A tooth extraction is a common dental procedure performed when a tooth is damaged beyond repair, impacted, or causing overcrowding. While dentists strive to preserve natural teeth, removal can be necessary to maintain overall oral health and prevent further complications. Proper care following the extraction is important for promoting healing and minimizing discomfort during recovery.
Gauze Duration and Its Role
After a tooth extraction, your dentist will place a piece of sterile gauze over the extraction site. Keep this initial gauze in place for 30 to 60 minutes. Its primary purpose is to apply pressure, controlling bleeding and encouraging a stable blood clot. This clot acts as a natural barrier, protecting underlying bone and nerves, and forms a foundation for new tissue to develop.
To ensure effective pressure, bite down firmly but gently on the gauze. Avoiding excessive talking or mouth movements while the gauze is in place helps maintain consistent pressure. The formation and stability of this blood clot are important for the healing process and to prevent complications such as a painful condition like dry socket.
Addressing Continued Bleeding
Light bleeding is normal for the first 24 hours after an extraction. If bleeding persists or restarts after the initial gauze is removed, you can replace it with a fresh gauze. Moisten the gauze slightly before placing it directly over the extraction site and apply firm, continuous pressure by biting down for at least 30 minutes. Repeat this process as needed, changing the gauze every 30 to 45 minutes until the bleeding significantly reduces.
Alternatively, use a moistened black tea bag. Black tea contains tannic acid, which aids in blood clotting and can help stop bleeding. If bleeding remains heavy, continuous, or does not subside after several attempts with fresh gauze or tea bags, contact your dentist.
Immediate Post-Extraction Care
The first 24 hours after extraction are important for protecting the blood clot and promoting proper healing. To avoid dislodging the blood clot, refrain from vigorous rinsing, spitting, or using straws. The suction created by these actions can disrupt the clot and potentially lead to a dry socket.
For the initial days, consume soft foods like yogurt, applesauce, or lukewarm soups. Avoid hot liquids and hard, crunchy, or sticky foods that could irritate the extraction site. Rest is also beneficial; limit strenuous exercise for at least 24 hours as it can increase blood pressure and bleeding. Manage discomfort by following your dentist’s instructions for pain medication and applying ice packs to the outside of your cheek for 15-20 minutes at a time during the first 24-48 hours to help reduce swelling.