Tooth extraction is a difficult and quite traumatic dental operation. Many people experience stress before the upcoming procedure. Every patient, leaving the dentist's office after surgery, asks the question: what should be done immediately after the procedure, and how long after tooth extraction can you eat and drink? In order for the wound to heal quickly and without complications, you must follow all the doctor’s recommendations.
In this article, we propose clinical guidelines that minimize the risk and enhance the success of dental implant treatment in these patients. Literature Review To ensure success in implant osseointegration, risk factors must be assessed and right choice patient, who should not present local or systemic contraindications to this type of treatment. Bisphosphonates have recently been proposed as a contraindication to oral rehabilitation during dental implant treatment.
They are administered in the treatment of multiple myeloma, bone metastases and malignant hypercalcemia, as well as in the prevention and treatment of diseases of the skeletal system, such as Paget's disease and especially osteoporosis. However, these drugs have been shown in large clinical trials to be more effective in reducing the incidence of hip fractures. This similar drugs endogenous pyrophosphates, characterized by more complex metabolism.
Attention! You can eat after tooth extraction 2 hours later. However, in some cases the ban on eating solid food may be longer. It is necessary to consult with your dentist. ×
After tooth extraction surgery, an open wound forms in the mouth, which hurts and bleeds. The speed of healing of injured gums depends not so much on the doctor, but on the patient himself. To protect the wound from infection and speed up the healing process, you need to carefully listen to all the instructions given by the dentist after the procedure and strictly follow them, since open wound An infection may enter the body.
Some antiangiogenic activity has also been described, which is responsible for some of its effects. In addition, phlebitis, transient febrile symptoms, chills, and a flu-like syndrome were described in the first two days. Diagnosis should be based on clinical, radiological findings and histopathology. Differential diagnosis necessary with bacterial osteomyelitis and osteoradiocrosis to confirm the diagnosis.
Cases of osteonecrosis with oral bisphosphonates rarely progress to later stages, and some of these cases resolve by stopping treatment. It is recommended to obtain informed consent from the patient before surgery and, although there is no evidence, caution should be exercised when surgical interventions, rather than simultaneous compression of multiple quadrants in the same intervention.
This photo shows an open wound as a result of trauma to the gum tissue after tooth extraction.
After removing the diseased tooth, the doctor places a cotton swab soaked in antiseptic, to stop bleeding. You need to bite it and hold it for about 15 minutes and then spit it out. You shouldn't keep the tampon on for too long so that it doesn't stick to the wound and then you have to tear it off. In this case, bleeding will resume. In addition, if you keep the tampon for longer than expected, it will become saturated with blood and can become a source of infection.
After the operation, it is recommended not to go home immediately, but to sit for 15–20 minutes in the doctor’s waiting room. During this time, the bleeding usually stops. If the bleeding does not stop, you need to ask the dentist to replace the used tampon with a new one. You can do this at home yourself, but it is better to entrust the procedure to a doctor.
It must be taken into account that when a dental implant is placed, a number of metabolic changes occur around the same, which should result in the formation of bone attached to the surface of the implant and which will be supported when the implant is subjected to occlusal load.
Given that implant treatment requires preparation of the implant bed with an osteotomy, dentists should evaluate other treatment options. If peri-implantitis develops, non-surgical treatment should be considered first and if this does not work, surgical removal soft tissue around the implant and ultimately some bone restoration may be adequate.
Important! After the bleeding stops, a blood clot appears in the wound, which protects it from bacteria getting inside. Under no circumstances should this clot be touched with your hands, wiggled with your tongue, or tried to be torn off. ×
When you return home, it is recommended to get some sleep. The effect of anesthesia remains for a couple of hours after the operation, so this best time for sleep. When the anesthesia wears off, the wound will begin to hurt and it will be difficult to sleep. To relieve swelling of the gum tissue that occurs after tooth extraction, you can take several ice cubes, put them in a bag and apply them to your cheek for 3 minutes, taking breaks of 5 minutes. You can apply an ice compress for 1–1.5 hours. Cold will help quickly relieve swelling, speeding up the healing process.
After extraction, the patient should perform 0.12% chlorhexidine rinses twice daily for 15 days. Clinical Guide for patients who are taking bisphosphonates and need dental implants. Before undertaking any implant treatment plan, we must conduct a comprehensive history, adequate oral exploration, and we will request additional radiological tests appropriate to the case.
It is important to inform the patient of the risk due to the medicine they are taking or have taken and accredit them by signing informed consent. They should also know that it depends on how long they have been managing. It is important to reduce this risk by maintaining good hygiene oral health without having toxic habits and have regular dental check-ups. They should be aware that there is currently no technique that effectively determines the risk for each patient.
Eating and drinking after tooth extraction
You can drink within an hour after the procedure, but the liquid should not be cold or hot so as not to irritate the wound. Water, warm tea or coffee are suitable drinks. If you want, you can drink some juice.
On the first day after surgery, it is advisable to avoid carbonated drinks. Alcohol of any strength is strictly prohibited. You shouldn't drink liquid directly from the bottle either - the vacuum that forms while drinking this way can cause re-bleeding. The drink should be poured into a glass or cup and drunk in small sips.
