In the oral cavity they do not pass without a trace for the body, and full recovery does not occur in 1 day. It takes several days or even weeks to rehabilitate and heal wounds, during which all doctor's prescriptions must be strictly observed.
Immediately after the operation, slight bleeding is allowed, usually by the end of the day it stops. At the same time, while brushing your teeth or spitting after eating, saliva may have a pinkish tint. This is also normal in the first 2-3 days after the operation. If bleeding from the gums is observed for several days, consult a doctor.
For gum bleeding, hold the sore spot with your finger for 20 minutes. As an additional measure, you can put very cold water in your mouth and hold for 5 minutes. You can also apply a tea bag to the bleeding area.
During a night's rest, place a few pillows under your head to elevate your jawbone. Place a towel over the pillows in case of bleeding.
Important! Try not to irritate the operated area with unnecessary touches and manipulations. It is better to chew food on the healthy half of the teeth, rinse your teeth very carefully, without sudden movements. Give up smoking for the period of rehabilitation (or better, in general, because it is among smokers that the percentage of gum and tooth diseases is the highest), do not drink drinks through a straw. On the first day, refrain from brushing your teeth.
Pain is a normal response of the body to surgery. The main thing is that it goes away within the first 3-5 days after the operation and does not increase. Observe yourself, every day the discomfort should be less pronounced. Ketarol, Nurofen, Dexalgin 25, Trigan-D, etc. will help to remove the obsessive pulsation in the mouth. Take according to the instructions. If you feel that after a week the pain has not gone away, but has become stronger, consult a doctor.
Be careful when taking pain medications. They can cause drowsiness, loss of attention. During the rehabilitation period, refrain from driving a car and riding a bicycle.
Edema is also normal and remains stable for the first 3 days after surgery. During this period, apply cold compresses more often (every 6 hours for 20 minutes), in no case warm the sore spot. Sleep on your healthy half at night.
During the healing period, the operated area is especially sensitive and vulnerable. In order not to introduce a new infection, as already mentioned, chew food only on the healthy half of the teeth. Quit smoking. During rehabilitation, take antibiotics, they will prevent the development of microbes that have entered the gum in time.
Be prepared for the fact that in the first 3 days after the operation, the body temperature may rise to 38 ° C. If there is no improvement after the specified period or the temperature is above the indicated threshold, consult a doctor immediately.
Due to the increased vulnerability of the gums, traditional tooth brushing will have to be limited for a while. Use your regular brush to treat only the healthy area. On the affected area, you can carefully clean off the remnants of food with a soft brush.
During the healing period, rinsing with antiseptic solutions is indicated. Universal remedy - Chlorhexidine. Its less concentrated and more palatable variation is Corsodyl. The solution must be held at the site of operation for 1-3 minutes, and then spit out.
Metrogil-dent gel will help speed up the healing process. It is applied to the gums in a thick layer, after which you need to refrain from eating and drinking for 30 minutes. Best applied after meals.
In the first hours after the operation, you should have food at room temperature on your plate. It is best to give up hot food for a couple of days. At the same time, the diet should be balanced, because. The body needs energy to recover. If you are following a diet for weight loss, temporarily abandon it.
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
VORONEZH STATE MEDICAL ACADEMY
THEM. N.N. BURDENKO
DEPARTMENT OF ORTHOPEDIC DENTISTRY
METHODOLOGICAL DEVELOPMENT №7
for teachers to conduct practical classes on the topic
“Peculiarities of surgery on the face and in the oral cavity. Tooth extraction operation. Indications and contraindications. Wound healing after removal
Topic № 7 «FEATURES OF SURGERY ON THE FACE AND IN THE ORAL CAVITY. TOOTH REMOVAL. INDICATIONS AND CONTRAINDICATIONS. WOUND HEALING AFTER REMOVAL»
Duration: 135 minutes.
Location of the lesson: training room, surgical room of the dental clinic.
The purpose of training:
To study the indications and contraindications for tooth extraction; know the stages of the operation of tooth extraction, their sequence, the features of wound healing after tooth extraction.
