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Dental Emergencies       

After Tooth Extraction care and  correct dental instructions may contribute to your health and well-being.
 

tooth extraction, tooth removal, toothache, tooth pain, dental pain, tooth decay, gum disease, dentist

 

Key Benefits of Accurate Dental Care and Instructions:

  • Make post-surgical infection less likely or less severe.
  • Reduce local bleeding at the time of the surgery and after.
  • Promote post-surgical healing.

What to do After Tooth Extraction

Control Bleeding
  • Bite firmly the gauze pack over the surgical area for, at least, 1/2 hour; then discard it gently.
  • Some blood will ooze from the area of surgery for several hours and it is normal.
  • Do not spit, or suck through a straw, since this will promote bleeding.
  • When bleeding persists at home, place a gauze pad or cold wet teabag over the area and bite firmly for 30 minutes.
  • Avoid rubbing the area with your tongue.
  • Keep your head elevated on several pillows or sit in a lounge chair for 12 hours.
  • DO NOT SMOKE for 24 hours after surgery because this will cause bleeding, pain and interfere with healing.
Rinsing
  • Do  not rinse your mouth or brush your teeth for the first 12 hours after the surgical appointment. Then use warm salt water (1/2 teaspoon salt in 1/2 cup [4 ounces] of warm water) after tooth-brushing and every 2 hours.
  • Swish Butler Rincinol™ P.R.N.™ in your mouth and it will find any sores, providing fast, effective pain relief.
Bacterial Plaque Control
  • Brush the teeth gently.
  • Avoid the surgical site.
Rest
  • Get plenty of rest; at least 8 to 10 hours of sleep each night. Avoid strenuous exercise during the first 24 hours, and keep the mouth from excessive movement. Physical activity may increase bleeding.
Diet
  • Use a liquid or soft diet high in protein.
  • Drink a large volume of water and fruit juices.
  • Do not drink through a straw because this may promote bleeding.
  • Avoid hot food for the first 24 hours after surgery because this may promote bleeding.
  • Eat a soft diet for the first 24 hours after tooth extraction.
  • Avoid foods that require excessive chewing.
  • You can resume a normal diet the day after tooth removal.
Pain and Discomfort
  • Some discomfort is normal after surgery. It can be controlled by taking the pain medication your dentist has prescribed or recommended.
  • Start taking your  pain pills before the numbing medication has worn off.
  • Take your pain pill with an 8 oz. glass of water and/or a small amount of food to prevent nausea.
  • Over-the-counter (OTC) pain medications or Painkillers may be used for temporary pain relief. Take these as directed on the package and around the clock. Do not overdosing on these generic drugs:
  • ASPIRIN, or IBUPROFEN, or KETOPROFEN, or NAPROXEN SODIUM, or ACETAMINOPHEN
Swelling and Icepacks
  • Swelling
    after surgery is a normal body reaction.
  • Swelling reaches its maximum about 48 hours after surgery, and usually lasts 4-6 days.
  • Applying ice packs over the area for the first 24 hours (no longer than 20 minutes at a time) helps control swelling and may you more comfortable.
  • Heat is not used for swelling.
Bruising
  • You may experience some mild bruising in the area of your surgery.
  • This is a normal response in some persons and should not be cause for alarm.
  • It will disappear in 7-14 days.
Sutures or Stitches
  • If stitches were placed in area of your surgery, your dentist will tell you if and when they need to be removed (usually in about 1 week).
  • Many times stitches are used which are self-dissolving (7-10 days) and do not require removal.
Call your Dentist or a Hospital Emergency Room if:
  • You experience discomfort you cannot control with your pain pills.
  • You have bleeding that you cannot control by biting on gauze.
  • You have increased swelling after the third day following surgery.
  • You have a fever.
  • You have any questions.
 

Keeping Infection Under Control After Tooth Extraction

The removal of teeth can allow germs in the mouth to enter the bloodstream and cause infections in other parts of your body.

If you have difficulty fighting off infections you may need to take antibiotics after tooth extraction. This includes those who:

  • Have had bacterial endocarditis, an infection of the lining of the heart.
  • Were born with heart defects.
  • Have damaged or artificial heart valves.
  • Have artificial joints, such as a hip replacement.
  • Have diabetes or another disease that causes an impaired immune system.
  • Take steroids for other conditions, such as Crohn's disease or asthma.
 
Contact Dentist
 
Looking forward to hearing from you

Aleksandr V. Melekhin, DDS

 

Return from After Tooth Extraction to Tooth Extraction

 
 

Dental emergencies may occur anywhere at anytime.

A quick, handy references of emergency evaluation in form of a postcards, charts, guides, and/or notes are very important.

Key Benefits

  • Benefit 1 -- Stress Minimization
  • Benefit 2 -- Safe Pain Relief for Toothache
  • Benefit 3 -- Soothing, Protection, and Better Healing of Minor Dental Injuries
 
 
 

Teeth Involvement

1. Toothache
A. Clean the area around the sore tooth thoroughly.
B. Rinse the mouth vigorously with warm salt water.
C. Use dental floss to dislodge trapped food or debris.
D. DO NOT place aspirin on the gum or on the aching tooth.
E. If face is swollen, apply a cold compress.
F. Take OTC analgesics (aspirin, ibuprofen, acetaminophen, etc.) for temporary pain relief.
G. See a dentist as soon as possible.
2. Broken Tooth
A. Rinse dirt from injured area with warm water.
       B. Place cold compresses over the face in the area of the injury.
       C. Locate and save any broken tooth fragments.
       D. Immediate dental attention is necessary.
3. Knocked Out Permanent Tooth
A. Find the tooth.
B. Handle the tooth by the top (crown), not the root portion.
C. Rinse the tooth, but DO NOT clean or handle the tooth unnecessarily.
D. Try to reinsert it in its socket.
E. Have the child hold the tooth in place by biting on a clean gauze or cloth.
F. If you cannot reinsert the tooth, transport the tooth in a cup containing milk or water.
G. See a dentist IMMEDIATELY!
H. Time is a critical factor in saving the tooth.