And you should keep in mind that if you feel less discomfort or if you notice damage to the bones in your mouth, you should contact your dentist quickly due to the importance early treatment these defeats. In those who are less than 3 years old and are not taking immunosuppressants concomitantly, no special measures should be taken other than very careful bed preparation and implant insertion with sufficient irrigation and a low rate of damage, at least there may be bone from the peri -implant, and antibiotics will be prescribed until the wound heals.
After tooth extraction, it is necessary to observe a “drinking” regime; drinking hot and cold drinks, as well as carbonated and alcoholic drinks, is strictly prohibited.
Some patients are interested in why they should not drink alcoholic beverages after tooth extraction? There are several reasons for this:
Good primary stability should be obtained, and the suture should be made in the most appropriate manner to obtain good healing. Avoiding an implant plan with multiple implants in areas with high atrophy and poor bone and requiring additional procedures bone regeneration.
Although there is no evidence for this course of action, all expert committees advise. Likewise, the same caution will be taken in surgical procedure, as in the previous section. Subsequently, the patient should ensure that good oral hygiene is maintained. However, this remains very controversial issue, and more randomized testing will be needed in the future. clinical trial to be able to accurately know the factors that increase safety and reduce risk in clinical treatment patients of this type.
- alcohol tends to thin the blood, so if you drink it, there is a risk of renewed bleeding;
- During surgery, antibiotics are used, which cannot be combined with any type of alcohol;
- Brewer's yeast contained in beer, when entering an open wound, promotes the proliferation of microbes in it, which can cause complications.
Eating is allowed no earlier than two hours after the procedure. In the first three to four days, you can only eat soft, not too hot and not too cold food - various cereals, purees, soup, yogurt. Food can be ground in a blender. Until the wound heals, you should refrain from solid, sweet, sour, salty, hot, spicy foods.
Hospital Sylvester Dentistry. Bisphosphonates: mechanisms of action. Implants and oral bisphosphonates: risky business? Development of bisphosphonates. General and preventive aspects. Bisphosphonate-induced exposed jaw bone: risk factors, recognition, prevention and treatment.
Oral bisphosphonates as a cause of bisphosphonate-associated osteonecrosis of the jaw: clinical findings, risk assessment, and preventive strategies. Osteonecrosis of the jaw and the role of bisphosphonates: a critical review. Osteonecrosis of the jaw complicating bisphosphonate treatment for bone disease in multiple myeloma: a review with recommendations for prevention and treatment.
For several days after tooth extraction, you should not smoke, chew gum, or suck hard candies. It can hurt non-healing wound, and also increase the risk of germs getting into it. Part chewing gum includes a lot harmful substances, so you need to abstain from it until the gums heal.
Canadian consensus practice guidelines for bisphosphonate-associated osteonecrosis of the jaw. Updated recommendations for the care of patients receiving oral bisphosphonate therapy: an advisory statement from the American Dental Association Board of Scientific Affairs.
Bisphosphonate-associated osteonecrosis: clinician reference to patient management. Implant placement with simultaneous tooth extraction in patients taking oral bisphosphonates: postoperative healing, early follow-up and complication rates in two private practices.
Lollipops, sweets, and chewing gum can damage the gum socket after tooth extraction, and also create a favorable environment for the development of bacteria.
In the first few days after surgery, it is forbidden to brush your teeth or use toothpicks, as this can injure the unhealed gum. You can only rinse your mouth gently with water after each meal.
When going to the dentist, you should prepare in advance for the fact that after the anesthesia wears off, the tooth will begin to ache. The intensity of pain varies from person to person. With strong pain You can use painkillers. Inexpensive and effective drugs– Ibuprofen and Ketanov. They shoot well toothache. It is better to find out the optimal dosage and duration of medication from the doctor before the procedure begins, because after tooth extraction it will be difficult to talk.
The procedure for tooth extraction is not as scary as it seems, so you shouldn’t be afraid of it. Compliance with all of the above recommendations will avoid postoperative complications and speed up the wound healing process.
Recommendations for the prevention, diagnosis and treatment of osteonecrosis of the jaw in cancer patients treated with bisphosphonates. Critical review: updated recommendations for the prevention, diagnosis and treatment of osteonecrosis of the jaw in patients with cancer - May. Effect of long-term oral bisphosphonates on implant wound healing: a literature review and case report.
Oral bisphosphonates and dental implants: a retrospective study. Prognosis for dental implants placed in patients taking oral bisphosphonates. Dental endoscopic implants in patients on bisphosphonate therapy. Osteonecrosis de los maxilares.
IN modern dentistry Tooth removal is a last resort. In some cases it cannot be avoided. Thanks to progress medical technologies, this procedure is not as painful as before.Tooth extraction for human body- this is an injury, and the wound does not heal immediately. So postoperative period requires the patient to follow simple recommendations.
Bisphosphonates and osteonecrosis of the jaws. Oral bisphosphonates and dental implants. Bisphosphonates and implants: a review.
- Caries has advanced deep into the tooth.