Lesson plan.
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Stages of the lesson |
Material equipment |
Time |
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Equipment |
Uch. Benefits, controls |
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Introduction |
Briefing on the disclosure of the topic of the lesson and its plan |
Method. Development for assistants |
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Control of the level of initial knowledge |
Questions, situational tasks. |
Answering questions, solving situational problems. |
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M / b parsing OOD, LDS if there is a method. For students |
Tables, diagrams |
Group discussion of tables, diagrams |
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Curation (by students) of patients. |
Subject patients, clinical equipment. Cabinet, tools, forms of case histories, outfit. Diary of a doctor. |
List of practical skills |
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Monitoring the results of assimilation. |
Testing, colloquium, solving situational problems. |
Assessment of students' knowledge is recorded in the progress log |
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Conclusion (answers to students' questions, discussion of curation of patients) |
Checking case histories |
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Assignment for the next lesson, literature |
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Questions, the knowledge of which is necessary for the study of this topic:
Examination of a dental patient.
Anesthesia in the maxillofacial area.
Aseptic and antiseptic.
Questions to be studied:
Features of operations on the face and in the oral cavity.
Indications for tooth extraction.
Contraindications for tooth extraction.
Tooth extraction operation, stages.
Wound healing after tooth extraction.
Summary of Lab Topic
Features of operations on the face and in the oral cavity
The complexity of the anatomical structure of the maxillofacial region, as well as the aesthetic and cosmetic requirements for operations on the face, determine some of the features of such surgical interventions. The maxillofacial region has an extensive blood supply network, so operations are often accompanied by profuse bleeding. Especially severe bleeding is observed when removing hemangiomas and extensive scars, during resection of the jaws for neoplasms. Preliminary ligation of the external carotid artery does not always reduce bleeding, since the vessels of the right and left sides of the face have many anastomoses. Therefore, during operations accompanied by heavy bleeding, blood should be transfused.
During operations on the face, the location of the branches of the facial nerve should be taken into account so that they are not damaged during tissue cuts. This should be especially borne in mind during operations on the parotid salivary gland. During operations on the lateral surfaces of the face, it is necessary to keep the duct of the parotid salivary gland intact - damage to it leads to persistent salivary fistulas, the elimination of which requires a complex operation.
The main and most common operations in the maxillofacial region include tooth extraction. Tooth extraction is one of the oldest operations. It has been known since the time of Hippocrates, when only loose teeth were removed. In the past, and even in the present, the term "extraction" of the tooth is used, which in translation means - pull, drag up, out. This term is replaced by the operation of tooth extraction, which refers to simple, but sometimes complex surgical interventions.
There are indications and contraindications for tooth extraction.
Indications. T.G. Robustova offers testimony - urgent and planned. Urgent - an operation to remove a tooth with purulent inflammation in the periodontium, periosteum, bone tissue, fiber, when the inflammation is not stopped (absolute) after conservative treatment or not subject to conservative treatment.
Planned (relative) readings:
The failure of conservative treatment in chronic inflammatory processes in the periodontium and bone, chronic sepsis;
The impossibility of conservative treatment due to obstruction of the root canals, perforation of the root or cavity of the tooth;
Inability to use the remaining root for prosthetics;
III-IV degree mobility and tooth protrusion in periodontitis and periodontal disease;
Incorrectly positioned teeth that injure the oral mucosa;
Uncut or partially erupted teeth, causing an inflammatory process;
Teeth located in the fracture line, interfering with the reposition of jaw fragments, not amenable to conservative treatment;
Teeth that protrude as a result of the absence of an antagonist;
Healthy teeth during orthodontic treatment, malocclusion.
Contraindications: (relative, temporary) /:
Cardiovascular diseases;
Acute diseases of parenchymal organs;
Hemorrhagic diathesis;
Acute infectious diseases;
Diseases of the central nervous system;
mental illness;
Acute radiation sickness I-III degree;
Diseases of the mucous membrane.
According to Yu.I. Bernadsky, indications for tooth surgery are divided into two groups; general and local.
