A tooth was pulled out. What's next? Tooth hurts after extraction: development of alveolitis

This is a rather unpleasant process: a tooth was pulled out, what to do now? First, it’s worth noting what you shouldn’t do after tooth extraction. You cannot eat for two to three hours after surgery. It is not advisable to drink alcohol for two days; you cannot even smoke. It is also not recommended to engage in heavy exercise. It is contraindicated to take too hot a shower, especially visiting a sauna, as well as for a long time be in the sun. All of these actions can lead to various kinds complications.

If a tooth is pulled out, what should you do?

After removing a tooth, the doctor leaves a gauze swab in its place, which must be removed after about thirty minutes.

If the wound bleeds and hurts for a long time after tooth extraction, you need to take certain measures: moisten a gauze swab with three percent hydrogen peroxide and apply it to the wound. The bleeding should stop and the wound should heal. If this does not help, be sure to consult a doctor.

After the anesthesia wears off, the person may still feel pain for some time, for example, a tooth has been pulled out, or the gums hurt. In these cases, you can take a tablet of ketonal, ibufen, ketans or nurofen.

When you come home after tooth extraction, apply ice to your cheek in the place where the tooth was. Pre-wrap the ice in plastic and a towel. Keep the compress for about ten to fifteen minutes, do not allow hypothermia.

In the first days after tooth extraction, you need to follow a certain diet. You should not eat very hard foods, pickles, spicy or smoked foods. Such food can cause inflammation in the wound. It is better to eat soups or cereals.

Don't drink drinks that are too hot. You can rinse the wound only after a day. But you can take tooth baths. Keep decoctions of chamomile, calendula or yarrow in your mouth, but do not rinse, so as not to disturb the thin coating of the wound.

You should not injure a blood clot at the site of the wound after tooth extraction, as this can lead to inflammation of the tooth socket.

During the week while the tooth is healing, it is necessary to maintain careful oral hygiene.

When brushing your teeth at the site of the wound, do not press on the brush.

If a tooth is pulled out, what should you rinse the wound with?

Can be used for rinsing different types decoctions and solutions. Just remember that rinsing is carried out only one day after tooth extraction. On the first day, you can only do baths for your teeth.

You can rinse your teeth with a solution of one teaspoon table salt per glass of boiled cool water. Repeat the procedure every half hour.

Rinsing with a weak pink solution of potassium permanganate is also suitable. It can be applied every fifteen to twenty minutes. It speeds up healing.

Any herbs that have antiseptic properties are also suitable. The same method is suitable when a child has...

You can use a solution baking soda. Also, one teaspoon of soda is enough for one glass.

Do not use alcohol solutions.

Essential oils can be added to solutions tea tree which will protect the wound from inflammation.

Possibilities of restoring an extracted tooth

If yours is simple, you can increase it. But if it is removed, you will have to use other means. This is mainly implantation and others different kinds prosthetics.

Among the prosthetic options, experts offer a dental implant, a nylon prosthesis, prostheses with metal-ceramic or ceramics, bridge crowns, plastic prostheses, a classic bridge, a bridge with fillings or an adhesive bridge, and other options for tooth restoration.

You should not delay the process of restoring an extracted tooth for too long. This may lead to unpleasant consequences. For example, teeth located next to the wound may begin to grow crookedly, taking up space former tooth, the tooth socket is deformed, etc. Carefully follow your doctor's recommendations after tooth extraction. Then the healing process will be quick and painless.

If postoperative period After tooth extraction is not accompanied by complications, the patient will not have any special changes in the diet.

In any case, immediately after the operation you must refrain from eating for 2 hours.

This will allow a clot to form, which protects the socket from infection and promotes bone formation.

How to behave after tooth extraction?

It is not recommended to drive after the operation due to high probability loss of orientation under the residual influence of anesthesia. To avoid bleeding, you should refrain from heavy physical work, taking hot baths, or visiting a solarium or sauna for at least 24 hours.

The risk of postoperative complications increases if a gum incision has been made. In this case, the patient is advised to rest. To avoid seams coming apart, you should control your facial expressions: do not laugh or open your mouth wide. Chew food on the opposite side. Preference is given to soft and ground food.

For fast healing decoctions will be useful medicinal herbs: chamomile, calendula, oak bark. However, rinsing your mouth on the first day after surgery is strictly prohibited. To disinfect, the solution is taken into the mouth, left for about a minute and spat out.

What to do if the area hurts after surgery?

Depending on the complexity of the operation, the pain can be short-term or long-term. It is believed that the area hurts especially for a long time after the removal of a wisdom tooth.

Cold compresses and painkillers are used to relieve pain. To disinfect the oral cavity, propolis plates are used, which should be kept in the mouth until completely absorbed.
Usually the pain is aching in nature. Fully painful sensations tissue damage in the area disappears on the third day.

Pain is often accompanied by the following symptoms:

These signs in themselves do not indicate a complication. Swelling occurs when there is destruction connective tissue, a hematoma is a consequence of damage to blood vessels, the temperature can rise in cases of severe removal, which requires dissection of the gums and even anesthesia. Usually all these symptoms disappear after a day.

If the next day the patient’s condition worsens, throbbing pain appears and persists heat, then this indicates the beginning inflammatory process.

