What to do after tooth extraction: recommendations

What can and cannot be done after tooth extraction

• What to do after tooth extraction
• What to do after wisdom tooth removal
• What not to do
• What do we have to do
• What to do after tooth root removal
• Baths after tooth extraction
• What to do after a child’s tooth extraction
• What to do after removing a tooth with a cyst
• Temperature rises after tooth extraction

Tooth extraction is a major dental operation.
The recovery period after such a procedure can take some time and last from three days to seven days. There are indications and contraindications for what measures the patient needs to take to ensure that the rehabilitation process goes as quickly and successfully as possible. If you strictly follow the dentist’s recommendations and the general rules of the postoperative period, you can significantly bring the moment of recovery closer and avoid unpleasant or even dangerous complications. Rules of conduct during recovery after a doctor has pulled out a tooth may differ depending on the severity of the operation performed, its type, the general health of the patient, his habits and age. However, there are general recommendations that are relevant for any postoperative situation.

When and what can you eat after tooth extraction?

All dentists recommend that patients refrain from eating for several hours after tooth extraction. Depending on the complexity of the operation, the recommended time ranges from 2 to 6 hours. If everything went easily, the blood stopped quickly, then you can eat after 2-3 hours. A complex and painful operation requires complete rest for the oral cavity for 5-6 hours.

As for the menu itself, it should not be dense - a small snack is enough to start. The first meal should not contain hard, spicy, sour or hot foods. Various purees (potato, vegetable), soft porridge (oatmeal, buckwheat), mousse, yoghurt are suitable. Approximately this diet should be observed for 2-3 days.

On the 3-4th day after the operation, subject to good healing, the diet can be diversified with pasta, cereals, boiled meat and fish. But you still can’t eat hard foods, such as crackers, apples, nuts. You should avoid smoked and salty foods (sausage, canned food, deli meats) until the gums have completely healed. Throughout the recovery period, it is important to monitor the temperature of the food - nothing too hot or very cold.

Parents of children, and adults themselves, often wonder if ice cream is okay. Yes, it can be eaten a few hours after removal. Cold constricts blood vessels and helps stop bleeding, and also relieves inflammation and swelling. In addition, ice cream serves as a good sedative for a child who has experienced stress during surgery. The main thing is not to overdo it and not get a cold in your throat - infections in the respiratory tract are absolutely unnecessary during this period.

What to do after tooth extraction

After the dentist has completed all removal procedures, the patient must take the following measures:

1. The tampon that the doctor placed on the hole must be removed no later than half an hour later. If the patient has poor blood clotting, you can keep the compression pad on for 60 minutes;
2. To reduce the likelihood of swelling of the soft tissues of the mouth or face, it is advisable to apply something cold to the cheek. This treatment measure will be effective only in the first hours after surgery. A piece of ice or frozen meat wrapped in cloth should be applied to the cheek several times for 5 minutes;
3. On the first day, to avoid inflammation, you can do antiseptic baths;
4. It is necessary to gently, carefully, but carefully carry out all hygiene procedures in the oral cavity, not excluding the area where the tooth was pulled out.

Compliance with these rules after removal will promote rapid healing of the hole and prevent infection.

If implantation is not planned, is socket preservation necessary?

If implantation is not planned, preservation of the hole will still be the right decision. This simple procedure will, at a minimum, speed up the healing process of the hole and completely prevent all sorts of risks of complications and infection, and at most - taking into account the fact that you should never say “never” - it will be very useful when you need to install an implant. In other words, this is a real opportunity to give the patient choice.

Preservation of the socket after tooth extraction is recommended for anyone who needs to install an implant in place of a missing tooth. This procedure will help preserve the volume of jaw bone and the natural contours of the alveolar process, and subsequently avoid alveolar bone augmentation for implantation.

There are practically no contraindications

except for acute pain. But even in this case, everything is individual, taking into account medical indications corresponding to the specific clinical situation.

Advantages of socket preservation after tooth extraction

• Minimum healing time for a socket after tooth extraction.
• Preventing infection from entering the socket.
• Preservation of bone tissue.
• The aesthetic appearance of the gingival contour is a guarantee of aesthetic prosthetics.
• Possibility to install an implant 1 month after tooth extraction.
• No need for augmentation.

The advantages of the procedure are obvious, which is why preservation of the socket after tooth extraction is very popular in dental dentistry.

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What to do after wisdom tooth removal

The third molar is usually pulled out due to inflammation that appears around it. At the same time, pus and infectious agents are likely to get into the wound. Therefore, in the postoperative period, the patient must follow general recommendations, as well as be as attentive as possible to his feelings, and note the slightest changes in his condition.

