(973) 334-5556

150 River Road Suite J-2
Montville, NJ 07045

Extractions, Implants, and Bone Grafting

Extractions, Implants, and Bone Grafting

  • If you were given gauze to bite on, continue to apply medium pressure for 30-45 minutes.  If you are still experiencing substantial bleeding after this time, fold up a new piece of gauze, place over the surgical site, and reapply pressure for another 30-45 minutes.  If there is still substantial bleeding at this point, bite down on a tea bag and please call the office.
  • Oozing of blood is normal.  You may wish to place a towel over your pillow the night after surgery.  Note: pink or orange saliva usually signifies a small amount of blood mixed with a larger amount of saliva.
  • For the rest of the day of surgery, do not spit or drink with a straw.  Any pressure or suction in your mouth may dislodge the blood clot or bone graft, if placed.
  • Because you are not to spit or rinse the night after surgery, brush your teeth without toothpaste so that no rinsing is required.  Avoid brushing directly near the extraction site for at least 1 week, and exercise caution upon resuming brushing that area. Make sure to use a post-operative toothbrush if you were provided with one.
  • Wet a cotton swab with Peridex or other prescribed rinse and lightly apply to the surgical area in morning and night.
  • Starting 24 hours following surgery, begin rinsing with warm salt water over the course of the day, especially after meals (1/2 tsp. of salt in 8 oz. warm water).
  • Rinse gently for the first few days following surgery.  This allows the blood clot and/or bone graft to stabilize.  You may notice small chips or granules of bone graft falling out of the extraction site – this is normal as long as a large, hard chunk does not fall out.
  • Do not smoke.  The longer the better, but at least 24 hours.
  • Avoid any hot or spicy foods for 24 hours, as these may irritate the gums.
  • Avoid any crunchy foods that can form small crumbs or any food that contains small seeds, as they can become lodged inside the extraction site and interrupt the healing process.
  • Avoid any unnecessary movement of the lip or cheek near the area of surgery. This may cause the wound to open up and cause complications.
  • Any sutures, if placed, will fall out on their own and will not require an additional appointment for removal unless you were specifically told otherwise by the doctor.
  • If there is any swelling visible from outside your mouth, apply ice/cold compress for 15 minutes at a time with 15 minutes in between applications.  Heat may be used specifically for jaw soreness, combined with massages and passive stretching.  NSAIDs like ibuprofen can also help with jaw soreness.
  • Take pain medication as prescribed if needed.  Ibuprofen can be alternated at 3-hour intervals with Tylenol #3, Vicodin, or Percocet if either alone is insufficient.
  • If you have any problems or questions, please call the office.  If you require attention after office hours, please follow the prompts on the answering machine to leave a personal message for the doctors.  Your call will be returned as soon as possible.