The patient is prescribed wound drainage, treated with antiseptic solutions, prescribed antibacterial therapy, and, if necessary, pain relief.

Reasons for prohibiting food intake

You should not eat food immediately after tooth extraction for a number of reasons:

high risk of socket injury;

the likelihood of inflammatory processes;
washing out the clot and forming a dry socket;
risk of rebleeding.

How much can you eat? At easy removal You can refrain from eating for 2 hours. But in case of serious surgical intervention, the answer to the question of how long after you can eat is 4-6 hours.

Warm and, especially, hot food is contraindicated. Heat increases blood circulation and provokes bleeding.

When and what can you drink?

Liquid intake is limited for 2 hours after removal. Alcohol-containing drinks should be avoided for 3 days. At antibacterial therapy abstinence from alcohol is maintained for the entire period of treatment. In particular severe cases It is recommended to avoid any drinks and drink only cool water.

After a tooth has been pulled out, you should not consume caffeine-containing compounds. The restriction applies to any hot liquid. To protect the gums from injury, it is permissible to provide feeding through a tube.

The patient can drink almost any drink that does not irritate the mucous membranes. But especially useful during the recovery period are fortified fruit drinks based on cranberries, black currants, and lingonberries.

When can you eat and what food do you prefer?

The food ban may be extended due to complications during the operation. On the first day, you should eat only pureed or softened food. Recommended are puree soups, thick broths and yoghurts. The food temperature should not be higher than room temperature.

After a day, you can switch to harder foods, but dentists do not recommend switching to your usual diet earlier than a week after surgery. Particularly strict restrictions apply to those patients whose tooth extraction was accompanied by complications.

Deny meat products and rude dietary fiber not worth it, but they should be consumed in a form that will not damage the unprotected gum. What to eat: steam cutlets from double-ground minced meat, vegetable puree, cheesecakes and casseroles - all these dishes are considered safe and easy to chew.

The action plan is described in the following video.

There is still a gauze compress on the hole. In fact, the dentist will place cotton wool or gauze on a fresh wound only if it is bleeding. In other situations, you should not close the wound with any material, since when it is removed, the resulting clot that closes the hole may also be removed. This will lead to re-opening of the wound and possible infection and the development of inflammatory processes. If after the procedure there is a gauze or cotton compress left in your mouth, carefully remove it, because the material soaked in blood becomes a source of bacteria and germs.

Filming pain syndrome . For many people, after amputation, the area aches, pulls and causes discomfort. Applying a chilled object (a coin, an ice bottle, frozen berries or meat, just a piece of ice) will help alleviate the situation. A cold object should be wrapped in a thin towel and applied to the cheek in the area where pain is felt. This will also help avoid swelling of the area after complex treatment. Ice should be applied in 3 approaches and held for no more than 5 minutes, after which the same break should be taken.
Eating food. For the first 5-6 hours or longer after the procedure, try to refrain from eating. During the day, try to eat foods at room temperature or slightly cool, but in no case hot soups or meat. The liquid can be consumed immediately after removal, but only warm or cool. Try to avoid spicy, salty, sour and highly sweet foods, which can irritate the area.
Smoking, drinking alcohol. As for drinking alcohol, you should abstain for the first day, otherwise the blood vessels may dilate and the wound will begin to bleed. Alcohol is also prohibited in case of antibiotic therapy. You can smoke a few hours after the procedure. Remember, nicotine weakens the natural defenses of soft tissue, making it more vulnerable to infection.
Removing seams. Typically, the surgeon will remove the stitches one week after the procedure. In some cases, the material resolves on its own within 10-12 days.
Treatment oral cavity. If the amputation of a tooth was part of the treatment of others or the oral cavity as a whole, then manipulation can be continued after a week. When complex removal the area may take longer to heal.

What not to do after tooth extraction:

visit a sauna or bathhouse, take a steam bath hot bath(warm shower only);
play sports, lift weights;
be nervous and worried (bleeding may occur due to stress);
reach into the oral cavity with dirty hands;
touch the hole with your fingers, tongue, objects;
brush teeth in the area;
in case of stitches, it is forbidden to open your mouth wide and actively chew;
rinse your mouth aggressively, as the products can rinse out the blood clot, which in turn can cause alveolitis.

Taking medications after removal

Only a surgeon can write a prescription for antibiotics in the following situations:

complex dental treatment in the area;
difficult removal;
development of inflammation in the area, infection of the hole, suppuration;
appearance background diseases oral cavity (glossitis, stomatitis, candidiasis, etc.);
possible complications due to weak immunity, the presence of concomitant diseases.

Typically, the dentist will prescribe oral capsules Lincomycin, or Metronidazole. The medication must be taken for at least 5 days.

In case of severe suppuration or infection, antibiotics are prescribed as injections over a week.

Painkillers are also prescribed in some cases, usually against the background of inflammatory processes or immediately after a complex removal. You are allowed to take Nurofen on your own while the anesthesia is still in effect. More strong drugs With side effect, such as Ketanov, are available only with a doctor's prescription.

If the patient has hypertension, be sure to take the prescribed medication if your blood pressure rises. Otherwise, it may develop wound bleeding or even the appearance of hematomas, which can fester and cause a mini-abscess.