As soon as the hole stops bleeding, you should immediately remove the compression tampon. Its presence in the wound provokes the proliferation of bacteria and increases the likelihood of the onset of an inflammatory process.

The patient should be prepared for the fact that his gums will hurt for 3-5 days after the procedure. You need to purchase recommended anesthetics and take them on schedule. If the pain syndrome has become stronger, swelling of the face and gums increases over the course of several days, the elevated temperature does not subside, and an unpleasant odor begins to come from the socket, you need to call the dentist.

The appearance of a “dry socket” after tooth extraction

Dry socket after tooth extraction is one of the complications of the dental procedure. Dry socket may affect older people, smokers, and women taking birth control pills. Sometimes a blood clot does not form at the site of the tooth and bone may be exposed, which slows down healing. 3-4 days after the dental procedure, a dull pain appears, which can be either acute or tolerable. The pain often seems to radiate towards the ear. A dry socket can cause bad breath or a taste in the mouth. Such a hole looks like this: there is no blood or pus on it, but the bone is exposed. In this case, you should consult a doctor to treat dry socket. To relieve pain, the doctor applies a bandage soaked in medicine to the dry socket.

Up to contents

What not to do

In order to avoid any complications after surgery to remove any tooth, you must follow the following rules:

1. Do not eat or drink anything for 3 hours after surgery;
2. It is not recommended to eat hot, spicy, hard and fine-grained foods, or drink hot drinks. The load when chewing food must be transferred to the healthy side of the jaw;
3. For 3 days, limit physical activity and procedures that increase blood pressure or increase blood flow. Do not take hot baths. Bathhouse, sauna, solarium, visiting the beach are prohibited;
4. Do not touch the hole with your tongue, finger, toothbrush, or toothpick;
5. Do not rinse your mouth;
6. Do not ignore the advice, recommendations and prescriptions of the dentist. Do not violate your medication schedule.

If the patient has any doubts about his condition or questions for the doctor, he should not put off calling the clinic “for later.”

What is the procedure?

When a tooth is removed, the alveolar bone begins to decrease in size due to a decrease in load, cessation of blood supply and metabolic processes. Both height and thickness change. To preserve the volume of bone tissue and subsequent successful implantation, the hole is filled with a special osteogenic composition. It creates a frame and prevents further bone loss. Preparing the hole after tooth extraction before implantation is most relevant for the upper jaw, which includes air cavities. In this case, the frontal parts are especially important due to their aesthetic significance.

What do we have to do

After the removal procedure, you need to limit your activity for a while, adhere to a healthy lifestyle and diet.

It is better to take the so-called “sick leave” - spend time at home in a calm environment, closely monitoring your condition.

Smoking and drinking alcoholic beverages are prohibited; it is better to abstain from them.

The menu for the recovery period should consist of nutritious food that does not require thorough chewing. It is better to reduce the number of meals by increasing the calorie content of dishes.

It is imperative to carry out hygienic procedures, since ignoring them can trigger an inflammatory process in the socket of an extracted tooth.

Mouth rinsing is prohibited; it is better to replace it with medicinal baths.

You need to make sure that the postoperative sutures do not come apart; to do this, you should not open your mouth wide or strain your facial muscles.

When is it necessary to prepare a hole for implantation?

If the bone volume is insufficient for implantation, the implantation operation will not be possible, so preliminary preparation is required. It is also recommended:

• To eliminate the risk of injury to the maxillary sinuses.
• When planning orthodontic treatment.
• When it is impossible to stabilize the implant in the tooth socket after removal.
• With age-related changes, bone tissue undergoes anatomical and physiological changes over time.
• To secure and extend the service life of any dental implant.

The material used is a synthetic biocompatible mass in granules, barrier membranes that are removed independently as new bone grows, or a connective tissue graft.

What to do after tooth root removal

Root removal is often accompanied by circumstances that complicate the dentist’s work and can negatively affect the duration and course of the recovery period.

In order for rehabilitation to progress at a normal pace and tooth reconstruction to begin, the patient must follow the rules of the recovery period.

First of all, it is necessary to avoid the occurrence of inflammation in the area of ​​the torn root. For this you will need:

1. Observe the rules of personal hygiene;
2. Do not overheat the head area;
3. Do not rinse or touch the affected area with your tongue;
4. Do medicinal baths, take painkillers, start taking antibiotics if the doctor gives such a recommendation.

You should try to protect the area of ​​the torn root as much as possible, since any infectious process at the site of removal can lead to serious complications.

What should not be done after preparing the hole for implantation?

