1. Blood clotting: After an extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process. Bite on a gauze pad for 30 minutes after the extraction. If bleeding or oozing continues after you remove the gauze pad, place another gauze pad and bite firmly for another 30 minutes. After a blood clot forms you should place ice chips in your mouth (not necessarily on the wound site) for the next three to four hours. The ice chips will help bring down the temperature in you mouth and thereby help reduce the swelling. Avoid spitting, and it is recommended that you swallow instead.
2. Protecting the blood clot: After the blood clot forms, it is important to protect it, especially for the next 24 hours. Do not: smoke, suck through a straw, rinse your mouth vigorously, or clean the teeth next to the extraction site. These activities will dislodge the clot and slow down healing. Limit yourself to calm activities for the first 24 hours: this keeps your blood pressure lower, reduces bleeding and helps the healing process.
3. Antibiotics: If an antibiotic has been prescribed, start taking it the first day (unless directed otherwise) and use to completion. You can reduce stomach upset by taking it with food and/or plenty of liquid.
4. Ibuprofen: If we prescribed ibuprofen, start taking it the day of the bone graft surgery and continue for two days. After that you can still take it as needed for pain. Do not use ibuprofen for more than one week.
5. Pain medication: Take one pain pill as soon as you can after surgery. It will usually work better if taken before the numbness wears off. After that, take only as needed. Take any narcotic pain pills with food and/or plenty of liquid. Do not drive after taking any narcotic pain pill and do not take them with sleeping pills or alcohol.
6. Ice: Use a cold pack (a plastic bag of frozen peas works well) to the face over the area where the procedure was done for 10 minutes at a time, twice an hour, for the first six hours. You can periodically use an ice bag the rest of the day of surgery and the next day. If you use the ice bag as directed, you should have less swelling than you would have otherwise. Less swelling = less pain. Do not use hot packs or a hot water bottle.
7. Sleep somewhat inclined: For the first two nights after the procedure, sleep in a recliner chair or with your head propped up with some pillows. A recliner is better. If you keep your head above your heart level for the first two days, it will significantly cut down on post-op swelling. Less swelling = less pain.
8. Swelling: Most people get some swelling and, if they do, it usually happens about 48-72 hours after the surgery. Using the ice bag and sleeping inclined as directed above will help a great deal with keeping it to a minimum.
9. Liquid in the brown jar: (if necessary) is chlorhexidine (Peridex), a topical antiseptic available by prescription. Use a Q-tip cotton swab to apply it. The ear cleaning Q-tips work best, as they are very absorbent and hold a good size drop of liquid. Apply about three times/day for four weeks to the surgical site by dabbing the chlorhexidine soaked Q-tip to the surgical area. Do not scrub it in. During the first four weeks, whenever you do start any tooth brushing at the surgical site, dip the toothbrush in the chlorhexidine, as well. Once this liquid is applied, do not eat, drink or rinse out for 30 minutes.
10. Oral hygiene: Do not use a Waterpik or an electric toothbrush around the surgical area for six weeks after the procedure. Do not floss around the tooth/teeth worked on for one week, to avoid accidentally taking out any of the stitches. After four weeks, there should be no oral hygiene restrictions, except for Waterpiks and electric toothbrushes as noted above.
11. Stitches and “Barrier membrane”: The stitches and barrier membrane over the extraction site are usually non-dissolvable and will need to be removed about three to four weeks later.
12. Salt water rinses: Rinse your mouth out (don’t swish) with a warm salt water solution (one teaspoon of salt dissolved in eight ounces of warm water). Hold this in the mouth for 30 seconds and spit out. Repeat. Do this four to five times per day for seven days. Start the day after the procedure.
13. Exercise: Avoid strenuous exercise for the first seven days. Strenuous physical activity may increase post-operative pain or cause post-operative bleeding and swelling. Less activity = less pain.
14. Touching the surgical site: It is important that the surgical site remains untouched during the initial stages of healing. We recommend that you avoid stretching your mouth to look at the site and avoid playing with your tongue on the surgical sites.