Diabetics should definitely measure their sugar levels. Tension and stress after the procedure can stimulate the production of adrenaline, which affects the patient’s well-being.

Oral hygiene

After the procedure, it is immediately forbidden to rinse your mouth and clean your teeth. Start performing your usual procedures the next day.

You should clean your teeth with a soft-bristled brush, carefully avoiding getting any fibers into the socket. Do not use irrigators, flosses or rinses in the removal area.

As for the hygiene of the hole, it receives initial disinfection and cleansing in the dentist’s office. Then for the first 2 days it is forbidden to rinse your mouth with anything; you can stop at baths and applications.

The following technique is considered effective:

take a rinse liquid into your mouth (pharmacy mouthwash, cooled herbal decoction, salt-soda solution, etc.);
hold the liquid in your mouth for no more than 3 minutes without performing rolling movements;
refrain from eating or drinking for 1-2 hours.

Use this method if you suspect the onset of an inflammatory process, notice a hematoma, or bleeding of the socket. Rinsing is also necessary in case of caries, pulpitis, gingivitis, periodontal disease and other diseases in the oral cavity. Antiseptic baths made from chlorhexidine or furacillin are effective when opening an abscess, infection of the hole, or suppuration of the area.

Normal and pathological processes after the procedure

Before you do anything after tooth extraction, determine which phenomena are considered normal and which indicate a complication. Do not rush to use all available means and medications at the slightest discomfort in the area, because you can simply harm the body and weaken the wound’s natural defenses.

So, let's look at how the zone can behave after the procedure.

A couple of hours after amputation, the socket along with the gum may ache, ache, and swell. Primary swelling can be easily relieved by applying cold.
Maximum swelling of the area may appear even on the 3rd day. It is also often accompanied by blue discoloration in the area (hematomas, bruises). As a rule, both swelling and hematomas will go away on their own within a couple of days.
The soreness of the socket is a consequence of a mini-operation on it. You can cool the area and use prescribed pain medications. The soreness of the gums should subside every day.
Bleeding gums in the first hours is absolutely normal. You may also notice bloody inclusions in your saliva for a couple of days. In case of high blood pressure, exercise, stress, work stress and alcohol consumption, bleeding may last longer.
The corners and surface of the lips may dry out, leading to cracking and discomfort. You can moisturize the area with thick cream or Vaseline. Also, after removal, herpes may worsen.
After a complex removal, a slight rise in temperature, sore throat, weakness and apathy can be considered normal, headache, muscle aches, development of colds. All these symptoms indicate a weakened immune system due to stress.
Also, many patients complain that they cannot open their mouth wide for the first 2-3 days.

We looked at what you should and shouldn't do after tooth extraction. Now let's look at the signs of complications, if detected, you should immediately go to the hospital.

The pain lasts for several days and is not relieved by anesthetics.
Bleeding continues the next day after the procedure. Blood is characterized by a scarlet tint.
The swelling has spread to the jaw and cheek, which prevents the patient from eating, communicating, or performing mandatory oral hygiene.
Numbness of the area that lasts for several days. In this case, the functioning of temperature and taste buds may be disrupted.
High fever that lasts for more than a day.
On the surface of the hole, tissue necrosis (blackening), the formation of a whitish coating is observed, purulent plugs etc.
A characteristic smell of rotting and pus appeared from the mouth.
The stitches placed by the dentist came apart.
The mobility of adjacent teeth is noticeable.

For normal removal, simple requirements are sufficient. In the case of a complex variant, the patient should keep the situation under control and when unhealthy signs go to the doctor immediately.

vashyzuby.ru

A tooth was removed: what to do after removal

All recommendations below are based on their personal 15 years of experience as an oral surgeon, as well as academic knowledge. But if something is unclear to you, you can ask your question in the comments at the bottom of the article.

1. What to do with a gauze swab -

A tooth was removed today: what to do after removal with a gauze swab on the socket... A swab soaked in blood is an excellent breeding ground for infection. And the longer you keep it in the mouth, the greater the risk of developing inflammation in the socket of the extracted tooth. If you still have a gauze swab on your socket, you need to remove it urgently. It is advisable to do this without jerking and not strictly vertically, but sideways (so as not to pull out the blood clot from the hole along with the tampon).

An exception may be a situation where the hole is still being touched up - in this case, the gauze swab can be held for a little longer. But it’s best to spit out this old gauze swab soaked in saliva and blood, make a new one from a sterile bandage, and place it on top of the hole (biting firmly).

Important: At first, saliva may normally be colored pink color due to the release of ichor (this should not be confused with bleeding). At the same time, it is not clear why many patients stop swallowing saliva and accumulate it in the oral cavity. There is absolutely no need to do the latter; saliva can be swallowed as usual.

2. How long after tooth extraction can you eat?

Most often, patients are interested in when they can eat after tooth extraction and what food is best to eat. You can safely eat after 2 hours, but on the same side (where the tooth was removed) it is not advisable to chew anything dense or hard in the first days after extraction. This is necessary in order not to injure the fresh blood clot in the socket of the extracted tooth.

