, after 2-3 weeks, you need to return to a regular brush of medium hardness - a soft toothbrush copes worse with plaque, and if there are no open wounds in the mouth, there is no need for it.

After the operation, the skin on my lips became dry and cracked, and herpes developed. What's the matter?

Dry lips occur due to a long stay in the dentist's chair (if many teeth were removed or the procedure was complex). Herpes can worsen due to decreased immunity (usually due to an acute stressful situation).

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How long does it take for gums to heal after wisdom tooth removal?

It is impossible to answer this question unambiguously, since the answer depends on the following factors:

• difficulties of extirpation - with a simple procedure, the tissues are minimally injured, which means the hole will heal within a few days; with incisions in the gums, the tissues heal for several weeks;
• age - faster for young people;
• the presence of complications, inflammatory processes that delay healing indefinitely until the infection is eliminated;
• compliance with doctor's instructions for the rehabilitation period;
• individual characteristics of the body.

Consequences of tooth loss: what happens to the bone and how to preserve it?

Even if only one tooth is removed, the situation with the jaw in this place immediately begins to deteriorate - the bone no longer receives the chewing load, metabolism stops in it, and the area of ​​bone tissue under the tooth begins to sag, that is, atrophy.

This is a rapid process - bone loss can reach 30% in the first year alone. Subsequently, it will be problematic to place an artificial tooth supported on an implant in this place, both due to the constant subsidence of the bone and gums, and due to the displacement of neighboring teeth. They lose support, so they shift and tilt into the resulting “emptiness” - this is how problems with bite develop.

To prevent bone atrophy, especially during complex extractions of multi-rooted teeth, it is recommended to install a bioframework or replant a biocompatible artificial bone material with the application of a membrane. Thus, the bone volume and height of the alveolar ridge are maintained sufficient for future unhindered dental implantation.

Diagnosis and treatment of alveolitis of the socket after tooth extraction

If you have had a tooth removed, but after 2 days the pain in the socket has not gone away, or additional signs of inflammation have appeared, you should not postpone your visit to the doctor. Self-medication can lead to complications such as periostitis, osteomyelitis, and damage to adjacent teeth. The sooner treatment begins, the faster and with less risk of unpleasant consequences the wound will heal.

Even if your tooth was removed in another clinic, our specialists will help you.

Typically, diagnosing alveolitis of the tooth socket is not difficult. A medical history and examination is sufficient. But if necessary, to clarify the depth of the lesion, you may be prescribed additional studies: radiography or radiovisiography.

SM-Dentistry uses only high-quality materials; all instruments are sterilized using powerful sterilizers that eliminate the possibility of infection.

Treatment measures for alveolitis at SM-Dentistry:

• Local anesthesia will relieve acute pain and help you endure treatment.
• Complete cleansing of the wound from parts of the destroyed blood clot, food debris, plaque - a clean wound surface should remain.
• Treatment with disinfectants, antimicrobial and anesthetic agents.
• Application of a special turunda (tampon with medications).

The doctor will give recommendations for further care:

• special baths with antiseptic;
• painkillers;
• gentle diet.

It is possible that treatment of socket alveolitis will need to be supplemented with physiotherapeutic methods.

Characteristic symptoms after tooth extraction (extraction)

During the process of tooth extraction, inevitable damage occurs to soft tissues, blood vessels, mucous membranes, nerve endings and other matters involved in holding the tooth. At the end of the operation, a natural inflammatory process develops, which is accompanied by various symptoms. Among which stand out:

• bleeding, the duration depends on various factors, can last from thirty minutes to three hours after tooth extraction;
• pain at the site of tooth extraction, which may be accompanied by pain in nearby teeth and even organs;
• swelling of the affected area;
• clearly defined redness of the mucous membrane at the site of the excluded tooth;
• possible increase in temperature;
• discomfort when moving the jaw.

The above signs are considered normal manifestations after tooth extraction. The inflammatory process decreases as the affected area is restored. As a rule, this takes from four to seven days . If an infection enters the body, the wound healing process is delayed and it is necessary to take medications.

In the place of the excluded tooth, a hole is formed that has sufficient depth, which is due to the long root system of the tooth. After bleeding stops from the site of tooth extraction, a blood clot forms, which promotes wound healing and prevents harmful bacteria from entering. If bleeding continues from the formed hole after tooth extraction for more than three hours, you must contact your doctor to take the required measures. This may include prescribing special medications, suturing the affected area, or using a hemostatic sponge.