Стоматология extraction

18/12 Maeluan Rd.
, Taladnuea, Muang, Phuket, 83000

www.ranghilldental.com Tel. +66 76234024, +66 832892826
Healing stage after operation

Time period Healing stage of tooth extraction
1 day • The wound is like a hole

according to the shape of the
root of tooth.
• Blood from the wound will form
into a blood clot and cover the
wound
3 - 7 days A blood clot inside the socket will

transform to be granulation tissue
that can appear white or cream-
colored.
1–3 The wound will smaller and

weeks change to pink color.
1–2 The wound begins to close. The

months cells in the site form bony
networks, and connective tissue
which populates the healing area
POST OPERATIVE INSTRUCTION FOR TOOTH EXTRACTION OR ORAL SURGERY
Proper care after surgery is the important factor to avoid some complication.
Prolong Face Wound
Post operative guidelines to avoid complication Bleeding Swelling Infection
1 Bite a piece of gauze firmly without moving the jaw about ✔

1-2 hours
2 Avoid talking while biting a piece of gauze ✔
3 While biting a piece of gauze, swallow your saliva instead of ✔ ✔

spitting it out or rinsing your mouth out. This will protect
blood clot lose.
4 Compress cold pack to your cheek operated to reduce ✔ ✔

swelling but do not keep the ice in your mouth
5 After 2 hours if there is still bleeding, change a new gauze ✔

and keep on biting for one more hour.
6 Do not use any mouthwash on the first day. ✔
7 On the following day, rinse your mouth with warm salted ✔

water (a glass of warm water is mixed with a bit salt).
8 Brush your teeth as usual, use an extra soft brush to clean ✔

around the tooth of operated area after meals
9 In case of stitching, it has to be removed within 7-10 days ✔

after operation, except using absorbable suture or as the
dentist’s instruction
10 Do not use toothpick or your finger around the operated ✔ ✔

area
11 No alcohol and cigarettes at least 2 weeks after operation ✔
12 Work as usual, but do not do over exercises in the first day ✔

after operation
13 If your operated area is swollen after 48 hours of operation, ✔

compress with warm water for 2-3 days.
14 In case of unusual symptoms as continuous pain or ✔ ✔

prolong bleeding, please contact us immediately.
COMPLICATION THAT CAN OCCUR AFTER TOOTH EXTRACTION OR ORAL SURGERY
Oral Paraesthesia
1. Oral Paraesthesia is one of postoperative situation after tooth removal, or in some cases receiving
a dental injection. It involves a situation where tissues or structures around the mouth (lip, tongue,
facial skin, mouth lining, etc.) experience prolonged or possibly permanent altered sensation.
2. Permanent paraesthesia has been occurred only 0.008%
3. Paraesthesia is a sensation of burning, numbness, tingling, itching or prickling.
Oral Paraesthesia can be caused by :
1. Bleeding in nerve tissues where a nerve lies relatively close to the tooth being removed or direct
puncture by the needle injection.
2. Neurotoxicity of the anesthetic that may cause localized chemical damage to nerve fibers.
Post operative care for oral paraesthesia
1. Appropriate exercise
2. Provide supportive treatment with vitamin B complex
3. Follow up assessment with your dentist to recovery monitoring
DRY SOCKET >> There is pain during the first 4-5 days after removal or surgery.
The causes of DRY SOCKET condition are as follows:
• The formation of blood clots is inhibited in hemostasis after tooth extraction or surgery, such as
talking while biting the gauze to stop the bleeding, the bite of the gauze is not tight, spit, drink,
gargle, etc. so that causes the wound socket has not cover with a blood clot.
• Smoking
Post operative care for DRY SOCKET
• Visiting the dentist to clean the wound and follow up on the symptoms
• Avoid smoking
ROOT FRACTURE / BONE FRACTURE / BONE SPICULE

Post operative care for ROOT FRACTURE / BONE FRACTURE / BONE SPICULE
• Curve or branch roots are usually firmly attached to the bone socket. When the tooth is moved, the
root tip may be broken. Keeping the non-infected root tip in the socket is an optional plan for
preventing bone loss from bone surgery procedure that the root tip usually fuse to the bone.
• The bone plate of tooth may crack during move the tooth if the bone surrounding is very thin. It
would not be necessary to remove the bone plate if such bone has gum attached to it and there is
still blood supply, because the bone can self reconnect and can heal on its own.
• The case of broken root or broken bone wall is not connected to the jaw bone. Fragments of dental
roots or bone are often found later to protrude through the gums. You should see your dentist to
consider removing the root or bone fragments.

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18/12 Maeluan Rd.

, Taladnuea, Muang, Phuket, 83000

Healing stage after operation

1 day • The wound is like a hole

3 - 7 days A blood clot inside the socket will

1–3 The wound will smaller and

1–2 The wound begins to close. The

1 Bite a piece of gauze firmly without moving the jaw about ✔

2 Avoid talking while biting a piece of gauze ✔

3 While biting a piece of gauze, swallow your saliva instead of ✔ ✔

4 Compress cold pack to your cheek operated to reduce ✔ ✔

5 After 2 hours if there is still bleeding, change a new gauze ✔

6 Do not use any mouthwash on the first day. ✔

7 On the following day, rinse your mouth with warm salted ✔

8 Brush your teeth as usual, use an extra soft brush to clean ✔

9 In case of stitching, it has to be removed within 7-10 days ✔

10 Do not use toothpick or your finger around the operated ✔ ✔

11 No alcohol and cigarettes at least 2 weeks after operation ✔

12 Work as usual, but do not do over exercises in the first day ✔

13 If your operated area is swollen after 48 hours of operation, ✔

14 In case of unusual symptoms as continuous pain or ✔ ✔

ROOT FRACTURE / BONE FRACTURE / BONE SPICULE

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