You can drink water immediately after tooth extraction. As for food, if you still can’t wait 2 hours, then you can absolutely safely drink a glass of kefir or eat yogurt right away. In general, a ban on any certain products no, you just need the cooked food to be soft in the first days (for example, if it’s meat, it should be cured).

3. Apply cold to prevent swelling -

What to do after tooth extraction to prevent the development of swelling... As soon as you come home, your first actions are to take ice or a piece of frozen meat from the freezer, wrap it in a towel and apply it to your cheek in the projection of the extracted tooth. This is necessary to avoid or reduce possible swelling soft tissues of the face, which may develop (especially if removal was difficult).

It is necessary to hold the ice 3-4 times for 5 minutes, with an interval of 5-10 minutes between each approach. It makes sense to keep ice only in the first hours after removal, then it is useless. But heating and applying heat is strictly forbidden, because... In this case, suppuration is guaranteed.

Important: If you want to avoid the development of swelling of the soft tissues of the face as much as possible, then in addition to using cold, be sure to take antihistamines (anti-allergic) medications in the first 2-3 days after removal. This group of drugs also has a good anti-edematous effect. Suprastin is especially suitable: 1 tablet per day before bed (for 2-3 days).

6. What not to do after tooth extraction -

What absolutely cannot be done after tooth extraction...

7. Painkillers –

If the extraction was simple, you may not need pain relief after tooth extraction. But if you want to completely prevent the appearance of pain, then it is better to take a strong tablet analgesic even before the anesthesia wears off (which one is better to choose - see the link, but remember that after removal you cannot take aspirin).

Sometimes the pain is very severe. As a rule, this happens if the removal was performed by a doctor in a very traumatic way or if inactive bone fragments were left behind. The pain is most severe when the doctor used a drill to drill out the bone, and water cooling was not used (this leads to necrosis of bone tissue as a result of overheating).

Important: Numerous studies show that the severity of pain after tooth extraction is reduced by an average of 30-50% if the doctor places sutures on the socket of the extracted tooth. In addition, bringing the edges of the mucous membrane together by applying sutures helps protect the blood clot from loss and injury, sharply reduces the risk of developing inflammation of the socket, and almost completely eliminates the occurrence of bleeding.

After a simple simple extraction, most dental surgeons very rarely use sutures. I can recommend for the future - always before removal, ask your surgeon to put 1-2 stitches on you, even if the removal is simple, and even if you have to pay an extra 300-400 rubles for it. As a rule, sutures do not have to be removed (they dissolve on their own), but they will reduce pain and reduce the risk of complications.

8. Antiseptic rinses/baths –

Remember that you should not rinse your mouth vigorously during the first few days after removal, because... you can easily rinse the blood clot out of the socket. Food will constantly accumulate in a hole without a clot and rot there, causing inflammation and pain. It is better to replace rinses with baths (take into mouth antiseptic solution, hold it and spit it out, or lightly “cheat” it).

When antiseptic baths should be done -

Antiseptic baths are best done with aqueous solution Chlorhexidine 0.05%. The solution is sold ready-made, costs about 30 rubles, has a pronounced antiseptic effect, and is slightly bitter in taste. Baths should be done 3 times a day, keeping the solution in your mouth for about 1 minute each time.

9. Antibiotics after tooth extraction –

Antibiotics after tooth extraction should be prescribed by a dental surgeon and not taken independently. An antibiotic for tooth extraction is always prescribed in situations where -

Amoxiclav after tooth extraction is one of the most effective and popular drugs among dental surgeons. It has affinity for bone tissue. Adults need Amoxiclav 625 mg (each tablet contains amoxicillin 500 mg and clavulanic acid 125 mg). The drug is taken 2 times a day for 5-7 days.

However, if you often develop diarrhea while taking antibiotics, then it is best to use another antibiotic - Unidox-solutab (100 mg tablets; take 2 times a day - for 5-7 days). This antibiotic is much less likely to cause stomach upset. We recommend these two antibiotics for you to choose from.

Important: because These antibiotics are not cheap, we will also indicate this as an alternative Russian drug as Lincomycin 0.25 capsules (take 2 capsules 3 times a day, for a total of 5-7 days). It's inexpensive, enough effective drug, but unfortunately it greatly affects the intestinal microflora.

10. If blood comes from the hole -

There are several effective methods which will stop the bleeding. Most often, the wound bleeds in people who have high blood pressure (hypertension). However, a rise in pressure can be caused by completely healthy people due to psychological stress.

The first thing to do is to apply a tightly twisted swab of sterile bandage to the wound, and then immediately measure the pressure. And if it is elevated, take the appropriate drug. For more information on how to stop bleeding, read the article:
→ “How can you stop bleeding from a tooth socket at home”

11. If you have high blood pressure –

If you regularly measure your blood pressure, if it is higher than normal, take the appropriate medication. Otherwise, there is a very high risk of bleeding or hematoma formation. The first can lead to weakness and dizziness, and the formation of a hematoma is fraught with its suppuration and the need to open it.

12. If you have diabetes –

If you have a device for determining blood sugar at home, it is advisable to immediately measure your sugar. The stress of removal contributes to the release of adrenaline, the concentration of which largely determines blood sugar levels. This will help you prevent feeling unwell.

