Tooth and/or Root Extraction
Our Clinic offers atraumatic tooth extraction that aims to preserve the remaining alveolar bone and surrounding tissues. After the procedure, the bone regenerates at an extraction site, and usually the eventual placement of a dental implant is planned.
- After the tooth extraction procedure, the oral surgeon will ask the patient to bite on a gauze pad placed over the area treated for 30 minutes. The purpose of this gauze pad is to absorb the blood and stop the bleeding. If the bleeding continues, the gauze pad should be replaced with the new one, which should be kept for 30 minutes again.
- It is advisable to measure blood pressure (reference range, 120/80 mm Hg). If blood pressure is higher than indicated, medications to lower it should be taken. High blood pressure can be a cause of bleeding. If bleeding persists and blood pressure is within the reference range, the patient should contact our clinic.
- After the tooth extraction procedure, any strenuous physical activities (exercise, lifting of heavy things), hot baths, and saunas should be avoide.
The patient should restrain from eating for 2 hours after the surgery; if an anesthetic has been used, the area treated will be numb for this period, and the cheek and the tongue can be easily injured while chewing. It is advisable to avoid coarse and hot foods on the same day. It is not recommended to drink coffee or alcohol as increased blood pressure can cause bleeding. To feel blood taste on the second day after the surgery is normal.
The patient should refrain from smoking for at least 12 hours after the tooth extraction procedure as smoke and nicotine retard proper wound healing, and this can cause an abnormal blood clot to form.
Postoperative swelling after tooth extraction is usually slight. Cold therapy applied for 5-6 hours can help avoid or reduce it: the cheek is cooled for 15 minutes, then a 30-minute break is done, and the procedure is repeated again from the beginning. If ice is applied, it should be wrapped in a thin towel and then placed over the area treated.
For postoperative pain relief, all ordinary medications from a home first aid kit, such as Ibumax, Ibuprom, Nimesil, or Ketanov, can be used, except aspirin as it has blood-thinning properties.
Personal Oral Hygiene
On the first day after the tooth extraction procedure, the mouth should not be rinsed as the blood clot can be dislodged and this may cause pain. The teeth should be brushed gently with a soft toothbrush. On the next day, it is necessary to rinse the mouth with special mouthwashes for 5-6 times a day (for example, Eludril, Listerine, Hexoral) and to brush the teeth normally.
If after tooth extraction the edges of the gums were closed together with the absorbable sutures, they do not have be removed as they dissolve on their own in 30-35 days. The sutures should be free of debris to ensure proper wound healing. It is recommended to clean the sutures with a piece of gauze soaked in hydrogen peroxide until the debris is removed.