After a tooth extraction: what to do and what to avoid

What to do on the first day

1. Bite on gauze for 30-45 minutesThe pressure stops the bleeding and lets the clot settle.
2. RestAvoid heavy work or exercise on the first day, because bleeding can restart.
3. Eat cold, soft foodWait until the numbness wears off, and chew on the other side. You can hold an ice pack against your cheek.
4. Swallow your salivaSpitting can disturb the clot.

What to avoid for 24 hours

• No spitting, rinsing or straws. A strong pull can dislodge the clot.
• No smoking. It raises the risk of dry socket.
• No hot food.
• Don't touch the area with your tongue or finger.

From the next day

• Rinse gently with mild salt water.
• Brush your other teeth as usual, and take care around the area.
• Return to normal food gradually.

How much bleeding is normal?

A little blood in your saliva is common for a day or two. If it bleeds again, fold clean gauze and bite firmly for 30-45 minutes. If it still doesn't stop, call your dentist.

What to do about pain

Some pain is normal once the numbness wears off. Take painkillers as your dentist advises. If you take blood-thinning medicine, tell your dentist beforehand, and don't stop it on your own.

What is a dry socket?

If the clot comes away, the bone can be left exposed. This is a dry socket. See a dentist quickly if you have severe pain 2-4 days later.

When to get urgent help

• Bleeding doesn't stop after biting on gauze.
• Swelling or pain is getting worse, or you have a fever.
• You have trouble swallowing or breathing. Go to a hospital without delay.

How it heals

With care it heals gradually. New gum grows, and later the socket fills with bone.

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