13. Removal of sutures after removal –

After tooth extraction, the sutures are usually removed no later than 7-8 days. However, removal of sutures may not be necessary if, for example, catgut is used as a suture material. This material dissolves on its own within 10 days. When you see that the seams are very loose, you can simply remove them with clean fingers.

14. Treatment of teeth after extraction –

It is advisable to continue treatment after tooth extraction no earlier than 7 days later. If the removal was difficult, then sometimes it may take up to 14 days. This is due to the fact that in carious teeth there is a lot of pathogenic infection, which, when drilling a tooth, can easily get into a blood clot and lead to suppuration.

What should a socket of an extracted tooth normally look like?

As you will see below, the blood clot after tooth extraction first has an intense burgundy color. Gradually, the surface of the clot becomes whitish/yellowish (this is normal, because fibrin effusion occurs). Normally, the blood clot should be dense the next day. If the clot becomes loose, this means it has disintegrated, and you should familiarize yourself with the symptoms of inflammation of the socket in order to consult a doctor in time.

What does the gum look like after tooth extraction (normal) –

Oral care after tooth extraction –

The oral cavity requires careful care after tooth extraction. Teeth should be brushed as usual, including the group of teeth in the area of the extracted tooth. The latter are simply cleaned more carefully so as not to injure the blood clot. You also need to carefully rinse your mouth from foam so as not to rinse the clot out of the hole.

You also need to care for your gums after tooth extraction (antiseptic baths, which we described above, are sufficient for this). But the lack of proper hygiene will cause the accumulation of soft microbial plaque, which is fraught with suppuration of the hole and the development of alveolitis. We hope that the article on the topic: Tooth pulled out, what to do - was useful to you!

24stoma.ru

Is it possible to drink alcohol the day a tooth is pulled out?

Ethanol (alcohol) is a powerful depressant that specifically hits the central nervous system person. When drinking an alcohol-containing drink, cholesterol levels increase, blood vessels narrow and become more brittle, blood pressure rises, the number of biochemical components of the blood decreases, and the body becomes more vulnerable to infections. Drinking alcohol soon after a minor operation can result in bleeding, inflammation of the gums and jaw. Drinking alcohol is an undesirable procedure.

The dentist’s instructions on what to do after a tooth has been pulled out are almost mastered:

On the first day, warm baths are made (keep in the mouth without wave-like movements) from infusion of chamomile, calendula with the addition of essential oils antiseptic plants.
Healing is accelerated by frequent (every 30 minutes) rinsing, starting the day after tooth extraction, with a slightly pink solution of potassium permanganate.
A 20% solution of baking soda fights harmful microbes, dilutes secretions, and drains ulcers. Long-term use baking soda can be harmful.
The use of propolis is justified.
Taking a hot bath, active physical activities excite autonomic system body.

After 15-20 minutes, spit the gauze balls out of your mouth. The doctor may leave them if the bleeding from the hole has not completely stopped. Unfortunately, there are cases when patients walk around with these balls until their next appointment.
Within two - three hours don't eat anything. Pieces of food can injure the formed clot, which will lead to bleeding and pain.
For the first day, avoid too cold or hot food, steam rooms, saunas and cold hardening. Sudden temperature changes will provoke the expansion and contraction of blood vessels. The result is bleeding and pain. Alcohol can also dilate blood vessels, so we exclude that too.
Try not to injure the blood clot in the socket. If it is removed or damaged, inflammation may begin. The most dangerous things for a clot are toothpicks, Toothbrush, your curious tongue and solid food. Of course, you need to brush your teeth after extraction to prevent the infection from spreading. But this should be done carefully and accurately.
Temporarily stop using aggressive tooth rinses. They are able to destroy the clot.
If you start to have a fever, pain, or have questions, contact your doctor. Tooth extraction is, after all, an operation and may be followed by various complications. The sooner the doctor detects and eliminates them, the faster they will pass. Remember: advanced complications are much more difficult to cure than those that are at an early stage.

Rinsing

The first time after tooth extraction, you need to rinse regularly. This is necessary to prevent infection from getting there. So, what should you rinse with after tooth extraction and how often should you do it?

Recipes for rinsing wounds:

Dissolve one teaspoon table salt in a glass of boiled water.
Dissolve several granules of potassium permanganate (potassium permanganate) in warm boiled water. The solution should be weak.

Rinse your mouth with the resulting liquid every 15 minutes. Simply put some of the solution in your mouth and hold it there for a few seconds. Then spit it out and repeat 3-4 more times. When rinsing, the main thing is not to overdo it. Too much active movements will not do your wound any good. With regular rinsing, quick and painless healing will occur.

Nutrition

Follow your doctor's instructions about what to eat after tooth extraction. Temporarily, avoid solid foods, especially during jaw numbness. When sensitivity begins to return, you can start eating. At first it is preferable to eat liquid or soft food. Soups, yoghurts, purees, fruit smoothies and other products with a light consistency are perfect for you. Avoid cold and hot drinks, carbonated waters and spicy foods.

What not to do

Do not smoke for the next two days after removal. Contained in cigarettes chemical substances may contribute to the destruction of the clot.
Don't spit. When saliva is collected in the mouth before spitting, increased pressure is created, which can lead to the displacement of the clot. If this happens, be prepared for a painful condition called “dry socket.” In this case you will need additional treatment and rinsing.
Do not miss taking medications prescribed by your doctor.
Avoid slurping and tough vegetables.

