You should not use toothpaste for at least 3 to 4 days. The activity of brushing your teeth requires you to spit out the toothpaste. By doing this, you could cause the blood clot to come loose and cause bleeding, and the healing process will have to begin all over again.
To be on the safe side, don't brush or rinse the mouth in the first 24 hours after the tooth extraction procedure. Thereafter, brush with care and don't allow the toothbrush to get close to the extraction site. Also, don't swish water, mouthwash or any oral care fluid in your mouth.
Don't rinse for the first 24 hours, and this will help your mouth to start healing. After this time use a salt-water mouthwash, which helps to heal the socket. A teaspoon of salt in a glass of warm water gently rinsed around the socket twice a day can help to clean and heal the area.
Use a soft-bristled brush and clean your mouth gently and slowly using small circular motions. Don't clean the teeth adjacent to the wound area for the rest of the day, but you can start cleaning them the next day. Avoid allowing the brush to hit the extraction socket for the first three days.
Patients usually can resume tooth brushing and flossing on day 2 of recovery, but should refrain from brushing on the extraction site for the first three days to ensure your clot stays in place.
Avoid chewing from the extraction site for about two weeks following the procedure to disrupt and delay the healing process. While you can begin to eat your usual foods after three days, avoid very hot, spicy, acidic, sticky, and crunchy foods until your gum and jawbone is fully healed.
So, why no dairy? Dairy causes an inflammatory response in the oral tissues and this is not desirable after you have had dental implant surgery. Dairy has also been known to trigger nausea and vomiting.
Within 14-21 days, the hole will close, and your gums will heal. Keep in mind that large teeth, like the back teeth and wisdom teeth removal, takes the longest to heal. After a month, your tooth hole should be completely healed, and there should be no spicules or indentations.
Don't drink with a straw, suck on candy or ice pops, slurp soups or other liquids, rinse your mouth vigorously, or smoke for 24 hours. These things create suction in the mouth. This may dislodge the blood clot. Don't drink alcohol or use mouthwash containing alcohol for 24 hours.
Begin saltwater rinses the day after surgery and continue for 1 week. Rinse with warm salt water 3–4 times each day. To make the saltwater solution, dissolve 1 teaspoon of salt in a small glass of warm tap water. If you have been given an irrigating syringe, start irrigation 1 week following surgery.
While every patient heals at a slightly different pace, most people can begin drinking small amounts of coffee around 5 days after an extraction. If all goes well, within two weeks any swelling should subside and your mouth should be mostly healed. At that point, you can return to drinking your normal amount of coffee.
Avoid tough or crunchy foods, such as pizza, rice, popcorn, and hamburger. Avoid spicy and acidic foods. Most patients may resume their normal diet 7 days after surgery.
Partial or total loss of the blood clot at the tooth extraction site, which you may notice as an empty-looking (dry) socket. Visible bone in the socket. Pain that radiates from the socket to your ear, eye, temple or neck on the same side of your face as the extraction. Bad breath or a foul odor coming from your mouth.
Yogurt. Yogurt is a great snack to eat after your wisdom teeth are removed. For one thing, it's completely soft, so you won't have to chew at all. For another, it's a good source of protein and other nutrients that you'll need to help recover after surgery.
Applesauce is a good choice after your tooth extraction because it will add some fiber to your diet. After the first day, you might try mashed potatoes, mashed sweet potatoes, scrambled eggs, oatmeal, pancakes, and broth-based soups without large chunks of meat. Eat these foods lukewarm, not hot.
Bananas. Many oral surgery specialists recommend eating bananas after the surgery. The soft texture is easy to chew and doesn't irritate your gums. Bananas are loaded with minerals and vitamins, including folate, manganese, vitamin B6, and potassium, which are good for your oral health.
By day 3, your gum swelling should subside and your open wound from extraction will begin to close. In 7 days, your gums should be very close to being completely healed with minimal sensitivity or pain. These are all signs that your gums are healing nicely and in the expected time frame.
After a tooth extraction, it's best to avoid drinking hot beverages like tea and coffee for the first 24 hours. The heat from the drinks can cause the blood vessels in the extraction site to dilate, increasing blood flow and prolonging the bleeding.
Dislodge the food by gently rinsing your mouth with warm salt water (saline) solution. Avoid swishing the water around and don't spit—this can lead to painful dry sockets. If you received a syringe from your clinician, you can use warm water or salt water to gently flush the socket clean.
When Can I Stop Worrying About Dry Socket? Until the full recovery of your extraction site, a dry socket can form if you fail to follow the care tips. Usually, a week (7-8 days) after wisdom tooth extraction, you can stop worrying about a dry socket as gums take this much time to close fully.
Gatorade, Juice (non-acidic), and Milk are also good options. Immediately following surgery we recommend cool soft foods: Ice-cream, Jello, Pudding, Applesauce, Yogurt, Protein shakes or Milkshakes (no straws!).
Most oral surgeons advise patients to avoid physical exertion for the first 4 days after surgery. Exercise can lead to an increase in blood pressure, which can cause the extraction site to bleed. Worst of all, the blood clot that grows in the extraction area after surgery may be dislodged, leading to dry socket.
The swelling will build over the first 48 to 72 hours and then plateau for 2-3 days making the 3rd-5th days the worst for pain and swelling. However, the swelling may be minimized by the immediate use of ice packs.