Are common: odontogenic chroniosepsis, odontogenic chronic intoxication, odontogenic diseases of organs or systems in the body (endocarditis, myocarditis, nephritis, etc.).
Local : distinguishes 5 groups - sanation, sanation-functional, sanation-prosthetic, cosmetic and a complex of local indications.
In the group of rehabilitation indications, all destroyed teeth and roots are removed in case of acute and chronic inflammatory processes, with unsuccessful and impossible conservative treatment;
Sanitation-functional indications for a tooth extraction operation relate to those cases when improperly located teeth (wisdom teeth, fangs, etc.) injure the mucous membrane of the cheek or pterygo-maxillary fold, cause pain and thus impede the function of chewing; when a supernumerary tooth is tilted in front of the mouth or towards the tongue and injures the mucous membrane of the lip or tongue, which makes it difficult to speak and eat. In all cases of injury to the oral mucosa with teeth, they are removed, since repeated injury can lead to the development of cancer of the oral mucosa.
Sanation-prosthetic and orthodontic: a) single teeth (upper jaw), which prevent good stabilization of a removable denture; b) gangrenous tooth roots that cannot be sealed and used to support a removable and non-removable prosthesis; c) teeth protruding due to the absence of antagonists (Popov-Godon phenomenon); d) permanent sixth teeth in children, if these teeth have collapsed. Having removed them, the doctor ensures the eruption of the seventh tooth; e) fourth permanent teeth, which prevent orthodontic movement of the anterior group of teeth;
Cosmetic indications - supernumerary, abnormally located and malformed teeth, disfiguring the appearance of the face, especially when smiling.
Absolute indications are only increasing symptoms of inflammation in the periodontium, bones, and all the rest are relative.
Contraindications: general and local, permanent (absolute) and temporary (relative).
General constant (absolute) contraindications: a) the first days in case of acute myocardial infarction and subsequent days if the infarction is accompanied by angina pectoris and cardiac asthma; b) complications of infarction by repeated collaptoid conditions and acute aneurysm of the ventricle of the heart; c) hypertensive crises.
General temporary (relative) contraindications: a) chronic coronary insufficiency with frequent repeated attacks of angina pectoris and cardiac asthma; b) chronic aneurysm of the ventricle of the heart; c) subacute septic endocarditis with tendencies to thromboembolism; d) organic and functional lesions of the nervous system (epilepsy, psychosis, hysteria, etc.); e) blood diseases (acute leukemia, malignant anemia, Werlhof's disease, hemophilia - on an outpatient basis - absolute); f) 2-3 days before, during and 2-3 days after menstruation; g) in the presence of pregnancy - in the first 3 months and 8-9 months, refrain from the operation of tooth extraction; h) common infectious diseases.
Local absolute contraindications: a) destroyed teeth in the zone of a malignant neoplasm of the jaws; b) destroyed teeth located in the area of hemangioma.
Local relative contraindications: a) diseases of the mucous membrane of the oral cavity and throat (gingivitis, stomatitis, tonsillitis, diphtheria); b) milk teeth in adults, if there are no permanent teeth after X-ray examination.
Tooth extraction operation - understand the sum of the actions produced in a certain sequence, as a result of which, after the violent separation of the tissues, the tooth or root is removed from the hole. To remove teeth and their roots, special forceps and elevators (levers) are used.
Separate techniques (moments) of tooth extraction with forceps. The operation of the tooth, produced by forceps, consists of several stages:
Applying forceps - the axis of the cheeks of the forceps, when applied, should coincide with the axis of the tooth, the cheeks, adjacent to the neck of the tooth, should not capture the mucous membrane surrounding the tooth;
Advance forceps - should be carried out until a feeling of tight coverage of the tooth is obtained;
Closing forceps - the force used to compress (fix) the forceps must be commensurate with the characteristics of the case. Do not press hard on a tooth that has a large cavity in the crown, as this will crush it. It should not be carried out and weak compression, as this will later cause the forceps to slip off the tooth. After closing the forceps, the tooth and the forceps should be as if one whole, and when the forceps are moved, the tooth must also be displaced;
Dislocation of the tooth (luxation or rotation) - by means of lateral movements, the connection with the alveolus is weakened, the tooth is luxed outward and inward, and in single-rooted teeth it is also rotated around the axis of the tooth by 25-30 0 . The first dislocation movement is made in the direction of least resistance, where the walls of the hole are thinner.
