Eusebio Dental
ALAMEDA, CALIFORNIA
Surgery and Implants
Tooth Extraction
Protect the blood clot, control bleeding, and support healing after a tooth is removed.
We are here for you.
You do not need to remember everything today. Keep this guide nearby. Call or text us if you are worried.
What to Do Today
Bite firmly on gauze for 30–60 minutes.
If bleeding continues, bite on a damp black tea bag for 30 minutes.
Use ice: 20 minutes on, then 20 minutes off.
Eat soft, cool foods. Drink from a cup.
Rest today. Keep your head raised when lying down.
Do not rinse, spit hard, use a straw, smoke, vape, or lift heavy things.
What to Expect Next
Tomorrow
Brush your teeth. Be gentle near the extraction.
Rinse gently with warm salt water after meals and before bed.
Mix 1/2 teaspoon of salt in 8 ounces of warm water.
Keep eating soft foods if chewing is sore.
Days 2-3
Swelling is often worst on Day 2 or 3. This can be normal.
Keep using pain medicine if needed.
After 48 hours, a warm compress may help jaw soreness.
Keep rinsing gently with warm salt water.
Days 4-7
Pain and swelling should start to improve.
Add normal foods slowly.
Keep the area clean, but do not poke the socket.
Call us if pain gets worse instead of better.
Later Healing
The hole closes slowly over several weeks.
The bone under the gum may take several months to fill in.
Keep all follow-up visits.
Pain Relief After Dental Treatment
Some soreness or tenderness is normal after dental treatment. Pain should generally become easier to manage as you heal.
Follow any instructions given specifically to you by your dentist. The information below is for adults and does not replace advice from your physician, pharmacist, or dentist.
For mild pain
Take one of the following, if it is safe for you:
Ibuprofen 400 mg every 6 hours as needed
ORAcetaminophen 500 mg every 6 hours as needed
Take ibuprofen with food and water.
For more discomfort
If our dentist has told you that both medicines are safe for you, you may take:
Ibuprofen 400 mg plus acetaminophen 500 mg together every 6 hours as needed.
The two medicines work differently and may provide better relief when taken together.
Use the lowest amount that controls your discomfort. Stop taking pain medicine when you no longer need it.
Daily limits
Unless a doctor or dentist has given you different instructions:
Do not take more than 2,400 mg of ibuprofen in 24 hours
Do not take more than 3,000 mg of acetaminophen in 24 hours
Count acetaminophen from all medicines you take
Acetaminophen may also be listed as APAP and is found in many cold, flu, sleep, and prescription pain medicines. Do not take more than one acetaminophen-containing product unless a healthcare professional has confirmed that it is safe.
Do not combine ibuprofen with other anti-inflammatory pain medicines such as naproxen (Aleve) unless directed by a healthcare professional.
Check before taking ibuprofen
Do not take ibuprofen unless a physician, pharmacist, or dentist says it is safe if you:
Have kidney disease
Have a history of stomach ulcers or gastrointestinal bleeding
Take a blood thinner or certain antiplatelet medicines
Have been told to avoid aspirin or anti-inflammatory medicines
Have an allergy or serious reaction to ibuprofen, aspirin, or other NSAIDs
Have certain heart conditions or uncontrolled high blood pressure
Are pregnant, trying to become pregnant, or breastfeeding
Do not use ibuprofen at 20 weeks of pregnancy or later unless specifically directed by your healthcare professional.
Check before taking acetaminophen
Do not take acetaminophen unless a physician, pharmacist, or dentist says it is safe if you:
Have liver disease
Regularly drink three or more alcoholic beverages per day
Take another medication containing acetaminophen or APAP
Have previously had an allergic or serious reaction to acetaminophen
Avoid alcohol while taking pain medicine.
Prescription medication
Take prescription medication only as directed. Do not take additional acetaminophen if your prescription already contains acetaminophen or APAP unless your dentist, physician, or pharmacist specifically tells you to do so.
Prescription pain medicine may cause sleepiness or slower reaction time. Do not drive, operate machinery, drink alcohol, or combine it with sedatives unless your prescribing clinician says it is safe.
Call our office
Contact Eusebio Dental if:
Pain is severe or is not controlled by the recommended medicine
Pain becomes significantly worse after initially improving
Swelling continues to increase
You develop fever, pus, a foul taste, or other signs of infection
You have questions about which medication is safe for you
Call 911 for trouble breathing, difficulty swallowing, rapidly spreading swelling, chest pain, fainting, or signs of a serious allergic reaction.
Important
These instructions are intended for adults. Do not use these doses for children or adolescents unless a dentist, physician, or pharmacist provides instructions based on the patient’s age and weight.
Normal Healing
A small amount of bleeding or pink saliva
Swelling for 2–3 days
Mild bruising
Jaw soreness or stiffness
A mild bad taste
A white or yellow-looking layer over the socket
Slow improvement each day
You Might Be Wondering
Why does my saliva look so bloody?
A little blood can make saliva look like a lot.
Can I brush?
Yes. Brush every tooth. Be gentle near the socket.
When can I eat normally?
Start with soft foods. Add other foods slowly as you feel better.
Why is the hole still there?
The gum and bone heal slowly. The hole may be present for several weeks.
What is dry socket?
Dry socket is strong pain that often starts 2–5 days after a tooth is removed. Call us if pain gets worse or moves toward your ear.
Helpful Tips
Take pain medicine before the numbness wears off.
Keep extra gauze nearby.
Sleep with one extra pillow tonight.
Do not keep pulling your cheek to look at the area.
Smoothies are fine, but do not use a straw.
Ice cream is fine, but skip crunchy cones.
Drink plenty of water.
Why This Matters
Gauze and pressure help form a blood clot.
The blood clot is your body's natural bandage.
Ice lowers swelling.
Soft foods protect the area.
No smoking, vaping, or straws helps prevent dry socket.
Tooth Extraction