Alamo Maxillofacial Surgical Associates, PA
Oral Surgery & Facial Cosmetic
San Antonio & Boerne, TX
210.614.3915, 210.402.3550 & 830.816.2480
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  • Meet Us
    • Steven B. Buckley, DDS, MD
    • Wendell A. Edgin, DDS
    • James E. Franco, DDS, MD
    • Robert P. Johnson, DDS, MSD
    • James W. Rominger, DDS, MD
    • B.D. Tiner, DDS, MD
    • Kelly Ann Shy, MHSM
  • Surgical Instructions
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    • Contact Information
    • Methodist Plaza Office
    • Methodist Stone Oak Office
    • Methodist Boerne Office

After the Removal of Multiple Teeth

  • A small amount of bleeding is to be expected following the operation. If bleeding occurs, place a gauze pad directly over the bleeding socket and apply biting pressure for 1 hour. If bleeding continues, a moist tea bag can be used for 30 minutes. If bleeding occurs, avoid hot liquids, exercise, and elevate the head. If bleeding persists, call our office.  Do not remove immediate dentures the first night unless the bleeding is severe or you are directed otherwise by your doctor.  Expect some oozing around the side of the denture.
  • Use ice packs (externally) on the same side of the face as the operated area. Apply ice for the first 24 hours only. Apply ice continuously while you are awake.
  • For mild discomfort use Tylenol; two tablets every 4 hours. Ibuprofen (Advil, Motrin) 200mg can be taken instead; 2 tablets every 4 hours.
  • For severe pain use the prescription given to you.  If the pain does not begin to subside in 2 days, or increases after 2 days, please call our office. If an antibiotic has been prescribed, be sure to take this until finished even if your symptoms have subsided.
  • Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least five-six glasses of liquid the first day.
  • Do not rinse your mouth for the first post-operative day or while there is bleeding. After the first day, use a warm salt water rinse every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area. (One half teaspoon of salt in a glass of lukewarm water).  After you have seen your dentist for denture adjustment, take out denture and rinse 3 to 4 times a day.
  • Restrict your diet to liquids and soft foods, which are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.
  • The removal of many teeth at one time is quite different than the extraction of one or two teeth. Because the bone must be shaped and smoothed prior to the insertion of a denture, the following conditions may occur, all of which are considered normal:
    • The area operated on will swell reaching a maximum in two days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration quicker. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember ice packs are used for the first 24 hours only).
    • A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in 2-3 days.
    • If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Vaseline. There may be a slight elevation of temperature for 24-48 hours. If temperature continues, notify our office.
    • There may be a slight elevation of temperature for 24-48 hours. If a temperature continues, notify our office.
    • If immediate dentures have been inserted, sore spots may develop. In most cases, your general dentist or prosthodontist will see you within 24-48 hours after surgery and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.
Updated: Wed Sep 22 2010 08:01:36 GMT-0500 (Central Daylight Time) by: buckley_www.alamomaxillofacial.com

METHODIST PLAZA
4499 Medical Drive, Suite 190
San Antonio, TX 78229
Tel 210.614.3915   •   Fax. 210.614.3918

METHODIST STONE OAK
1139 E. Sonterra Boulevard, Suite 505
San Antonio, TX 78258
Tel 210.402.3550   •   Fax 210.402.1282

METHODIST BOERNE
134 Menger Springs, Suite 1200
Boerne, TX 78006
Tel 830.816.2480   •   Fax 830.816.2035

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