Extraction of a tooth from the socket (traction) consists in removing the tooth from the socket and out of the mouth. It is performed after the tooth is completely freed from the bonds holding it. It is necessary to bring the tooth down or up and out, so as not to damage the antagonist teeth.
Wound healing after tooth extraction
After tooth extraction, make sure that all roots and their tops are removed. Everything removed should be put in a tray. Then, with a curettage spoon, the bottom of the hole is examined, and if soft softened tissues and soreness are found, then the granulation tissue or granuloma is removed. The remaining parts of the crown, root, part of the alveolar bone tissue are removed, the protruding bone tissue of the interdental septum is bitten. The crushed edges of the gums are excised, the torn mucous membrane is sutured. The hole should be filled with blood, then with the help of a ball the edges of the holes are brought together, rinsing is not allowed. We do not leave a ball, a tampon in the hole. since long-term retention of it leads to the fact that after its removal, the blood clot is also removed, then bleeding or alveolitis occurs. It is prescribed at home to rinse 3-4 times with antiseptic solutions, warm soda rinse (1 tsp per 1 glass of water) with purulent discharge from the hole, after an incision with an abscess.
Wound healing after tooth extraction.
Under normal conditions, the hole of the extracted tooth is filled with a blood clot and the further healing process goes under the natural cover of secondary intention.
In an experiment on dogs, as early as 3-4 days after removal from the gum side, the development of granulation tissue growing into a blood clot can be observed.
After 7-8 days, granulation tissue fills a significant part of the hole; there is a resorption of damaged areas of bone tissue and the formation of new bone tissue is noted.
By day 14, the hole is covered with epithelium, by 3 months the hole of the extracted tooth is filled with bone tissue.
After 6 months, the hole of the extracted tooth is no different from the surrounding tissues.
In humans, the healing process is slower.
In the absence of complications in the postoperative period, the healing of the socket of the extracted tooth proceeds painlessly. Significant injury to the hole during tooth extraction often causes pain and slows down the healing process.
When an inflammatory process occurs in the hole and surrounding tissues, the duration of healing is lengthened.
Tests on the topic of practical lesson No. 7
Name the indication for urgent tooth extraction:
Chronic periodontitis.
Destruction of the crown of the tooth.
Odontogenic sinusitis.
Name the sanitation indication for tooth extraction:
Chronic periodontitis.
Odontogenic sinusitis.
Odontogenic phlegmon.
Healing of the hole after tooth extraction occurs:
Primary tension.
secondary tension.
Clotted blood in the hole of the tooth after extraction is called:
Blood clot.
granulation tissue.
necrotic mass.
A blood clot in the hole contributes to:
Healing by primary intention.
Healing by secondary intention.
The development of suppuration.
The process of normal healing of the hole proceeds:
Painfully.
Painless.
The patient needs to remove the root of the 2.3 tooth. What is the name of the first stage of the operation?
Dislocation of the tooth.
Flaking gums.
Forceps delivery.
A patient came to the surgical office for the sanitation of the oral cavity. On examination, the doctor revealed abundant dental deposits. Having determined that the patient is indicated for tooth extraction according to sanation indications, the doctor performed anesthesia and removed the tooth. Are his actions correct?
During the extraction of tooth 2.4, a buccal root fracture occurred. The doctor could not remove the residue and let the patient go home. The removal was completed the next day. Are his actions correct?
When the roots of the 4.6 tooth were removed due to chronic periodontitis, the doctor performed anesthesia, applied forceps, advanced and fixed them, and removed the root. What stage of the operation did the doctor not perform?
Flaking gums.
Promotion of forceps under the gum.
Stitching the edges of the gums.
Answers to tests.