The pain has returned, what should I do?

It is simply impossible to remove a tooth completely painlessly. You need to be prepared for pain during the first 5-7 hours after removal. If the pain does not go away, it can be artificially weakened. To do this you can:

make salt baths;
apply a swab soaked in tincture of sage or chamomile;
Apply an ice cube (the main thing is not to overdo it to the point of hypothermia).

Complications very often occur after tooth extraction, so consult a doctor without delay.

Bleeding

There are cases when bleeding occurs some time after the operation. Don't panic, there are ways to stop it even without the help of a doctor.

Twist a tight cotton swab or gauze and place it on the bleeding hole. Squeeze your jaws tightly and do not loosen them for 15-20 minutes. If after this the tampon is not completely saturated with blood, congratulations, you succeeded. A blood clot formed at the site of bleeding. Try not to disturb him for at least a couple of hours.
If the previous method did not help the first time, repeat the procedure again. Now the tampon can be soaked in a three percent peroxide solution and repeat the same thing.
The bleeding is too strong and does not want to stop - consult a doctor. Already at the dentist's appointment you will undergo electrocoagulation or stitches. The wound bleeds after tooth extraction

Every person in his life has gone through a tooth amputation, some childhood, who is in the adult. Often after the procedure, unpleasant complications arise: infection and inflammation of the socket, bleeding of the socket, bruising, swelling and redness of soft tissues, suppuration, etc. In this article we will look at what to do after a patient has a tooth pulled out, how to avoid side effects And re-treatment areas. We will also give recommendations on proper care behind the area in various situations.

In this subsection we will look at everything important stages which should be done to the patient after tooth extraction.

There is still a gauze compress on the hole. In fact, the dentist will place cotton wool or gauze on a fresh wound only if it is bleeding. In other situations, you should not close the wound with any material, since when it is removed, the resulting clot that closes the hole may also be removed. This will lead to re-opening of the wound and possible infection and the development of inflammatory processes. If after the procedure there is a gauze or cotton compress left in your mouth, carefully remove it, because the material soaked in blood becomes a source of bacteria and germs.
If the material adheres tightly to the wound, you should not pull or remove it forcibly, because you can tear off that very clot. Soak the area with chlorhexidine, and then carefully remove the application.

Hole immediately after tooth extraction

What not to do after tooth extraction:

visit a sauna or bathhouse, take a steam bath (warm shower only);
play sports, lift weights;
be nervous and worried (bleeding may occur due to stress);
reach into the oral cavity with dirty hands;
touch the hole with your fingers, tongue, objects;
brush teeth in the area;
in case of stitches, it is forbidden to open your mouth wide and actively chew;
rinse your mouth aggressively, as the products can rinse out the blood clot, which in turn can cause alveolitis.

Taking medications after removal

Many people make the mistake of starting to take antibiotics, anti-inflammatory, antimicrobial and painkillers without a doctor's prescription.

Only a surgeon can write a prescription for antibiotics in the following situations:

complex dental treatment in the area;
difficult removal;
development of inflammation in the area, infection of the hole, suppuration;
the appearance of background diseases of the oral cavity (glossitis, stomatitis, candidiasis, etc.);
Complications are possible due to weak immunity and the presence of concomitant diseases.

Typically, the dentist will prescribe oral capsules Lincomycin, or Metronidazole. The medication must be taken for at least 5 days.

In case of severe suppuration or infection, antibiotics are prescribed as injections over a week.

Painkillers are also prescribed in some cases, usually against the background of inflammatory processes or immediately after a complex removal. You are allowed to take Nurofen on your own while the anesthesia is still in effect. Stronger drugs with side effects, such as Ketanov, are available only with a doctor's prescription.

Drug Nurofen

Many people are starting to use traditional methods To numb the area, apply ice directly to the wound or even prepare heating pads, which should not be done. Heat will accelerate the inflammatory processes if there are already rudiments, and can contribute to suppuration of the hole.

Diabetics should definitely measure their sugar levels. Tension and stress after the procedure can stimulate the production of adrenaline, which affects the patient’s well-being.

Oral hygiene

After the procedure, it is immediately forbidden to rinse your mouth and clean your teeth. Start performing your usual procedures the next day.

You should clean your teeth with a soft-bristled brush, carefully avoiding getting any fibers into the socket. Do not use irrigators, flosses or rinses in the removal area.

For the first 2 days it is forbidden to rinse your mouth with anything.

The following technique is considered effective:

take a rinse liquid into your mouth (pharmacy mouthwash, cooled herbal decoction, salt-soda solution, etc.);
hold the liquid in your mouth for no more than 3 minutes without performing rolling movements;
refrain from eating or drinking for 1-2 hours.

Normal and pathological processes after the procedure

So, let's look at how the zone can behave after the procedure.

We looked at what you should and shouldn't do after tooth extraction. Now let's look at the signs of complications, if detected, you should immediately go to the hospital.