- The infection has destroyed a significant portion of the tooth or surrounding bone.
- There is no room in the mouth for all the teeth.
Cleaning your teeth before whitening
- Whitening cold light lamp.
- Teeth whitening Teeth whitening.
First steps after tooth extraction
After tooth extraction, a bandage or cotton swab is placed on the resulting hole. This is done to stop bleeding. The tampon should not be left in the hole for a long time, as it can cause the onset of inflammatory process. Natural material soaked in blood is an excellent breeding ground for infection.
Within seven days after surgery, the diet should be differentiated. Soon after removing the sessile, you need to do a liquid diet, avoiding hot foods for the first three days. “For the next four days, it is recommended to use a diet plan, avoiding chewing grainy, hard or stable foods in the region,” says dentist Rodrigo Bueno de Moraes, scientific consultant of the Brazilian Dental Association. This helps reduce swelling and bleeding, reducing the risk of infection. “It is important that both the liquid and paste diets are nutritious, supporting immune system"says dentist Eduardo Rollo from Sao Paulo.
The tampon should be removed carefully so as not to remove the blood clot remaining in the wound, which promotes its healing. You should not use painkillers for more than 3 days after surgery. If pain syndrome does not go away, you need to see a doctor.
If the tooth extraction procedure was complicated, swelling and swelling of the soft tissues of the face may appear. You can solve the problem by applying cold to your cheek. It is advisable to do this within an hour after removal. To do this, it is recommended to use meat from the freezer wrapped in cloth or ice.
Some suggestions for the first few days are juices and soups, which should be consumed plain, warm or refrigerated. Consuming hot foods in the first few hours after surgery and for the next five or seven days may impair healing or cause pain and discomfort.
Your dentist will prescribe a series of medications to prevent the extraction site from becoming infected or inflamed. “Mild, moderate or strong analgesics can be used, sedatives, steroidal or non-steroidal anti-inflammatory drugs and antibiotics,” recalls dentist Eduardo. Practical lesson must be prescribed by a doctor, but in general three days for pain medications and 5 to 15 days for antimicrobials. The dentist may also prescribe certain mouthwashes, as well as gels and other topical hygiene products.
When can you drink water?
When can you drink liquid after tooth extraction and what exactly can you drink? It is advisable not to drink anything for one hour after tooth extraction. Subsequently allowed: water, compote, juices, tea, coffee. The main thing is that they are not hot. Sugary carbonated drinks should be avoided as they interfere with healing.
It is recommended that the patient advise his dentist if he feels pain that he cannot treat, so that the prescribed drug can be reconsidered. For the first 24 hours, you will need to brush your teeth more gently than usual and avoid brushing adjacent teeth with the removed blades to protect the area from surgery. From days two to five or seven, resume gentle brushing. Do not use mouth rinses unless prescribed by your dentist. “Currently, there are thin feather brushes that pose problems with cleaning the workspace and environment no problem,” says Rodrigo Bueno.
It is best to take the liquid through a straw so that the stream does not fall on the hole and dissolve the blood clot. Do not drink the drink from the neck of the bottle - this creates a vacuum, which can lead to re-bleeding.
IN recovery period The most useful are fortified fruit drinks based on lingonberries, cranberries, and currants. Dairy products are also beneficial.
How long after can I eat?
After a tooth has been removed, you should not eat food immediately. Why? There are several reasons:
- a blood clot may be washed out, and therefore a dry socket may form and alveolitis may develop;
- the hole may be injured, as a result the wound does not heal for a long time;
- there is a possibility of new bleeding;
- inflammation may occur if food particles get into the wound, and with them various microorganisms;
- When chewing food, additional stress is placed on the gums, which can slow down wound healing.
How long after can I eat? If the removal is easy, then you can eat after 2 hours. This also applies to deleting baby tooth. In case of major surgery, this period increases to 4-6 hours.
Food should not be hot. Heat increases blood circulation and may cause bleeding. For 24 hours after surgery, you should adhere to a gentle diet, more about which below.
Gentle nutrition
If the tooth extraction was accompanied by complications, dentists recommend following a gentle diet for a week after the operation - this means eating food in a form that will not damage the unprotected gum. Food should be softened or pureed - these are yoghurts, thick broths, pureed soups, vegetable purees, casseroles, cheesecakes. If these are cutlets, then steam them, and the minced meat should be well chopped.
Solid foods such as crackers, nuts, apples, and hard pears should be avoided. Great option- ice cream. It relieves swelling and constricts blood vessels.
Hot, very cold and spicy
Spicy, spicy, salty, sour and food - it is better not to eat all this until complete healing (and this is from 3 to 7 days). Such products have a negative impact on postoperative wound. They irritate the hole and promote the proliferation of microorganisms. You can eat ice cream because cold food has a vasoconstrictor effect.
What can't you do?
What you should avoid after having a tooth pulled:
What complications can occur after tooth extraction?
Tooth extraction can lead to a number of consequences, including very dangerous ones. Here are some common complications:
Situations that require seeing a doctor
Let’s look at the symptoms, the appearance of which after a tooth has been pulled out indicates that you need to immediately consult a dentist:
