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Operative Instructions Following An Extraction | D'Amico & Mauck, DDS

Operative Instructions Following An Extraction

March 24, 2017 by david0


  • Rest quietly with your head elevated for the remainder of the day.
  • Always get up slowly from a reclined position to prevent dizziness
  • Limit physical activity for the first 24 hours and avoid excessive exertion for the first 72 hours.
  • Healing will occur much faster with rest!


  • As soon as possible, place an ice pack on your face over the surgical area; 20 minutes on and 20 minutes off.
  • Use the ice pack for the first day following surgery. This will contribute to your comfort and minimize swelling.
  • Moist heat may be applied the day following surgery for added comfort.


  • You should begin taking your pain medication BEFORE numbness wears off.If a pain reliever was called in to the pharmacy prior to your appointment, you may take it at our office if you have a driver. Otherwise, we can give you a non-narcotic pain reliever and you can take your prescription when you get home.
  • If an antibiotic was prescribed, take it as directed until it is ALL GONE.
  • Some pain medications may cause lightheadedness. Lying down will help this.
  • Some medications may cause an upset stomach. Taking these with food will lessen this side effect.


  • Some red blood is expected in your saliva, however extensive bleeding should not occur. If such bleeding should occur, apply firm pressure with a moist gauze or moist teabag to the area for 30 minutes. If the bleeding does not subside, please call.


  • Some swelling often occurs and this is normal. However if swelling is excessive and is accompanied by fever, please call immediately.


  • Avoid rinsing, spitting or sucking through a straw for 24 hours after surgery. Blood is clotting and this will disturb the healing process.
  • Do not rinse with an over-the-counter mouthwash.
  • Tomorrow Rinse with a solution of ½ teaspoon of salt in a glass of water and resume brushing the remaining teeth as normal.


  • Maintain a balanced diet.
  • Eat softer foods at first; such as pasta, eggs, fish, yogurt, soup, pudding and soft cooked vegetables.
  • Avoid extremes: very hot, very cold, sticky, crunchy, or acidic foods.


  • Fluids should be consumed as soon as possible. It is recommended that you drink 6 – 8 glasses of water during the day following surgery.
  • Avoid using a straw as it may cause suction, which may loosen the blood clot and cause bleeding.




  • We strongly advise NOT SMOKING after surgery. Smoking delays the healing, increases discomfort, and may encourage bleeding and infection in the surgical site.


  • You may develop black and blue tissue areas. They are the result of bleeding into the tissue and will dissipate over time.

Impacted or Buried Teeth:

The following conditions are not uncommon with removal of these teeth:

  •  Difficulty in opening your mouth due to muscle spasms
  •  If a lower impaction was removed, you may have numbness of the lower lip or tongue, on the side from which the tooth was removed. This is almost always a temporary condition. It is not disfiguring, but just annoying. It may last from a few days to many months.
  • Sores may develop at the corners of the mouth and these should be covered with mild ointment such as Neo-Sporin.

If you have any questions or concerns please call us.

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