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Geoffrey R. Bauman, DMD, MS | Tooth Extraction in Newark

Geoffrey R. Bauman, DMD, MS / Board Certified,  American Board of Periodontology
Fellow, Midwest Implant Institute



Tooth Extraction

1. Do not drive if you feel drowsy, dizzy, or at all faint; if you have had premedication or IV for sedation; please do not drive.

2. The doctor has placed a damp gauze over the tooth socket to maintain the blood clot. Keep light biting pressure on the gauze until the bleeding stops. Do not bite hard as this will result in more pain in the gums later. You can remove the gauze in 30 minutes and if it has stopped bleeding, no more gauze is needed. If bleeding continues or returns later, just dampen a folded gauze and place it over the site and lightly bite again for 60 minutes. Do not remove the gauze frequently to look at the area. Leave it in place at least 60 minutes to have adequate affect. The mouth will feel sticky and dry when bleeding occurs, but you must not create suction in your mouth in order to gather the blood together to spit out and do not rinse. These activities will just break the clot. You will see some slight oozing off and on in the area for a day or so but there should not be significant bleeding. You may want to use old linens on your bed so that you don't stain them if you happen to ooze a little at night.

3. Pain: Some discomfort should be expected post-surgically; however, the dentist will have given you prescriptions or recommended non-prescription medications to control pain. Take the medication as directed. Even a doubling of the recommended dose can cause severe problems. Take your first dose of ibuprofen or Tylenol (if the Doctor has recommended them) before the numbness wears off. If the Ibuprofen is not adequate, then start taking the narcotic in addition to the ibuprofen (don’t stop taking the ibuprofen). Do not take Tylenol in addition to the narcotic as there is already Tylenol in the narcotic pill). If a narcotic (Percocet, Synalgos, Vicodin, Tylenol #3) was prescribed and you find that you do not need it, dispose of it as per FDA recommendation for "Dangerous Drugs" at a certified "Take-back" site if available or in the toilet . Do not save this medication for pain at a later date. Narcotics can be detected by blood or urine test and you may be prosecuted for taking the drug without a current prescription. Most pain medications have the potential to cause nausea and vomiting. This effect is decreased by taking the medications with 8 oz of fluid. With narcotics, it helps to remain still (even walking around can be a problem) to prevent nausea. If nausea ensues with narcotics, you must stop taking them.

4. Home care: Do not perform any brushing or flossing until the second day after the surgery. On the second day, you may begin brushing and flossing all the areas of the mouth not involved with the surgery. You will be given a mouthwash (Peridex or Listerine) to use in the surgical area in the morning and evening after you have brushed and flossed the non-surgical areas. However, do not vigorously rinse with this or any other liquid. Just allow it to pool over the surgical site for about 1-2 minutes and then spit out.

5. Diet: You must be on a liquid diet for 1 day (the consistency may be that of soup with soft vegetables). Do not use a straw for drinking as the suction may disrupt the surgical site. Beginning on the second day, you may eat a normal diet carefully on the other side of the mouth.

6. In about 5-10% of extractions a dry socket will develop. The blood clot is lost from the socket and a severe pain may result. Pain that you feel during the first 24 hours after extraction is not dry socket. Dry socket does not usually occur until 2-5 days after the extraction. The pain of dry socket is not relieved by any oral pain medication including narcotics. Should you feel a severe pain deep in the bone 2-5 days after extraction of the tooth, you will have to return to Dr. Bauman to have a dressing placed in the socket.

7. Exercise: Avoid heavy physical exercise for at least 3 days after surgery. After that play it by ear.

8. Smoking/alcohol: Smoking causes blood vessel constriction and alcohol causes dehydration which which are both harmful to healing and it is best that you not smoke or drink for as long as possible after the procedure, especially during the first week.

FOR COMPLICATIONS CALL: Dr. Bauman at (740) 366-3559