Extraction and Bone Graft Post-Op

Here are post-op instructions for your tooth extraction with bone graft. Please call us at Lund Dental Phone Number 781-438-2700 or email us at [email protected] if you have any questions.

  1. Your anesthesia will wear off in approximately 1 to 3 hours after the procedure. It is very important not to chew on the numb side until the anesthesia wears off. It is easy to bite or burn your cheek, tongue, or lip while numb.
  2. We have placed a suture (stitch) in the extraction site that should dissolve in 1 week. If you notice small white particles or anything else coming out of the surgical site, please contact us.
  3. To help form a blood clot, keep biting on the gauze for at least 30 minutes or until the bleeding stops. You may change the gauze if it becomes saturated. A slight amount of blood may continue to leak from the extraction site until a clot forms. If the bleeding is heavy, bite on fresh gauze for an additional 30 minutes. If this does not work, please contact us.
  4. You may have some discomfort and swelling following the extraction. Please follow the pain management regime outlined for you and take antibiotics if prescribed. Make sure to finish the whole antibiotics prescriptions even if you feel fine.
  5. Use a cold pack (a plastic bag of frozen peas works well) to the face over the area where the procedure was done for 10 minutes at a time, twice an hour, for the first 6 hours. You can periodically use an ice bag the rest of the day of surgery and the next day. If you use the ice bag as directed, you should have less swelling than you would have otherwise. Less swelling = less pain. Do not use hot packs or a hot water bottle.
  6. DO NOT SMOKE for at least 24 hours after the extraction. Smoking delays healing and increases the risk of infection.
  7. Limit strenuous activity for 24 hours to keep your blood pressure lower which will reduce bleeding and help the blood clot to form.
  8. Do not use a straw, rinse your mouth vigorously, or spit excessively. These activities can dislodge the blood clot.
  9. You can eat what you feel comfortable eating, but try to avoid any sharp food (e.g., chips) or overly hot food or beverages. Avoid alcoholic beverages for 24 hours.
  10. Keep up your normal oral hygiene in all areas except for around the surgical site. Do not use a water-pik or an electric toothbrush around the surgical area for 6 weeks after the procedure. Do not floss around the tooth/teeth worked on for 1 week, so you do not accidentally take out any of the stitches.
  11. Apply Peridex (chlorhexidine), a topical antiseptic, to the surgical area using a Q-tip 3 times/day for 4 weeks. Soak the Q-tip in the Peridex and then dab it gently on the surgical area – do not scrub. Once this liquid is applied, do not eat, drink or rinse out for 30 minutes.
  12. It is important that the surgical site remains untouched during the initial stages of healing. We recommend that you avoid stretching your mouth to look at the site and avoid playing with your tongue on the surgical site.
  13. Sleep with an extra pillow under your head – if there is a little blood on your pillow in the morning, do not be alarmed.

We thank you for being a part of the Lund Dental family.