The pain lasts for several days and is not relieved by anesthetics.
Bleeding continues the next day after the procedure. Blood is characterized by a scarlet tint.
The swelling has spread to the jaw and cheek, which prevents the patient from eating, communicating, or performing mandatory oral hygiene.
Numbness of the area that lasts for several days. In this case, the functioning of temperature and taste buds may be disrupted.
High fever that lasts for more than a day.
On the surface of the hole, tissue necrosis (blackening), the formation of a whitish coating, purulent plugs, etc. are observed.
A characteristic smell of rotting and pus appeared from the mouth.
The stitches placed by the dentist came apart.
The mobility of adjacent teeth is noticeable.

For normal removal, simple requirements are sufficient. In the case of a complex option, the patient should keep the situation under control and, if unhealthy signs appear, immediately go to the doctor.

People think about this question when the tooth no longer allows them to think about anything else, but it’s still a pity to part with it forever. Dentists support this decision of their patients, so they try to do everything possible to preserve it, because the absence of even one dental unit creates an uneven chewing load, leading to changes in the oval of the face over time. The dentist sends the patient to the surgeon when, after an examination, he comes to the conclusion that it is no longer useful to treat the tooth.

Indications for tooth root or crown removal

With periodontitis, a tooth can still be saved if it is not completely destroyed. In other cases, there is a threat of infection of the entire body, a bag of pus hangs at the top of the root, a granuloma or cyst is formed, waiting for an opportune moment for the formation of flux, so the source of inflammation must be eliminated surgically.

Affected teeth are urgently removed in case of jaw injuries, in particular if they are located in the area of bone fracture. They are removed first, before applying the splint. In case of complex fractures of the tooth itself (for example, longitudinal), when restoration is impossible.

Sometimes on dead tooth I had a huge filling for a long time. When it finally falls out thin walls quickly collapse, leaving a stump with sharp edges.

If an individual dental unit is broken (the tooth wall is damaged to its full depth, below the gum level, individual fragments are unstable), the bone tissue is removed completely or partially, only the moving parts, replacing them with a prosthesis. If a newly knocked out tooth is brought to the dentist, he can perform a replantation and return it to the socket. Such operations are rare, but true.

The dentist will recommend urgent removal for marginal periodontitis - severe tooth mobility. If it is simply unstable due to injury or illness, if the root is mobile to the third degree, a planned operation will be scheduled, choosing a time when the problem does not cause acute pain.

Wisdom teeth are often removed because they grow unsuccessfully, which leads to deformation of the entire dentition. Often its sharp edges injure the gums, creating the preconditions for malignant neoplasms. Hygienic care beyond the outer eights it is difficult. If special problems no, you shouldn’t remove wisdom teeth - this is not the easiest operation, and they can even be useful for prosthetics.

If there is gumboil, the gums must also be treated first. Firstly, it is unlikely that it will be possible to remove such a tooth painlessly, and secondly, a purulent sac through open wound capable of infecting the entire oral cavity.

In the same planned manner, they get rid of dental debris if the crown is already completely destroyed. When bone tissue is affected by chronic infectious disease, which cannot be eliminated therapeutic methods, the dentist-therapist sends the patient to the surgeon. Sometimes teeth with poor canal patency or perforated roots cannot be treated. Indications for a visit to the surgeon will include the following problems:

Fortunately, even if the top is destroyed by caries, it is not necessary to remove the stump: the roots can also be treated, and then restored with light-curing materials or prosthetics top part using inlays, crowns or pins. Recommendations do not apply entirely rotten teeth, since this breeding ground for infection guarantees not only bad breath. Against the background of the fight against such inflammations in the mouth, immunity will be constantly reduced, it is not surprising that when bad teeth And general state health leaves much to be desired.

How does surgery occur?

Root resection involves taking a history, in particular, the presence allergic reactions for medications. On preparatory stage The dentist clarifies whether the patient has any contraindications for surgical intervention. Such causes may be pathologies of the heart and blood vessels, mental disorders, renal failure, disturbance of cerebral blood flow in acute phase. The doctor has the right to refuse help if the patient has acute leukemia or hemorrhagic diathesis.

Temporary restrictions are possible with stomatitis, purulent inflammations, infectious hepatitis, during the passage radiation therapy. Pregnant women do not have their teeth pulled out at the beginning and at the end of their pregnancy (1st, 2nd and 9th month). Women should not plan removal for the period critical days: the body is already weakened, healing of the hole may take longer. Some medications, such as blood thinners, can increase bleeding and complicate the recovery process. Therefore, the dentist must know everything about the medications he is taking; some of them may have to be temporarily discontinued.

If the X-ray of the tooth and the patient’s health condition leave no doubt, the doctor decides to remove it.

There is no need to be afraid of excruciating pain, since such operations are performed under anesthesia. The most great discomfort There will be an injection of a modern anesthetic. If you relax and do not disturb the doctor, he will prepare the tooth according to all the rules.

At the next stage, the oral cavity is treated. To disinfect the mucous membrane, a special solution is injected into the oral cavity. Unpleasant sensations antiseptic does not cause. Immediately after treatment, the doctor numbs the area of soft tissue with drugs of the articaine group; after a few minutes the tissue will lose sensitivity. Local anesthesia is performed in the area where the nerve exits. If it is not enough, sometimes additional is used. For example, in acidic environment In the inflamed gum, part of the medicine is inactivated, so additional anesthesia is needed.

