Postoperative Instructions Following Extractions With Placement OF Immediate Denture

SURGICAL SITE CARE

The best treatment for postoperative bleeding is constant, firm pressure. The denture will be placed immediately post-surgery and should act as a pressure bandage (gauze will be between the dentures to absorb any seeping). If the fit of the dentures is not desirable, then the gauze will be placed directly between the tissues and any opposing teeth. After one hour the gauze may be removed. Slight bleeding is normal. Pink-Tinged saliva can persist for 24-48 hours. If frank bleeding continues after the initial gauze is removed, place new gauze or moist green or black tea bag and bite firmly for an additional two hours. DO NOT change the gauze frequently as it can dislodge the clot and make you bleed more. If you continue to bleed after 4 hours, bite on a moist tea bag and please call Dr. Stivers. 

DO NOT SPIT, DRINK WITH A STRAW, SMOKE, DRINK ALCOHOL, OR EXERCISE FOR ONE WEEK, since they promote bleeding and can lengthen recovery time. 

Swelling after surgery is a normal body reaction and will continue to increase for the first three days post-surgery. During this time your denture should remain in your mouth even while sleeping, unless otherwise instructed by your general dentist/ denturist. Applying an ice pack (30 min on, 30 min off) on the outside of your face over the surgical area and keeping your head elevated while sleeping for the first three days helps limit swelling, bleeding, and discomfort. The ice pack should only be used for the first 24 hours after surgery. After 24 hours, apply warm moist heat using the provided hot / cold pack heated in the microwave for ten seconds and wrapped in a moist washcloth, as needed, and continue to sleep with your head elevated until swelling resolves. 

Start with a soft diet for the first day. Cold, soft foods such as ice cream, pudding, Jello or yogurt may be the most soothing and helpful. Advance your diet as tolerated. Rest is recommended the first day. 

DISCOMFORT

Some discomfort is normal after oral surgery. It can be controlled but not eliminated by taking medications as prescribed. Dentures have a longer adjustment period, and it can be difficult learning how to speak and/ or chew with the dental appliance in place. Over the next six months the bone supporting the denture will change through a process called remodeling. the bone will eventually remodel to the shape of the denture. It may be necessary to see your general dentist/ denturist for several adjustments to the denture during this time. Occasionally during the process of remodeling a splinter of the bone may rise to the surface of the gum tissue. These bone splinters can be encouraged to fall out by using a soft bristled toothbrush and warm water, gently massaging the surrounding tissue. If the bone spur does not resolve quickly, please contact our office. It is important to take ALL antibiotics as directed. 

ORAL HYGIENE

Do not rinse your mouth out for the first 24 hours after surgery. Do not rinse mouth with Listerine, Scope, or any mouth rinse with alcohol for the first week. Begin using Chlorhexidine rinse the day after surgery. If this prescription was not provided to you use, please use 1/4 teaspoon salt in a glass of water. Gently swish and let the rinse fall out of your mouth to avoid spitting, which can cause bleeding after breakfast and dinner for two weeks postoperatively.  Remove your denture after every meal and clean thoroughly. You may have purchased topical pain reliver called Sockit. Every time the denture is cleaned (or every 4 hours) a pea sized amount of the gel can be applied inside the denture to help with discomfort. If sutures were placed, they will usually dissolve in 4-10 days, unless told otherwise. Getting dentures is not the end of your dental care. Please make sure to see your general dentist for annual checkups (your dentist will check that your denture is in good working order and the gum tissue underneath is healthy).