Practical provision of the lesson: equipment and equipment of the surgical room of the dental clinic, local anesthetics, tables and diagrams, educational videos.
Homework The technique of removing teeth and roots on the upper and lower jaws. Instruments, methods of complex extraction of teeth and roots. Peculiarities of tooth extraction in persons with concomitant diseases.
Literature
Main:
Zausaev V.I., Naumov P.V., Novoselov R.D. etc. Surgical stomatology. - M.: Medicine, 1981, 544 pp.: pp. 95-97, 122-123.
Surgical dentistry: Textbook / Ed. T.G. Robustova. - M.: Medicine, 1996. - 576 pp.: pp. 112-116, 131-132.
Surgical dentistry. Ed. V.A. Dunayevsky. - M.: Medicine, 1979, 472 pp.: pp. 92-95, 121-123.
Dentistry: A guide to practical exercises. Borovsky E.V., Kopeikin V.N., Kolesov A.A., Shargorodsky A.G. / Ed. Prof. E.V. Borovsky. - M.: Medicine, 1987. - 528 p.: P. 38-40, 47.
A.G. Shargorodsky. Guide to practical exercises in surgical dentistry. M.: Medicine, 1976. - 248s.: S. 208-209, 213.
Practical skills that the student must master (familiarize *) in the lesson:
Selection of forceps, elevators and other instruments for the extraction of teeth and roots in the upper jaw.
Selection of forceps, elevators and other instruments for the extraction of teeth and roots in the lower jaw.
After any surgical intervention, including in the oral cavity, there are a number of recommendations or, rather, prescriptions that must be strictly observed. Simple preventive measures will help to avoid complications and reduce the rehabilitation period to a minimum.
In the postoperative period, the patient may experience bleeding in the oral cavity. If this happened within a short time after the operation, then slight bleeding can be considered the norm. Also, over the next few days, saliva may acquire a pinkish tint. If, according to the doctor's prescription, the patient needs to take drugs that affect blood clotting, then bleeding can last up to several days. If the bleeding is significant and does not stop, you should consult a doctor. You should also consider the process of chewing food, which can increase or provoke bleeding. Avoid smoking during the postoperative period. It is also recommended to sleep with your head slightly elevated (multiple pillows can be used).
The body's natural response to surgery is pain. The pain syndrome is relieved by certain drugs, which must be taken strictly according to the doctor's recommendations, it is impossible to exceed the dose indicated in the prescription. In cases where the pain has not stopped after taking the medicine, you should not self-medicate, it is better to immediately seek the advice of a doctor.
Read the instructions before taking painkillers- the list of side effects may include drowsiness, inhibited reaction and similar manifestations. Keep this in mind when driving or doing work that requires maximum concentration.
The tissue around the operated tooth may also swell. The simplest remedy for removing swelling is the action of cold. An ice pack can be applied for 15-20 minutes with the same break. Talk to your doctor about the duration of cold treatment.
Almost after any surgical intervention, the doctor prescribes antibiotics to the patient. This reduces the risk of infection of the oral cavity with pathogenic microorganisms. You do not need to change the dosage of the drug prescribed by the doctor or stop taking the antibiotic without permission.
Any surgical intervention causes a reaction of the whole organism. Most often, it manifests itself in the form rise in temperature to 38 degrees for several days. Such a manifestation is the norm, but if the temperature rises significantly and does not subside for a long time, then there is a risk of an inflammatory process. You need to see a doctor urgently.
In the postoperative period, it is impossible to use standard toothpastes and use a toothbrush. Cleansing of the oral cavity should be carried out with antiseptic solutions, tampons soaked in medicine and other gentle means as prescribed by the doctor.
After some time after the operation, the patient may notice that the teeth have become more mobile, bruises may appear on the soft tissues. These are passing phenomena. If the teeth have become more sensitive to cold or other irritants, after consulting a dentist, it is possible to use special toothpastes that relieve such symptoms.
If the operation is performed with an anesthesiologist, you must come with an accompanying person, or the operation will be canceled.
