Follow these instructions carefully to ensure the successful healing of your tooth extraction. During the first 24 hours:
It is important that a blood clot forms on the extraction site to stop bleeding, reduce pain, and speed healing. To protect the clot and avoid the pain of dry socket:
- Bite on a gauze pad firmly for 30-60 minutes. Blood and saliva mix in the mouth and make it look like there is more bleeding than there really is. Some oozing is normal; however, after 1 hour, repeat with a clean gauze pad if oozing is profuse. The site could ooze for as long as 24 hours. 
- Don’t spit, and don’t suck on candies or through a straw. 
- Don’t rinse your mouth, and don’t brush or floss next to the site. 
- Don’t smoke or use tobacco. Avoid tobaccos for at least 72 hours because it slows healing. 
- Don’t sneeze or cough, so have sinus or allergy medication on hand if necessary. 
- Limit yourself to calm activities and elevate your head with a pillow when you lie down to reduce bleeding. 
- Don’t drink hot, carbonated, or alcoholic drinks, and avoid hot or spicy foods. - To control discomfort: Take pain medication before the anesthetic has worn off or as recommended. To keep swelling to a minimum: Use an ice bag over the area, 20 minutes on and 20 minutes off. When the numbness has worn off completely: Drink lots of fluids and eat only soft nutritious foods, chewing on the opposite sides. - After the first 24 hours: 
- Begin eating normally as soon as it’s comfortable. 
- Resume brushing and flossing, but clean gently around the site for about a week. 
- If antibiotics were prescribed, continue to take them for the indicated length of time, even if all symptoms and signs of infection are gone. 
- Reduce soreness or swelling by applying moist heat. Swelling usually starts to go down after 48 hours. 
- Further reduce swelling by rinsing your mouth very gently with warm salt water. Use about one teaspoon of salt per glass of warm water. Rinse two to three times a day for the week following the extraction. - When to call us: - It is normal to experience some discomfort for several days after a tooth extraction, but call us right away if you have: 
- Heavy or increased bleeding 
- Pain or swelling that increases or continues beyond two or three days 
- A bad taste or odor in your mouth 
- A reaction to the medication 
