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Wednesday, December 28, 2011

Post extraction instruction






Indication for tooth extraction
  • Periodontal disturbances
  • Dental caries
  • Pulp pathology 
  • Apical pathology 
  • Orthodontic reasons 
  • Prosthetic considerations 
  • Impactions
  • Supernumerary teeth 
  • Tooth in the line of fracture 
  • Teeth in relation to bony pathology 
  • Root fragments 
  • Teeth prior to irradiation 
  • Focal sepsis 
  • Esthetics 
  • Economic considerations 
Contraindication for tooth extraction
  • Diabetes & Hypertesion 
  • Steroid therapy 
  • Pregnancy 
  • Bleeding disorders 
  • Medically compromised patient 
  • Active infections 
  • Teeth in recently irradiated patient 

Post extraction instruction

  1. DO NOT DISTURB THE WOUND: In doing so you may invite irritation, infection and/or bleeding. Be sure to chew on the opposite side for 24 hours and keep anything sharp from entering the wound. Don't play with tongue. 
  2. DO NOT SMOKE FOR 12 HOURS: Smoking will promote bleeding and interfere with healing. 
  3. BRUSHING: Do not brush your teeth for the first 8 hours after surgery. After, you may brush your teeth gently, but avoid the area of surgery. 
  4. MOUTH WASH:Avoid all rinsing for 24 hours after extraction. This is to ensure the formation of a healing blood clot which is essential to proper wound healing. 
  5. DO NOT SPIT OR SUCK THROUGH A STRAW: This will promote bleeding and may dislodge the blood clot causing a dry socket. 
  6. BLEEDING: A rolled up gauze pad will be placed on the extraction site and change this dressing every 20 minutes. 
  7. PAIN: Prescription medication 
  8. SWELLING: To prevent swelling, apply an ice pack or a cold towel to the outside of your face in the area of the extraction during the first 12 hours. Apply alternately, 20 minutes on then 20 minutes off, for an hour or longer if necessary. 
  9. DIET: Cold, soft food such as ice cream or yogurt may be the most comfortable for the first day. It is also important to drink plenty of fluids.

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