University of AdenUniversity of AdenFaculty of DentistryFaculty of Dentistry

Department of Oral SurgeryDepartment of Oral Surgery

Oral Surgery Oral Surgery Third YearThird Year

Post-Ex. CarePost-Ex. CareAssociate Prof. Dr. Muhgat

Abdo2011

Tooth Extraction Tooth Extraction (Exodontia)(Exodontia)

What are the steps in postoperative What are the steps in postoperative management of an extraction site?management of an extraction site?

1. Frigate the site with sterile saline.1. Frigate the site with sterile saline.

2. Remove tissue tags and granulation tissue from 2. Remove tissue tags and granulation tissue from the soft tissue of the site.the soft tissue of the site.

3. Aggressive curettage of the socket is 3. Aggressive curettage of the socket is contraindicated. Pathologic tissue should be contraindicated. Pathologic tissue should be removed by gentle scraping of the socketremoved by gentle scraping of the socket..

Tooth Extraction Tooth Extraction (Exodontia)(Exodontia)

What are the steps in postoperative What are the steps in postoperative management of an extraction site?management of an extraction site?

Tooth Extraction Tooth Extraction (Exodontia)(Exodontia)

What are the steps in postoperative What are the steps in postoperative management of an extraction site?management of an extraction site?

4. Compress the alveolar bone with finger 4. Compress the alveolar bone with finger pressure.pressure.

5. Suture if necessary at the papillae bordering 5. Suture if necessary at the papillae bordering the extraction site andthe extraction site and across the middle ofacross the middle of the the site.site.

6. Review postoperative instructions with the 6. Review postoperative instructions with the patient.patient.

Establishing haemostasisEstablishing haemostasis: stop the bleeding,: stop the bleeding,establishment of a stable blood clot. (by placingestablishment of a stable blood clot. (by placinga gauze pack cover the socket and instruct thea gauze pack cover the socket and instruct thepatient to apply gentle and continues pressure bypatient to apply gentle and continues pressure bybiting on the gauze at least for 30 minutes.biting on the gauze at least for 30 minutes.

Do not spit, or suckDo not spit, or suckthrough a straw, through a straw, since this will since this will promote bleeding.promote bleeding.

Muhgat AbdoMuhgat Abdo

Review post Review post extraction extraction

instructions with instructions with the patientthe patient . .

What to do After Tooth ExtractionWhat to do After Tooth Extraction Control Bleeding Bite firmly the gauze pack over the Control Bleeding Bite firmly the gauze pack over the

surgical area for, at least, 1/2 hour; then discard it gently. surgical area for, at least, 1/2 hour; then discard it gently. Some blood will ooze from the area of surgery for several Some blood will ooze from the area of surgery for several

hours and it is normal. hours and it is normal. Do not spit, or suck through a straw, since this will Do not spit, or suck through a straw, since this will

promote bleeding. promote bleeding. When bleeding persists at home, place a gauze pad or cold When bleeding persists at home, place a gauze pad or cold

wet teabag over the area and bite firmly for 30 minutes. wet teabag over the area and bite firmly for 30 minutes.

What to do After Tooth ExtractionWhat to do After Tooth Extraction Avoid rubbing the area with your tongue.Avoid rubbing the area with your tongue. Keep your head elevated on several pillows or sit in a lounge chair for Keep your head elevated on several pillows or sit in a lounge chair for

12 hours.12 hours. DO NOT SMOKE DO NOT SMOKE for 24 hours after surgery because this will cause for 24 hours after surgery because this will cause

bleeding, pain and interfere with healing.bleeding, pain and interfere with healing.

DO NOT CHEW KATDO NOT CHEW KAT

What to do After Tooth ExtractionWhat to do After Tooth Extraction Do not rinse your mouth or brush your teeth for the first 12 Do not rinse your mouth or brush your teeth for the first 12

hourshours after the surgical appointment.after the surgical appointment.

Brush the teeth gently after 24 hours and Avoid the surgical siteBrush the teeth gently after 24 hours and Avoid the surgical site . .

Rest: Rest: Avoid strenuous exercise during the first 24 hours, and Avoid strenuous exercise during the first 24 hours, and keep the mouth from excessive movement. Physical activity may keep the mouth from excessive movement. Physical activity may increase bleeding. increase bleeding.

What to do After Tooth ExtractionWhat to do After Tooth ExtractionDietDiet

Use a Use a liquidliquid or soft diet high in protein. or soft diet high in protein. Drink a large volume of water and fruit juices no Milk. Drink a large volume of water and fruit juices no Milk. Avoid hot food for the first 24 hours after surgery because this may promote Avoid hot food for the first 24 hours after surgery because this may promote

bleeding.bleeding. Eat a soft diet for the first 24 hours after tooth extraction. Eat a soft diet for the first 24 hours after tooth extraction. Avoid foods that require excessive chewing. Avoid foods that require excessive chewing. You can resume a normal diet the day after tooth removal. You can resume a normal diet the day after tooth removal.

What to do After Tooth ExtractionWhat to do After Tooth ExtractionPain reliefPain relief

Some Discomfort Some Discomfort is normal after surgery. It can be controlled by is normal after surgery. It can be controlled by taking the pain medication your dentist has prescribed or taking the pain medication your dentist has prescribed or recommended. recommended.

Start taking your pain pills before the numbing medication has Start taking your pain pills before the numbing medication has worn off.worn off.

Avoid Avoid AsprinAsprin. . Warm salt water helps to clean and sooth,reduce swelling (4 Warm salt water helps to clean and sooth,reduce swelling (4

times a day starting the day after tooth Extraction ( times a day starting the day after tooth Extraction ( Mouth WashMouth Wash))

What to do After Surgical What to do After Surgical ExtractionExtraction

Antibiotic therapyAntibiotic therapy: because : because bone was removed.bone was removed.

Post surgical review.Post surgical review.

Suture removal: after 7 Suture removal: after 7 days.days.

Computer Lab. In the FacultyComputer Lab. In the Faculty