15. Bleeding: “Pink” saliva is normal for a few days. If you have bleeding, wipe the area clean of any “blood clots” first. It has to be thoroughly cleaned. Then apply gentle pressure to the extraction site for 10 straight minutes with a soaking wet tea bag (black tea works the best), or a soaking wet gauze pad, or a clean washcloth. Be sure it is soaking wet. If it is not, the clot will stick to it and start bleeding again when you pull it away. If it won’t stop, call our office immediately.
16. Food: Stay on a soft diet, chew away from the extracted tooth/teeth and avoid any foods that would be more likely to get stuck in the extraction site, such as corn, popcorn, nuts, and seeds (fruit like strawberries have seeds). Do this for at least five weeks (if we used a non-resorbable barrier we removed, then for one week after the barrier is removed). Citric juices, carbonated beverages or acidic foods, like tomatoes, may make it hurt, but won’t damage the graft healing. For the first seven days, avoid really hot foods or drinks. Consider a nutritional food supplement (Carnation Instant Breakfast drink, Ensure, Slim-Fast, Glucerna for diabetics.) After five weeks, there should be no eating restrictions. Don’t use straws for the first week. No milkshakes with a straw for four weeks.
17. Smoking: Avoid smoking during the healing process. Smokers have a much higher incidence of dry sockets. If you do smoke, keep it to five cigarettes or fewer per day and only smoke half the cigarette. No cigars or pipes. Do this for at least six weeks.
18. Aspirin: Unless you have a special medical reason for taking aspirin (tell us at least a week ahead of time if this is the case), do not take aspirin products for seven days prior to through two days after the extraction procedure. Aspirin can cause bleeding.
A dental crown is a prosthetic tooth that’s placed over your natural tooth when it’s damaged or misshapen. Placement of a crown is the most common of all dental restorations and is an effective way to improve your smile and protect your oral health.
Invisalign provides an attractive alternative to traditional orthodontic treatments like braces. It’s a revolutionary new way to straighten teeth. This treatment uses clear, plastic aligners that fit over your teeth to gradually align them over time.
Veneers mimic the natural appearance of your teeth with a very thin layer of porcelain. Each veneer is custom-made to fit your individual teeth to ensure flawless results.
Wall Street Dental Spa offers partial or complete smile makeovers depending on your unique dental needs and aesthetic goals.
A dental implant is a metal post that a dentist implants into your jawbone beneath your gums. Essentially, it’s the root of your new tooth. Once the post is in place and your mouth fully heals, a process that typically takes a few weeks, your dentist mounts the new replacement tooth (crown) on the post permanently.
All-On-X implants are a specialized type of dental implant that allows for the restoration of large sections of teeth, up to an entire top or bottom arch.
A tooth extraction, or having your tooth pulled, is a dental procedure where your tooth is entirely removed. This is considered an oral surgery and is done by an oral surgeon, periodontist, or general surgeon.
Wisdom teeth are the final set of three sets of molars to erupt, usually between the ages of 17 and 21. Typically, there are two wisdom teeth on each side, one on the top and one on the bottom.
Sedation Dentistry (also known as IV Sedation) is a service offered by dental professionals to help you be as relaxed as possible while caring for your teeth and oral health. Using a variety of methods, sedation dentistry can help you experience less anxiety and pain during your dental procedures.
A root canal is a dental treatment that saves and repairs an infected tooth. If your tooth becomes severely infected from inside, one of the experienced dentists at Wall Street Dental Spa removes the bacteria and any dying or dead tissue. This allows them to protect your tooth and take away your pain.
Oral surgery refers to a group of procedures which diagnose or treat a variety of oral and dental problems. Oral surgery can be as simple as tooth extraction, or as complex as facial reconstruction after facial trauma.
You may need emergency dentistry at Wall Street Dental Spa if you have a problem with your teeth or mouth that requires immediate attention to prevent worsening pain, spreading infection, blood loss, or tooth loss.
Receding gums are when your gums pull or wear away and can potentially expose the roots of your teeth. This can increase your potential for pain, infection, and tooth loss.
Professional teeth whitening gives you results that are far superior to those you can get using over-the-counter whitening products alone. Using professional grade products, your teeth can safely and effectively become up to five shades* brighter than your natural teeth.
Temporomandibular joint (TMJ) disorder is a condition affecting the joint between the jaw and the skull. This joint is a complex system of bone, ligament, cartilage, and muscle.
We accept most PPO insurances plans, Medicaid/HMO Plans are not accepted.