What should be done before and after a tooth extraction?

There are times when there is no other choice but to extract a tooth ( very advanced caries , periodontal disease , infections, parts that have not sprouted completely or the correct position is not found). Whether it is a simple or more complicated surgery such as the extraction of an impacted tooth, there are specific care that you must follow before and after the extraction so that the wound heals as soon as possible and avoid unnecessary infections and complications. Do you know which ones they are?

You already have an appointment with the dental surgeon to extract the wisdom teeth (wisdom teeth) … Or perhaps it is the tooth that has not finished sprouting your daughter and causes too much pressure on another of your teeth and you have to remove it. Whatever the case may be, there are specific instructions you must follow to make dental surgery a success and no wound infections or complications arise. Below we give you general recommendations, of course you should follow the ones given by your dentist or dental surgeon.


Preparations and care begin before surgery

In the case of adults, zero alcohol: avoid alcoholic beverages two days before the procedure and also after the operation, or during the duration of treatment with antibiotics, if the dentist (the dentist) prescribes them.

Also avoid very heavy meals the night before and try to get enough sleep so that you wake up rested (or).

  • If the procedure requires a large amount of anesthesia and / or sedation (as in the case of wisdom tooth extraction), you can not drive. Make arrangements for someone else to take you and bring you to the dentist’s office.
  • The surgeon may indicate that you take antibiotics before the procedure to prevent germs from entering the bloodstream during surgery. This is usually done if the patient has any condition that makes it difficult to fight infections such as: artificial or damaged heart valves, congenital heart defects, diabetes, weakened immune (defense) system, the patient takes medication steroids (such as part of the treatment of asthma or Crohn’s disease, for example), or has previously suffered a bacterial endocarditis (infection of the membrane lining the heart).
  • If you are taking any prescribed medication, especially if it is an anticoagulant (such as Coumadin or Warfarin) , notify the surgeon as this may interfere with coagulation and healing. You may also need to temporarily stop taking over-the-counter (pain) pain medications that can affect the blood clotting process. Supplements such as ginkgo biloba and ginseng may also increase bleeding and it is better to stop taking them before surgery.

What you should do after the extraction

The priority is to control the bleeding. For it: 

  1. Bite pieces of gauze placed on the gum for at least half an hour. Keep in mind that it is normal for some blood to continue to come out for several hours. The bleeding should be reduced little by little. If the amount is not contained or increased, call the doctor.
  2. Do not spit or drink liquid with a straw (straw, straw, sorbet, cigarette) to avoid causing more bleeding.
  3. Avoid touching the wound with your tongue so you do not irritate the gums anymore. Keep your head elevated, supported by pillows, or stay seated until bleeding is controlled. It is better not to smoke, but if you are going to smoke, you must wait 24 hours after the operation.
  • To clean the mouth :
    1. Do not rinse your mouth or brush your teeth until about 12 hours after the procedure. After that time, brush your teeth gently and rinse your mouth with warm salt water every 2 to 3 hours.
    2. Brush the teeth gently, avoiding touching the affected gum.
  • Attention to rest and diet:
    1. Try to sleep at least 8 hours at night and avoid intense activities until 24 hours after the extraction. Rest is vital for recovery.
    2. Eat a soft diet (soups, yogurt or fruit juices, for example) and try to drink as much liquid as you can during the first 24 hours after the operation.
    3. Avoid too hot foods and do not drink with a straw (straw, straw, sorbet, cigarette) to avoid bleeding.
  • To relieve pain and discomfort:
    1. Start taking the painkillers before the effects of anesthesia are over.
    2. Take the analgesics indicated by the dentist with food and water to prevent nausea.
    3. Even if you take painkillers without a prescription , do not overdo the dose. Follow the instructions on the package and those of the doctor.
    4. It is normal for inflammation to occur and last up to 4 to 6 days. To reduce it, apply ice to the area during the first 24 hours after the extraction, but no more than 20 minutes at a time. If the doctor has prescribed anti-inflammatories, take them according to the instructions of the dentist or the pharmacist.
  • Did you get points?
    1. Those who dissolve alone disappear after a little over a week.
    2. If they are the conventional points, you should go back to the dentist after a week (or when your dentist tells you) to remove the stitches.

Call the dentist if you notice a fever, if the swelling increases on the third day after the operation, if the bleeding is not contained or if the pain is so severe that the pain relievers (the pain medicines) you were told do not calm you down.



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