Tooth extraction – your questions answered
So many people have many questions about tooth extractions, in this blog post we seek to answer some of those most common concerns.
Is it safe to exercise after tooth extraction? Why or why not?
After you have had a tooth extracted it’s best to avoid strenuous exercise for at least 24 hours. After you have had a tooth extracted it will naturally bleed, this bleeding is controlled by your body via a blood clot. If you exercise rigourously then you will increase your heart rate and blood pressure, this could dislodge the blood clot which could start the bleeding again. You may then find you need to wait awhile before exercising in order to stop the bleeding.
How long does it take to heal after a tooth extraction?
You should find that bleeding stops quite quickly, typically within a few hours. The healing process has begun!
You will find it takes a few months for the wounds to heal over completely, however you should notice that any discomfort is gone within a week or so.
Is it okay if I leave food in my tooth extraction hole?
No. We recommend avoiding chewing food for 24 hours after a tooth extraction in order to avoid this. Stick to more liquid diets such as soup for this period. After 24 hours it is usually safe to rinse your mouth out with mouthwash to dislodge any food which is caught in the extraction hole.
Once the extraction site starts to heal you can gently brush the area with a soft toothbrush in order to remove food from the hole. If you leave food here it will begin to decay which could lead to gum disease, not to mention smelly breath!
How soon after a tooth extraction can a bridge be placed?
Your dentist will usually want to wait about six months after the tooth has been extracted before placing a bridge. This is to give the socket full time to heal. When you have a tooth removed there is a hole, what happens is that the bone surrounding the hole falls in to fill it. This can result in an overall loss of bone height in this area.
If bridges are placed to early this bone loss process may not have finished, the result is that the bridge can touch the gum when it is placed but as the resorption process continues the gum will tend to move away from the underside of the bridge creating a gap.
This is one reason why many dentists prefer dental implants as these can be placed into the hole where the tooth was and prevent this bone resorption.
Is it OK to eat spicy food after a tooth extraction?
Whether the food is spicy or not will make no difference at all. We do however recommend that you stick to a more liquid and soft diet for at least 24 hours after a tooth has been extracted, this gives very blood clot time to form.
Can you drink after a tooth extraction?
Yes, but we recommend avoiding rinsing out or spitting forcefully for at least 24 hours. Try not to swill the drink around your mouth and just drink carefully. After 24 hours a salt water mouthwash gently swilled around your mouth can help.
How painful is it to have a tooth extraction?
Your dentist will always give you a local anaesthetic for the tooth extraction, this means the actual process is virtually painless. As the anaesthetic wears off you may find some discomfort which can usually be eased with over-the-counter painkillers.
If the pain continues you should go back to your dentist as they may be able to offer you stronger options.
If you have pain Immediately after teeth extraction and once the local anesthetic has worn off you may find that an ice pack held against the outside of your cheek can help to reduce any existing pain.
Can you get dry socket with stitches? How can it be prevented?
A dry socket happens when there is partial or complete loss of the blood clot. The blood clot helps to protect the underlying bone and nerves from the oral environment, so losing the blog clot exposes them and can be extremely painful.
To prevent a dry socket it’s best to avoid anything which could dislodge the blood clot, this includes excessive exercise, rinsing your mouth out and spitting, eating solid foods… These should all be avoided for at least 24 hours.
Why have I still got pain weeks after tooth extraction?
If you still have pain many weeks after the tooth has been extracted they could be a variety of causes. If the pain is severe you could have a dry socket, you may also have a sequestra, this is a small tooth or bone fragment which has been left behind in the socket. The body will naturally expel the sequestra but it can feel rather painful. If you can see small bony pieces in the socket then please visit your dentist again.
What could a throbbing pain after tooth extraction mean?
You would normally find that pain or discomfort after a tooth extraction is described as throbbing. The throbbing is actually the beat of your heart which you are more able to notice through the extraction site. Over the counter painkillers should take care of this and the pain should begin to ease after 24 hours.
What’s the difference between a surgical extraction and simple extraction?
Simple extractions are when a regular tooth sticks out from the gum, a surgical extraction is more complex as the tooth is usually still underneath the gum and not exposed. This requires a level of surgical exposure i.e. the removal of the gum and/or the bone. These types of extraction can be performed by either a dentist or oral surgeon.
Dr Lage has a special interest in Implant Dentistry, Mercury free Dentistry, Root Canal Treatments (Endodontics), and Cosmetic Dentistry (crowns, bridges, veneers, teeth whitening).
He is very calm and very good with children and nervous patients.
Jose speaks English, Portuguese and Spanish and is trying to improve his Italian and French.