To prevent the inflammatory process in the operated part, it is necessary to stop smoking and physical activity. Eating solid and hot foods is contraindicated; it should be gentle. Excessive load on the jaw should not be allowed. Chew on the healthy side. Neglecting oral hygiene is contraindicated. The procedure is quite simple and effective for preserving the bone and the most natural contours of the alveolar socket. It will save time and costs on expensive procedures in the future.

Yandex Zen: Preparing the socket of an extracted tooth for implantation in the 1st quadrant area

Baths after tooth extraction

Since rinsing after the removal procedure is prohibited, it is necessary to make baths.

Doctors usually recommend making baths using soda and salt, medications or decoctions of various medicinal herbs. For these purposes, drugs such as Miramistin and an aqueous solution of Chlorhexidine are suitable.

The procedure is easy to carry out. You just need to put a small amount of bath liquid in your mouth, tilt your head so that the liquid moves to the area of ​​the pulled out tooth, and freeze in this position for 30-60 seconds. There is no need to take any active action; the medicinal solution should simply gently wash the damaged gum tissue. After this, the liquid must be spat out.

Antiseptic or therapeutic baths are recommended to be done every 3 hours during the day, preferably after eating and cleansing the mouth.

After the patient has taken a bath, it is advisable not to eat any food or even drink for 1 hour.

What to do after a child’s tooth extraction

After removing a child’s baby or molar teeth, parents should closely monitor the baby’s condition and well-being.

It is necessary to ensure that the child follows the following rules:

1. Do not rinse your mouth or spit, as this may cause the blood clot to be removed from the socket;
2. Did not engage in vigorous physical exercise and did not overheat;
3. Brush your teeth efficiently and responsibly, avoiding the injured area with a brush;
4. Take the necessary medications in full and according to the schedule established by the doctor;
5. Carefully and promptly made baths with antiseptic or medicinal products;
6. He did not put any foreign objects in his mouth and did not touch the socket with his fingers or tongue.

The child’s body temperature, swelling of soft tissues and the child’s breath must be monitored. In case of complications, consult a doctor immediately.

To rinse or not to rinse?

At first glance, it seems that the answer to this question is obvious - of course, rinse! But in reality, everything is not so simple. After a tooth is removed, a blood clot forms in the socket, which protects the open wound from pathogens and speeds up its healing. Rinsing your mouth may flush out the clot. As a result, food debris gets into the wound and the hole becomes inflamed.

If rinsing is necessary, the dental surgeon will definitely tell you about this and prescribe the appropriate medications. But even in this case, you cannot intensively “drive” the liquid in your mouth. It is best to put it in your mouth, hold it for 5-10 minutes, and then spit it out.

What to do after removing a tooth with a cyst

After the doctor removes a tooth with a cyst, you need to follow the general recommendations of the recovery period, but pay special attention to reducing the likelihood of infection of the wound.

In the initial period after the procedure, it is necessary to cool the sore side of the jaw by applying 3-4 cold compresses. Next, you need to ensure that the operated part of the face does not overheat. It is forbidden to make warming compresses, take hot baths, or sunbathe. For pain relief, you can take medications prescribed by your doctor.

It is necessary to avoid injuring the healing hole - the food is soft or liquid, not hot; brush your teeth as carefully as possible; Do not rinse your mouth. It is necessary to limit physical activity and monitor local and general temperature. If pain, high body temperature and swelling lasts more than 2 days, consult a doctor. If pus begins to discharge or there is an unpleasant odor coming from the hole, consult a doctor immediately.

Recommendations for patients after tooth extraction surgery

Did you have to have a tooth removed? We will try to help you and remind you of the basic recommendations of doctors so that your healing process is easy and comfortable!

• Follow your doctor's recommendations carefully.
• Avoid eating for 2 hours after tooth extraction.
• During the first 24 hours, eat soft, non-irritating, warm foods.
• It is forbidden to rinse the wound during the first 24 hours after removal, to perform any manipulations to clean the hole yourself, or to apply warm compresses!
• On the first day after tooth extraction, if pain occurs, take Ketarol 1 tablet 2 times a day. If pain appears on the 3-4th day, or if your body temperature rises, consult a doctor immediately.
• Do not remove the medicine from the hole.
• You should not lift weights, play sports, go to the sauna, take a hot bath, get too cold, or drink alcohol for 4-5 days after tooth extraction.

Bleeding from the socket

After tooth extraction, the doctor usually applies a pressure bandage to the extraction site. Do not rush to take it out, even if it is unpleasant to you. This bandage should be in your mouth for 20 minutes, otherwise you risk returning to the doctor with bleeding from the hole!