After surgery, you may experience pain, which will pass as the tissues heal. Postoperative edema or hematoma may also occur in areas adjacent to the operation area, which is a natural consequence of surgical intervention. Perhaps a slight increase in body temperature.
In order to avoid the occurrence of severe swelling and bleeding during the first day after the operation, it is necessary to apply an ice pack to the cheek on the side of the operation for 15-20 minutes with breaks for 30-40 minutes.
Rinsing the mouth with bleeding is unacceptable!
After the sinus lift operation, you should not drink through a straw, blow your nose hard and puff out your cheeks.
To reduce the likelihood of nosebleeds (after operations on the upper jaw) and reduce postoperative edema, it is necessary to sleep with your head elevated for several days after surgery (add an extra pillow).
It is forbidden to drive a car on the day of the operation with premedication.
On the second day after the operation, it is recommended to carry out oral hygiene with a soft toothbrush, as well as rinsing with special oral solutions (Tantum Verde, Eludril, etc.) after each meal.
You should not lift weights, bend over, play sports, or take a hot bath for 5-7 days after surgery.
Within a few days, working capacity may be reduced, as well as the ability to drive a car.
Do not forget to take the medicines prescribed by the dental surgeon after the operation.
We kindly ask you!
Come for examination and removal of sutures 5-7 days after the operation, in agreement with your surgeon. Any changes in your state of health should be immediately reported to the surgeon or clinic administrator.
The service life of an implant depends on:
Regardless of the size and number of implants, they must be cared for as if they were normal teeth. Brush and floss your dental implants twice a day. Use special fluffy dental floss (such as Oral-B superfloss or ultrafloss).
When brushing your teeth, pay special attention to the back teeth and interdental spaces. Use a soft to medium bristle brush. In addition, use an irrigator for additional deep cleaning of interdental spaces with water irrigation.
There are special brushes that can be used to clean the interdental spaces - dental brushes. Ask your dentist about them - in some cases they are not recommended.
Visit your dental hygienist twice a year, he is the only one who can clean your implants as thoroughly as needed. Regular visits to the dentist are very important. Your dentist will check the condition of your gums, jaws and implants.
Smoking is bad for health and for dental implants as well. For a good prognosis of the life of the implants, it would be nice if you stopped smoking.
Avoid chewing hard candies, ice or other hard foods (such as hard chocolate or dry fish) as these can loosen or break the abutment screw.
Refrain from products such as caramel or iris as these can stick to the crown and cause the abutment screw to unwind.
Don't open bottles or crack nuts with your teeth for the same reasons.
Use protective sports mouthguards while participating in sports and avoid direct blows to the face.
Refrain from grinding your teeth. If the creaking occurs unintentionally or during sleep (bruxism), inform your dentist and he will make you a thin night guard.
The duration of their service depends on the quality and regularity of care for implants.
Before and after implantation
Prepare a few days off after the date of the planned operation.
If on the eve of the operation you are ill, then warn the implantologist about this.
Ask your implantologist about the medications you will need immediately after surgery.
Patients suffering from diabetes mellitus in a compensated form, 2 weeks before surgery and 2 weeks after it, must follow a strict diet.
Get a good night's sleep the night before your surgery.
Take care of the escort if anesthesia, sedation or complex surgery is planned, do not plan to be driving.
If you have herpetic eruptions on the mucosa, then the operation should be postponed.
If you have had a dental implant, you may experience some of the typical discomfort associated with any type of dental surgery. They may include:
You may need painkillers and antibiotics. Follow the recommendations of the implantologist.
What should be observed after implantation:
To control the bleeding stop, it is necessary to bite on a gauze swab placed by the dentist in the oral cavity. The pressure promotes the formation of a blood clot in the hole. If you have heavy bleeding that has not stopped an hour after a tooth extraction, you should take a bite out of a regular tea bag. The tannin in tea helps in the formation of blood clots. Hold the swab or tea bag until the bleeding stops.
Additionally cool the extraction area, make a cold compress on the face in the area of tooth extraction for 10-15 minutes. at one o'clock. Slight bleeding on the first day after removal is normal.
