What to Do after a Tooth Extraction?

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After an extraction, it's foremost for a blood clot to form to stop the bleeding and begin the curative process. That's why your dentist will ask you to bite on a gauze pad for 30 to 45 minutes after an extraction. If bleeding or oozing continues after you remove the gauze pad, place another gauze pad on the area and bite firmly for another 30 minutes. You may have to do this some times.

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After the blood clot forms, it's foremost to protect it, especially for the next 24 hours. It's foremost to not:

o smoke and chew tobacco

o drinking alcohol

o suck through a straw

o rinse your mouth vigorously

o clean the teeth next to the extraction site

These activities could dislodge the clot and slow down healing.

Limit yourself to calm activities for the first 24 hours. This keeps your blood pressure lower, reduces bleeding, and helps the curative process.

After the tooth is extracted, you may feel some pain and have some swelling. You can use an ice bag (20 minutes on, 20 minutes off) to keep this to a minimum. The swelling ordinarily starts to go down after 48 hours.

To control discomfort, take pain medication as recommended. Don't take medication on an empty stomach or nausea may result. If antibiotics are prescribed, continue to take them for the indicated distance of time, even if all symptoms and signs of infection are gone. Also:

o Drink lots of fluids.

o Eat only soft, nutritious foods on the day of the extraction.

o Don't use alcoholic beverages.

o Avoid hot and spicy foods.

You can begin eating ordinarily the next day, or if not by then, as soon as it's comfortable. Moderately rinse your mouth with warm salt water three times a day (put a teaspoon of salt in a cup of warm water, and then Moderately rinse, swish, and spit). Also, rinse Moderately after meals. This helps keep food out of the extraction site.

It's very foremost to resume your normal dental disposition after 24 hours. This should consist of brushing your teeth and tongue and flossing at least once a day. This will speed curative and help keep your breath and mouth fresh. Call your dental office right away if you have heavy bleeding, severe pain, continued swelling after two or three days, or a reaction to the medication. After a few days, you'll be feeling fine and can resume your normal activities.

Dry socket is an infection in your tooth socket after a tooth is extracted. The condition ordinarily develops when a blood clot fails to form in the socket, or if the blood clot comes loose. Dry socket occurs in almost 5 percent of all tooth extractions.

Normally, the blood clot that forms after a tooth is removed promotes healing, laying the foundation for the growth of new bone tissue. When dry socket occurs, this blood clot is lost and the infected, inflamed socket appears empty - hence the name. Nerves are exposed, and sometimes the bone is visible in the empty socket.

You may not have symptoms until 3 to 5 days after the extraction. Then, the condition will manifest itself as severe pain that doesn't subside, often accompanied by what feels like an earache. You may also have an unpleasant taste in your mouth, and bad breath. Call your dentist right away if you consideration any symptoms of dry socket. Medicine for dry socket typically includes a gentle rinsing of the socket and dressing the socket with sedative medication.

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Steps to Prevent Dry Socket after Dental Extraction

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Dry socket (alveolar osteitis) is an infection in your tooth socket after a tooth is extracted. It occurs when the blood clot at the site of a tooth extraction is disrupted prematurely. This leaves the alveolar bone unprotected and exposed to the oral environment. The socket can be packed with food and bacteria. The pain typically commences 3-4 days following the extraction. This is often extremely unpleasant for the patient, as symptoms include extreme pain (sometimes worse than the toothache that indicated the extraction), a foul taste, bad breath, and swelling in the infected area. Nerves are exposed, and sometimes the bone is visible in the empty socket. It is often accompanied by what feels like an earache. There may be lymph-node involvement.

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Dry socket occurs in approximately 5 percent of all tooth extractions. Women are at higher risk than men for developing dry socket. Of the women that have developed it, the majority take an oral contraceptive. Smokers have been shown to have a greatly increased risk of developing alveolar osteitis after tooth extraction. This is thought to be due to the decreased amount of oxygen available in the healing tissues as a result of carbon monoxide in tobacco smoke. It is advisable to avoid smoking following tooth extraction for at least 48 hours to reduce the risk of developing this dry socket.

Treatment for alveolar osteitis is mainly preventative. Maintaining good oral hygiene is a must before and during the healing period. If possible, have your teeth professionally cleaned several days before dental surgery. Take all of your regular medications for systemic illnesses (diabetics and cardiovascular diseases). Women are recommended to have extractions during the last five days of their menstrual cycle. This is to minimize chances of developing dry socket because the estrogen levels are lower during that part of the cycle (day 23-28).

Several things can cause the premature loss of a blood clot from an extraction site, including smoking, forceful spitting, sucking through a straw, coughing or sneezing. You should also avoid consuming carbonated or alcoholic beverages after an extraction, as these have also been associated with the development of dry socket. Also, you should:

o keep your fingers and tongue away from the extraction site.

o apply an ice pack to your jaw for the first 24 hours following surgery - on for 15-20 minutes, and off for 30-40 minutes - to prevent pain and swelling and stop excessive bleeding.

o not rinse your mouth the day of surgery. The next day, you can rinse gently with warm salt water; dissolve one teaspoon of salt in a cup of warm water. Be sure to rinse and spit gently.
Call your dentist right away if you notice any symptoms of dry socket. Treatment for dry socket typically includes a gentle rinsing of the socket to remove debris. This is followed by packing the socket with Alvogyl. Its fibrous consistency allows for easy filling of the socket and good adherence during the entire healing process. The active ingredients of Alvogyl include:

o eugenol for analgesic action;

o butamben for anesthetic action; and

o iodoform for anti-microbial action.

Sometimes analgesics are also prescribed. You usually need to return to the dentist's office two to three times over a two-week time period for re-dressing and monitoring the healing. Fortunately, a dry socket is often self-healed over a longer time. In very rare situation where the dry socket can't heal itself, another operation may be needed. The procedure aims to make the socket bleed again and so that a new blood clot can be formed inside the post-extraction socket.

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