And please refrain from rinsing your mouth unless your doctor prescribes it. Frequent rinsing will not stop the bleeding, but will lead to slower healing and increased pain. Usually, during the first 24 hours, the color of saliva changes due to mixing with blood. If there is severe bleeding, make a roll of sterile gauze, apply pressure to the wound with the roller and press with your mouth closed for 20 minutes. The bleeding should stop. If the bleeding does not stop, consult a doctor immediately!

Pain

After the anesthesia wears off (usually 1-2 hours after extraction), pain may appear in the area of ​​tooth extraction. If there is severe pain, take an analgesic (Ketanov, Solpadein, Dolaren, etc.). Be sure to read the instructions for use of a particular drug, especially if there are contraindications and side effects. It is best to take the analgesic during or after meals with sufficient liquid. The choice of an analgesic, especially in the presence of concomitant pathologies (stomach ulcer, gastritis, hepatitis), is best done in consultation with your doctor or pharmacist.

Cooling

There is no need to use ice packs after simple removal. In other clinical cases, when your doctor has recommended ice, press an ice pack against your cheek on the removal side for no more than 10 minutes, with a break of 20-30 minutes. Avoid severe hypothermia of tissues. Use ice packs with caution as prolonged exposure to cold can increase pain and delay healing.

Bad habits

Smokers often have more problems after removal than those who do not smoke (for example, they are more likely to have dry sockets). The formation of a vacuum in the mouth (when you smoke or drink a cocktail through a straw) can cause the clot to dislodge. If you can abstain from smoking for two days after removal, this will undoubtedly improve the healing process.

Alcohol can dissolve the clot and irritate the wound after removal. In addition, many drugs prescribed after removal are incompatible with the use of alcohol. Therefore, refrain from drinking alcohol at least in the first days after removal.

Drugs

Be sure to inform your doctor before removal about any medications you are taking (oral contraceptives, insulin, antihypertensives, anticoagulants, etc.) so that he can choose the right anesthetic and prescribe individual postoperative care for you. The doctor may recommend you anti-inflammatory drugs (Nimesil, Mefenamic acid, etc.) after tooth extraction, especially if the extraction is difficult or there is inflammation before extraction. You should not neglect his recommendations, even if it is a course of strong antibiotics along with desensitizing drugs. If, after taking one antibiotic capsule, you feel that you do not need such strong treatment, do not stop taking the drug!!! If you suddenly stop treatment, the bacteria attacking your body may become “immune” to this group of antibiotics.

Food

If removal was difficult, your doctor may prescribe a diet of liquid or soft foods for the next 24 hours. If the removal was quite simple, you just need to make sure that you chew with teeth that are as far as possible from the extraction site. Avoid eating spicy, sour, hot and traumatic foods. After eating, oral baths are required on the first day and rinsing in subsequent days so that the hole does not become clogged with food debris. Hot liquids can dissolve a blood clot forming in the socket, so exclude them from your diet for a day after removal. Also avoid carbonated drinks and alcohol during this time, especially if you are taking antibiotics or other medications!

How to brush your teeth

During healing, it is very important to maintain good oral hygiene. On the day when the tooth was removed, it is better not to brush the teeth located in the immediate vicinity of the extraction site with a toothbrush. This does not mean that teeth do not need care at all! Moreover, good oral hygiene improves healing. Just make sure that the movements of the brush in the area near the removal are softer and more accurate. On the first day after removal, rinsing your mouth is contraindicated. Rinsing should be replaced with oral baths made from herbal decoctions or antiseptics that do not contain alcohol or other irritants.

Seams

After your tooth is removed, your doctor may stitch you up around the extraction area. Some types of thread used to make these seams subsequently dissolve by themselves; Non-absorbable sutures will have to be removed by your dentist. If you have had stitches, check with your doctor again what type of thread he used. Typically, dentists prefer non-dissolving sutures - however, the process of removing them is very simple and completely painless.

Wound healing

The wound heals after removal in 2-3 weeks. However, the healing of holes at a young age occurs somewhat faster than in the elderly. The sockets of single-rooted teeth heal faster (16-18 days) than multi-rooted ones (19-23 days). In the presence of inflammation in single-rooted teeth, delayed healing is observed for 1 week, and in multi-rooted teeth - 2 weeks later. The delay in epithelization also has a direct relationship with the traumatic nature of the tooth extraction operation. The more severe the removal, the longer the healing.

On the 3-4th day after tooth extraction, the development of granulation (soft young) tissue begins. At this time, white crusts of newly formed epithelium are observed on the surface of the socket. Tearing or scraping it off is strictly prohibited!!! By day 14, the hole is completely filled with this tissue.