Sometimes a feverish condition may occur, the temperature rises to 38-39 degrees on the day of removal. This condition can be explained by microbemia and / or toxemia - the entry of microbes and their toxins into the blood and their binding to blood cells. In this case, carry out symptomatic therapy and take antipyretic drugs. If the temperature persists the next day after removal, contact your doctor.
To reduce pain, it is necessary to take analgesics and other medicines prescribed by a doctor. Do not drive while taking any pain medication or other medication, as you may feel sleepy. Ask your dentist which pain medications he recommends if needed.
To reduce swelling, it is necessary to put ice on the cheek in the area of the extracted tooth. You can make a cold compress by placing ice in a plastic bag and wrapping it in a thin towel. Apply ice to the cheek for 10-15 minutes per hour during the first day after tooth extraction. If you see a few bruises on your face, don't worry - this is normal, the bruises will disappear on their own within a few days.
Rest for the first 24 hours after removal. Rest during the day and get plenty of sleep. When you lie down, raise your head a little.
The diet should be composed of soft and healthy foods. In addition, you need to drink plenty of fluids.
Brush your teeth with a soft brush. Avoid brushing the teeth in the extraction area for the first 1-2 days. Rinsing toothpaste out of your mouth can dislodge a blood clot, be careful. Keep the removal site clean. After a day, you can gently rinse your mouth with salt water by diluting 1 teaspoon of salt in 1 cup of warm water.
Rinse your mouth very gently and carefully. Otherwise, the blood clot can be removed and bleeding will resume. Do not drink through a straw, do not spit, sucking through a straw can also dislodge a blood clot.
Don't drink hot liquids. Due to the intake of hot liquids, swelling may increase.
Limit your alcohol intake. Excessive alcohol consumption in the first days after removal can slow down healing and lead to rebleeding and breakage of the blood clot.
Do not smoke. Smoking can destroy a clot, causing tooth socket pain.
You should contact your dentist if:
After any operation, including in the oral cavity, there are a number of prescriptions that should be followed. Simple preventive measures will help to avoid complications and reduce the rehabilitation period.
Prevention of bleeding
After surgery, the patient may experience bleeding in the mouth. Minor bleeding is considered normal. In addition, over the next few days, saliva may have a pinkish tinge. If, according to the doctor's prescription, the patient takes drugs that affect blood clotting, then bleeding can last up to several days. In case of significant and persistent bleeding, you should immediately consult a doctor.
Ways to reduce pain
The body's natural response to surgery is pain. Pain syndrome is relieved by certain drugs, which must be taken strictly according to the doctor's recommendations, without exceeding the dose indicated in the prescription. In the case when after taking the medicine the pain does not stop, you should not resort to self-medication, it is better to immediately make an appointment with a doctor. The easiest way to relieve swelling is exposure to cold. An ice pack can be applied for 20 minutes. But it is also necessary to consult a dentist about the duration of pain relief with cold.
The likelihood of developing infections
Almost after any operation in the oral cavity, the doctor prescribes antibiotics to the patient. This reduces the risk of infection of the oral cavity with pathogenic microbes. However, you can not change the dosage of the medicine prescribed by the doctor or stop taking the antibiotic without the consent of the doctor.
Increased body temperature
Any operation causes a reaction of the whole organism. As a rule, it manifests itself in the form of an increase in temperature up to 38 degrees for several days. This is normal, but if the temperature rises significantly and does not subside for a long time, then there is a risk of developing an inflammatory process. In this case, you should consult a doctor.
Hygiene procedures
In the postoperative period, it is impossible to use standard toothpastes and a toothbrush. To cleanse the oral cavity, you need to use antiseptic solutions, tampons soaked in medicine and other gentle means.
Proper food selection
After the operation, you should not eat hot food. You should also try not to chew food with the operated side of the dentition for at least two weeks.
Postoperative consequences
Some time after surgery, the patient may notice that the teeth have become more mobile, and bruises have appeared on the soft tissues. All these are passing phenomena. If the teeth have become sensitive to cold and other external irritants, after consulting a doctor, it is possible to use special toothpastes that eliminate such symptoms.