Other Tissues Involvement

1. Cut or Bitten Tongue, Lip or Cheek
A. Apply ice to bruised areas.
B. If there is bleeding, apply firm but gentle pressure with a clean gauze or cloth.
C. If bleeding does not stop after 15 minutes, take the child to a hospital emergency room.
D. If bleeding cannot be controlled by simple pressure, take the child to a hospital emergency room.
2. Bleeding After Baby Tooth Falls Out
A. Fold and pack a clean gauze or cloth over the bleeding area.
B. Have the child bite on the gauze with pressure for 15 minutes.
C. This may be repeated once.
D. If bleeding persists, see a dentist.
3. Cold/Cancer Sores
A. Usually over-the-counter (OTC) preparations give relief.
B. Some serious diseases may begin as sores.
C. It is important to have a dental evaluation if these sores persist.
4. Possible Broken Jaw
A. Try to keep suspected fractured jaw from moving.
B. Use a towel, tie, or handkerchief.
C. Take the child to the nearest hospital emergency room.

 

 

extractions of the  teeth

Correct dental care and instructions before and after oral surgery (extractions of the  teeth) may contribute to the patient's health and well-being.

Key Benefits

  • Benefit 1 -- Make post-surgical infection less likely or less severe
  • Benefit 2 -- Reduce local bleeding at the time of the surgery and after
  • Benefit 3 -- Promote post-surgical healing

Pre-surgical Instructions

1. Alcohol Restrictions
Alcohol should be discontinued  before and following the surgical procedure.
2. Transport to and from the Appointment
When a general anesthetic or light sedation is used, the patient should not drive. Plans for someone to accompany and assist the patient should be made.
3. The Night Before the Appointment
A good night rest is advocated.
4. Personal Items
The clothing worn should be loose and comfortable. The sleeves should be easily drawn up over the elbows.
5. Contact Lenses and Dentures
The patient will be asked to remove contact lenses and dentures, and should bring containers for their safe keeping.
 

Post-surgical Care

1. Control Bleeding
A. Bite firmly the gauze pack over the surgical area for, at least, 1/2 hour; then discard it gently.
B. Some blood will ooze from the area of surgery for several hours and it is normal.
C. Do not spit, or suck through a straw, since this will promote bleeding.
D. When bleeding persists at home, place a gauze pad or cold wet teabag over the area and bite firmly for 30 minutes.
E. Keep your head elevated on several pillows or sit in a lounge chair for 12 hours.
F. DO NOT SMOKE for 24 hours after surgery because this will cause bleeding, pain and interfere with healing.
2. Rinsing
A. Do  not rinse your mouth or brush your teeth for the first 12 hours after the surgical appointment. Then use warm salt water (1/2 teaspoon salt in 1/2 cup [4 ounces] of warm water) after tooth-brushing and every 2 hours.
3. Bacterial Plaque Control
A. Brush the teeth gently.
B. Avoid the surgical site.
4. Rest
Get plenty of rest; at least 8 to 10 hours of sleep each night. Avoid strenuous exercise during the first 24 hours, and keep the mouth from excessive movement.
5. Diet
A. Use a liquid or soft diet high in protein.
B. Drink a large volume of water and fruit juices.
C. Do not drink through a straw because this may promote bleeding.
D. Avoid hot food for the first 24 hours after surgery because this may promote bleeding.
E. Eat a soft diet for the first 24 hours after surgery.
F. Avoid foods that require excessive chewing.
       G. You can resume a normal diet the day after surgery.
6. Pain and Discomfort
A. Some discomfort is normal after surgery. It can be controlled by taking the pain medication your dentist has prescribed or recommended.
B. Start taking your  pain pills before the numbing medication has worn off.
       C. Take your pain pill with an 8 oz. glass of water and/or a small amount of food to prevent nausea.
7. Swelling and Icepacks
A. Swelling after surgery is a normal body reaction.
B. Swelling reaches its maximum about 48 hours after surgery, and usually lasts 4-6 days.
C. Applying ice packs over the area for the first 24 hours ( no longer than 20 minutes at a time) helps control swelling and may you more comfortable.
D. Heat is not used for swelling.
8. Bruising
A. You may experience some mild bruising in the area of your surgery.
       B. This is a normal response in some persons and should not be cause for alarm.
       C. It will disappear in 7-14 days.
9. Sutures or Stitches
       A. If stitches were placed in area of your surgery, your dentist will tell you if and when they need to be removed (usually in about 1 week).
       B. Many times stitches are used which are self-dissolving (7-10 days) and do not require removal.   
10. Call the Dentist or a Hospital Emergency Room if:
A. You experience discomfort you cannot control with your pain pills.
B. You have bleeding that you cannot control by biting on gauze.
C. You have increased swelling after the third day following surgery.
D. You have a fever.
E. You have any questions.

 

 


 

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