Any surgical intervention requires postoperative care. In a hospital we blame the professionals for the care they give us or they stop giving; In this case, the care you are going to make, take responsibility and make it better than a professional, look through your mouth.
After dental extraction, the dentist carefully checks that the tooth is completely intact, that one of the roots has not fractured, a portion of the root or a small root apex that has remained inside, should it be removed.
The dentist checks the integrity of the alveolar walls and if there are any remaining skeletal stones that may have detached and fallen into the empty socket, which is difficult to see with blood. A piece of filling (if the grinding wheel was restored), a piece of broken grinding wheel, or even grinding of the grinding wheel itself may have been detached.
Cure the alveolus to clean the walls of remnants of inflamed tissues (granulation tissue), apical infectious foci, etc., this is called “the toilet of the wound”.
Sometimes it is necessary to press with the fingers the edges of the alveolus, because after the extraction is dilated, and to check the integrity of the gain making that it covers completely the bone. You may even have to file bony tips, which on healing appear and prick if you press the gum with your finger, hurt if you put a removable prosthesis, this is called “bone regularization.”
Then make sure that the alveolus has blood covering the bony walls, otherwise it is necessary to cure it until it is filled with blood, like a glass, wait a while if necessary, that the patient goes with the alveolus full of blood and sutured is a guarantee.
If a lot of anesthesia was used with adrenaline and the bone is very dense may not blood, that is bad, ideally get blood and give two stitches or more. The goal is to achieve a good blood clot to facilitate healing as soon as possible and immobilize it with sutures, the clot should be a solid plug for the alveolus, so it is advisable to immobilize it for 24 hours with suture and biting a gauze too.
It takes 24 hours to form a firm clot that prevents bleeding and allows healing to begin. Blood contains the cells necessary for restitution of integrity. The clot is the best protection for that wound. Blood is life, do not have so much repulsion. I always use resorb able suture, the stitches will fall off alone in 7 days.
Leaving the dentist and right for the home sofa
When leaving the dentist many times it has happened (and I hope it does not happen anywhere in the world) that blood or cottons with blood could be found in the entrance or stairs of the dentist. This is totally unacceptable.
To care for this fresh clot, and not to move or become infected, you must respect and follow very old and even famous rules.
Postoperative Care after Dental Extraction
- If you placed on the wound a compressive gauze, bite on it for an hour, then remove it. If it still bleeds, place another by repeating the above. Bite the gauze, do not speak, bites. Swallow saliva, do not spit, do not rinse. The more you rinse the more it will bleed, not stop. You can wipe the blood-saliva with a sterile gauze by stuffing it into your mouth and absorbing it like a dish towel, then you bite a sterile gauze making a roll with it. Sit down, do not walk. Relax, do not think about doing other things now, bite the gauze and swallow the saliva.
- When you get home, you should keep rest between the first 12 and 24 hours, with head high. No bed, sitting is better. Put a pillow under the mattress, to lift the head, when going to sleep.
- Do not touch, do not look at the wound, do not rinse, and do not do anything within 24 to 36 hours. After 24 hours (and if not blood) should rinse with half a glass of hot water with a teaspoon to flush coffee, baking soda (sold in pharmacies). Rinse every 3 or 4 hours for at least one minute each time. If the extraction was done in a very posterior sector of the mouth, also gargle you. The water must be very hot without it burning, obviously.
- You must cleanse the wound after every meal, using a tweezers with a cotton ball cordite, soaked in hydrogen peroxide wound (10 volumes). Topical, soak and clean with 10 volumes hydrogen peroxide the edges and inside the wound for 30 seconds. Rinse immediately with warm water with a teaspoon flush with baking soda. Repeat this especially before going to bed and after breakfast, you can do it 4 or 5 times a day, but always no blood and have been at least 24 hours. This should be repeated every day for at least 7 to 10 days, or longer if you feel it necessary.
- It is recommended not to smoke in the first 24 hours, irritates the wound delay healing and may even facilitate bleeding.
- Avoid taking things too hot (coffee, soup, etc.) during the first 24 hours, heat facilitates the bleeding. Replace with lukewarm foods that are easy to chew and swallow.
- Do not develop activities that require physical exertion, or play sports in the first week. Inflammation could occur with violent swelling of the area (cellulite) and also pain and bleeding. Nor practice active sex in the first 3 days, so the effort…
- Do not expose to heat or sun. It facilitates inflammation and pain (beach-sun, stoves, kitchens, irons, very warm environments, etc.)
- After anesthesia, (lasting a little over 3 hours) if you feel pain, you can take a “ibuprofen” 600 mg every 6 to 8 hours, always with plenty of liquid, or drug prescribed for that purpose.
- If you had bleeding for not following these recommendations wipe with sterile gauze blood and saliva whole mouth (do not get to spit and rinse, which is worse), and place a gauze compress the area and constantly biting 1 hour without talk . Bite, do not talk. Repeat the above recommendations. Normally this is enough, and just sit there.
- After 24 to 36 hours of extraction, and that no blood and no, should continue with usual hygiene, brushing and dental tape in the rest of the mouth. You should now rinse thoroughly with warm water with a teaspoon of baking soda several times a day. Do not use pure hydrogen peroxide as a repetitive rinse, irritate the mucous membranes and especially the tongue. It is only used for 10 seconds on the wound and then rinsed with hot water / bicarbonate.
Consultations about your personal situation should be made to the dentist who attended you or someone who sees you personally. Do not go looking for cyberspace remedies.