Tooth extraction aftercare instructions

Having a tooth removed is a common dental procedure, and the good news is that most patients heal smoothly with the right care at home. Whether you have had a simple extraction or a more involved wisdom teeth removal, these aftercare steps can help support a comfortable recovery.

What to expect straight after your extraction

It is normal to experience some bleeding, mild swelling, and tenderness around the extraction site. Your lips, tongue, and cheek may remain numb for two to four hours after the procedure due to the local anaesthetic. During this time, take extra care not to bite the inside of your mouth, and avoid hot food and drinks until full sensation returns.

Managing bleeding

Some oozing in the first 24 hours is completely normal. If we have placed gauze over the site, bite down firmly and keep steady pressure for 30 minutes. Try not to keep checking the area, as removing the gauze too early can disturb the blood clot that is forming. If bleeding persists after this time, replace the gauze with a fresh piece, apply firm pressure for another 30 minutes, and rest with your head slightly elevated.

Pain relief tips

Mild to moderate discomfort is expected once the anaesthetic wears off. Over-the-counter pain relief such as paracetamol or ibuprofen can help keep you comfortable. Follow the dosage instructions on the packaging, and take your first dose before the numbness fully fades. Avoid aspirin, as it can thin the blood and increase bleeding at the extraction site. If we have prescribed any medication, take it exactly as directed.

Reducing swelling

Apply a cold pack wrapped in a cloth to the outside of your cheek in intervals of 20 minutes on, then 20 minutes off. This is most effective during the first 24 to 48 hours. Some swelling may peak around day two or three before gradually settling.

Eating and drinking

Stick to soft, lukewarm foods for the first couple of days. Good options include:

• Yoghurt, smoothies (eaten with a spoon), and mashed vegetables
• Scrambled eggs, soup, and soft pasta
• Ice cream or cold desserts, which may also soothe the area

Avoid using straws or sucking motions, as the suction can dislodge the blood clot. Also steer clear of alcohol, very hot drinks, and crunchy or spicy foods until the area has settled.

Keeping the area clean

Continue brushing your teeth as normal, but be gentle around the extraction site for the first few days. From the day after your procedure, rinse gently with warm salty water (half a teaspoon of salt in a glass of warm water) every four to six hours. Avoid vigorous swishing, as this can disturb the healing clot.

What is dry socket, and how can you avoid it?

Dry socket occurs when the blood clot at the extraction site becomes dislodged or dissolves too early, exposing the underlying bone and nerves. It can cause a noticeable increase in pain, often a few days after the extraction. To reduce the risk of dry socket:

• Do not smoke for at least 48 to 72 hours (ideally longer)
• Avoid drinking through straws
• Follow all the aftercare steps outlined above

Typical healing timeline

Most patients feel significantly better within three to five days. The gum tissue usually closes over the site within one to two weeks, while the bone beneath may take several months to fully remodel. Everyone heals at a slightly different pace, so be patient with your body.

When to contact us

While some discomfort is expected, certain signs may indicate a complication that needs attention. Please reach out to our team if you experience:

• Bleeding that does not ease after sustained pressure
• Increasing pain or swelling after the first two to three days
• A persistent bad taste or odour from the extraction site
• Fever, chills, or difficulty swallowing
• Numbness that has not resolved after 24 hours

Our emergency dental team is here to help if anything feels out of the ordinary. Call Grange Road Dental on (07) 3281 6666 and we will arrange a prompt review to ensure your healing stays on track.