The third step is to create access to the root apex. As soon as the patient feels that the cheek is numb, the doctor separates the bone tissue from the soft tissue. Sometimes he uses a scalpel to cut off ligaments and cuts a window in the bones to identify the problem area. Despite all the efforts of the dentist, the patient does not feel pain; the main thing is to create the right psychological attitude. The procedure time and the choice of instruments depend on the complexity of the operation. Usually, a drill is used to cut off the part of the root where a cyst or granuloma has formed, then medications are placed into the hole to stimulate bone growth and speed up healing.

After removal, the doctor tries to stop the bleeding, for which he tightens the edges of the hole, if it is torn, applies sutures, and leaves a tampon soaked in a hemostatic compound on the wound. In ampoules modern anesthetics contains not only an anesthetic, but also a medicine for constricting blood vessels.

Hemisection and root amputation are less commonly used. In the first case, the damaged root is pulled out along with half of the rotten dental crown, and the whole part is saved for dentures. During amputation, the entire root is removed, along with the cyst.

Fear of the dentist often leads to people walking around with problem teeth for years, especially if they don’t bother them. If you do not delay your visit to the dentist, it is not at all difficult for him to pull out the roots with forceps with special cheeks. If they are partially overgrown with gums, no incision is made. The root that has disappeared from visibility has an access line, and the gums do not even completely cover such a “rotten hole.” The surgeon opens it slightly with a trowel and removes it with forceps. On average, the entire procedure takes from 3 to 10 minutes.

Only in extreme cases, in the presence of 2-3 roots with a stable partition and healthy bone tissue the surgeon cuts them out with a drill and removes them one by one with forceps or an elevator. Most often, such techniques are used to remove figure eights that grow in adulthood.

What to do with a wound at home

An avulsed tooth destroys the ligaments that hold it in the mouth, so adjacent tissues and the vessels need to be restored. Even with normal blood clotting, the wound will bleed for the first time after removal. The effectiveness of hemostatic drugs increases compression of the wound, so it is so important to clamp the tampon with your teeth and not throw it away for 20 minutes. After three hours, when the anesthesia wears off, pain may well appear, and ichor will be released from the wound. At heavy bleeding can be bought at the pharmacy hemostatic sponge, Dicynon or Etamzitlat.

If the discomfort is tolerable, there is no cause for concern. Wisdom teeth bleed and hurt more than others, since the affected area during such an operation is larger. If the pain does not go away during the day, you can take a painkiller tablet.

On the second day, a clot with grayish coating– fibrin, which accelerates healing. Even if the hole smells bad (blood is an ideal environment for bacteria), you cannot rinse out the blood clot - it protects the wound from infection.

On the third day, all the problems are behind us: the wound does not bleed or hurt even when touched, health and temperature are normal, there is no swelling on the cheek. If any of the listed symptoms are present, it is better to see a doctor - perhaps a fragment of a carious tooth remains in the mouth, traumatic soft fabrics. If the hole was filled with blood and its visibility is limited, this may well happen. Do not hope that the fragment will come out on its own: the infection continues its destructive effect, so do not delay return visit to the surgeon. Any debris in the wound increases the likelihood of alveolitis - serious inflammation with pain, swelling, and high fever.

Table. How to properly care for your oral cavity during rehabilitation

How to care for a hole	Rationale for recommendations
	Within 2-3 hours, an open wound can easily become infected and injured
	Saline solution, furatsilin, miramistin, chlorhexidine, infusions of sage, chamomile, calendula accelerate healing Do not smoke, do not drink alcohol, do not blow your nose or kiss until completely healed.	Additional pressure may increase bleeding and cause infection.
	With high blood pressure (particularly in hypertensive patients), the wound bleeds longer
	Immunity in rehabilitation period demoted
	Hard, spicy and hot foods can damage the socket and increase blood flow

If there was an infection in the oral cavity, you will have to take antibiotics for some time and perform other restorative procedures recommended by your doctor. If you have any questions or pain or bleeding does not go away, you should contact your doctor. To do this, you need to take his contacts in time.

Videos about teeth removal at home periodically appear on the Internet. From an aesthetic point of view, watching a tipsy man writhe in pain, and his hands are covered in blood, is a dubious pleasure. But the main problem The point is that sterile conditions cannot be created for such a procedure. If the tooth does not crumble into fragments, it is pulled out on the tenth attempt, and it is almost impossible to extract the roots yourself. You should not remove children’s baby teeth at home - this is the competence of a professional.

Video - Tooth extraction with socket suturing

From this article you will learn:

How much can you not eat after tooth extraction?
what antibiotics and rinses to use,
How long after you can smoke after tooth extraction?

The article was written by a dental surgeon with more than 19 years of experience.

If you have just had a tooth removed, it is very important to know what to do after tooth extraction. This will prevent inflammation of the socket, the development of bleeding or swelling, which often arise due to errors in patient behavior.

For example, very often patients strongly rinse their mouth, which leads to the loss of a clot and the development of suppuration, or take aspirin (promotes bleeding and the formation of hematomas)... Also at the end of the article you can see what the holes of extracted teeth should normally look like after different times after removal.

A tooth was removed: what to do after removal

1. What to do with a gauze swab -