Two weeks after the operation, elements of new bone tissue appear on the bottom and side walls of the socket; by the end of the first month, the socket begins to fill, and by the 45th day it is completely filled with young bone tissue.

By the end of the 3rd month, newly formed mature bone tissue fills the entire socket.

By the end of 4-6 months, and in a complicated course - by 8-10 months, it is not possible to distinguish the socket from the surrounding bone radiographically. In older people and in the presence of concomitant diseases, wound healing occurs more slowly.

Temperature rises after tooth extraction

A slight increase in general body temperature or local temperature in the area of ​​the operation is considered normal. This is the body's natural reaction to dental surgery.

If the temperature stays within 37-38° C, there is no need to bring it down. If it rises above 38° C, you need to take antipyretic drugs. Avoid using aspirin as it may cause bleeding from the socket.

An increase in temperature over a long period (2 or more days in a row), accompanied by signs of inflammation - severe pain, swelling, swelling of soft tissues, an unpleasant odor from the wound, are direct indications for urgent medical attention.

Preservation of the tooth socket after extraction

Preserving the volume of bone tissue of the alveolar processes after tooth extraction has become a routine procedure in modern dentistry. However, the quality of bone tissue after filling with bone materials is not always satisfactory, and if they suppurate, the situation becomes very problematic.

In our opinion, the problems lie in a banal misunderstanding of the principles of bone tissue regeneration and the properties of those materials that ensure its new formation.

We believe that the socket filling (preservation) protocol should contain the following steps.

1. Anesthesia

The best anesthesia for tooth extraction will certainly be conduction anesthesia. At the same time, the minimum amount of anesthetic and the distance of its injection site from the surgical field represent undeniable advantages. However, in some cases, a decision is made to perform the procedure under infiltration anesthesia. In this case, anesthetics with a minimal amount of vasoconstrictor should be used. Their injection sites with subsequent infiltration should also be located as far as possible from the working area.

This use of painkillers has some inconveniences, but it more than pays off in the future.

So, these conditions are dictated by the following reasons. When vasoconstrictors are administered, the blood supply to the mucous membrane is always disrupted, which leads to thrombosis of its vessels.

In general, you should avoid stopping bleeding from the mucous membranes within reasonable limits (it is worth carrying out constant irrigation of the mucous membranes to avoid the formation of blood clots).

2. Separation of mucous membrane

Separation of the mucosa should be carried out carefully, without breaks and deep enough. Otherwise, you will get long-term aching pain in the area of ​​intervention.

3. Actually deletion

There is one basic rule here - you should ensure that the impact is non-traumatic. We dislocate single-rooted teeth using elevators or periotomes, saw down multi-rooted teeth, and then dislocate them again using elevators or periotomes.

4. Cleaning the bone from the infectious agent

This procedure is quite simple and combines instrumental and medicinal treatment. Instrumental - with a curettage spoon or diamond bur. The latter is preferable because it can remove almost all remaining periodontal fibers. Treatment with boron is carried out under abundant irrigation with saline solution.

Medication – triple exposure to any powder antibiotic (broad-spectrum) for 2-3 minutes, followed by washing with saline solution (Fig. 1).

Rice. 1

5. Laying the material

After antiseptic treatment, sufficient bleeding must occur in the hole, which is the key to further success.

The flowing blood is collected with a sterile syringe and mixed with the implanted materials Osteomatrix (chips) and Bioimplant GAP (crumbs). The saturation of materials with blood is carried out in various containers and these materials do not mix with each other!!!

The Osteomatrix is ​​placed first. It is an osteoinductive material, which actually remodels into bone (Fig. 2). When laying this material, it should not be compacted too much.

Rice. 2

Osteoconductive material Bioimplant GAP is placed on top of the Osteomatrix, which will act as a kind of plug protecting the Osteomatrix from germination of the mucous membrane (Fig. 3).

Rice. 3

The resulting double sandwich is covered with Biomatrix collagen fleece, one of the surfaces of which has a waterproof layer. This surface is always positioned in the direction of the oral cavity. The fleece is modeled in such a way that its edges overlap the mucous membrane during suturing (Fig. 4, 5).

Rice. 4

Rice. 5

There is no point in pulling the edges of the hole until the edges are completely aligned. The impermeable surface will reliably protect the contents of the hole from the flora of the oral cavity, and the blood clot formed in the collagen sponge of the lower layer will be a reliable source for the construction of new rough connective tissue and covering mucosa.

For this manipulation you will need on average 0.5-0.3 ml3 of Osteomatrix chips, 0.3 ml3 of Bioimplant GAP crumbs, 1/4 part of Biomatrix fleece 20x30.

It is sufficient to suture the wound with 3/0 or 4/0 catgut.