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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
    OR

  • Acetaminophen 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

Call Eusebio Dental

Call or text Eusebio Dental for:

  • Bleeding that does not slow after firm pressure

  • Pain that gets worse after Day 3

  • Fever over 101°F (38.3°C)

  • Pus, a strong bad smell, or swelling that keeps getting worse

  • Numbness that lasts more than 24 hours

  • Any problem that worries you

Emergency
Call 911

Call 911 now for:

  • Trouble breathing

  • Severe swelling that makes it hard to breathe or swallow

  • Bleeding you cannot control

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

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