The tooth is surgically removed, which is actually much less tramatic than a simple extraction. After the tooth comes out, we go in with a special tool and thoroughly clean out any infected and/or dead tissue that was around the tooth and in the bone. Then we rinse with Lugols Iodine, rinse with ozone and suture the area.
IMPORTANT NOTE: Do not take any Vitamin C for 24 hours prior to your appointment for an extraction. This vitamin is a powerful anti-oxidant, and actually starts to flush the anesthesia out of your system right away, thus possibly requiring additional anesthesia to get you numb. Taking Vitamin C AFTER the appointment is one of the best things you can do, it greatly assists healing and flushes out the anesthesia. So remember, no Vit C drips or supplements 24 hours prior to the extraction.
Here are the instructions to help you after extractions. The purpose is to assist you to heal quickly and as pain free as possible after your surgical procedure.
- You will be given a supply of sterilized gauze squares. Roll up 2 to 3 of them and moisten slightly with pure water. place over extraction site and bite on a roll for 48 hours, except while talking, eating or sleeping. If gauze becomes saturated, replace with a fresh roll. Bite down to keep pressure on the extraction site. Use enough gauze to create light pressure when you close.
- Talk as little as possible for the first 24 hours. Talking acts as a pump which will prolong the bleeding or possibly cause a dry socket. Keep a steady light pressure on the gauze.
- A certain amount of bleeding is to be expected following oral surgery. Use the MOISTENED gauze pads to apply pressure (in order to get a good tight clot) for 48 hours, except when eating or sleeping. Putting a wet Lipton tea bag on the site can stop excessive bleeding. On top of the tea bag, between the opposing teeth, put some more damp gauze to increase pressure on the extraction site.
- Swelling can occur, this is a normal body reaction to any trauma and need not cause alarm. To minimize pain and heal rapidly, put the Anodyne infrared light pad over the extraction site side of your face 24/7 or as much as possible. If the Anodyne is not available, you can use a hot water bottle or hot washcloth to bring circulation back to the area. Use the heat whenever you can for a few days. Bringing circulation back to the area ASAP is extremely important, the oxygen and nutrients in the blood are the things that will help healing.
- There is a possibility of getting some “black and blue” areas around the surgical site on your face after the surgery. It’s an indication that there is blood between tissue layers where healing is occurring. There is no cause for alarm, it will go away in a week or so. Again, it’s part of nature’s healing process.
- If you smoke, NO smoking for 24 hours minimally. The blood clot is what starts the healing process, so it is very important not to smoke within 24 hours, as smoking will slow down the clotting factors. If you absolutely must smoke, use folded, dampened 2×2 gauze pads and place them in the area of the extracted tooth.
- For the first 24 hours, do not rinse and spit vigorously as the blood clot which will promote healing may be washed away. You may be salivating more than normal, but if you keep spitting and rinsing, you may prevent the clot from fully forming in the socket.
AFTER 24 HOURS:
- Gently rinse your mouth with 3-4 drops of Lugols Iodine in 3 oz water. This will remove food debris and aid healing. If you are allergic to iodine, you can gently rinse with warm salt water or baking soda to alkalize your mouth after eating (or hydrogen peroxide if you have had your mercury fillings replaced) to remove food debris and aid healing. Do this for a week or so till you have had your stitches out and you CAN start to brush again gently over the extraction site.
- Mild pain may be experienced after the anesthetic wears off. Dr. Paige Woods will prescribe pain medication if you want. You should not take the medicine on an empty stomach, but it should be taken before numbness has completely worn off. If you are planning on taking any.
- Use prescribed antibiotics, pain controlling medications, homeopathics or healing supplements as directed.
- It is okay to eat as soon as your numbness has worn off a little, just try not to chew on the side of the extraction for the first 24 hours after the surgery. Eat something nourishing which is soft, finely cut up or blended ― not junk food. Eat mashed potatoes, fruits, diced meats and vegetables. Juiced vegetables/ blended salads with powdered greens and protein powder or are excellent. Eat your meals at the regular time. Continue to drink plenty of good water.
- Avoid strenuous exercise for 24 hours. But walking is recommended, don’t sit in front of the TV or lay in bed too much. Keeping the body in motion is always the best way to go, the toxins from the extraction can flow out easier.
- Contact this office immediately at 619-640-5100 if you experience pain, uncontrollable bleeding, or any other unusual situation. If the office is closed, you may call Dr. Beata A. Carlson at home at (727) 461-6979. He is very available to speak to you, he will return your call. If you feel it is an emergency and you can’t get in touch with him, go to the emergency room. If the bleeding does not stop after several hours, moisten an ordinary teabag, such as Lipton, and place on the site. The tannic acid in the teabag stops bleeding in most cases.
- Schedule an appointment 5 to 7 days from now to have the stitches removed.
- Take 4-8 grams of Vitamin C after getting anesthesia. It will help flush the anesthesia out of your body faster, and help your body heal.
If you have any questions or problems regarding your extraction, please contact our office.