Immediately After Extraction (First 24 Hours)

• Bite firmly on the gauze pad for 30-45 minutes to control bleeding
• Replace gauze if bleeding continues — fold a new piece and bite firmly
• Apply ice packs to the outside of your face for 20 minutes on, 20 minutes off
• Rest and avoid strenuous activity for the rest of the day
• Do NOT rinse, spit forcefully, or use a straw — this can dislodge the blood clot
• Do NOT smoke or use tobacco products
• Take prescribed or over-the-counter pain medication as directed
• Eat soft, cool foods — yogurt, applesauce, smoothies (no straw), mashed potatoes

Days 2-3

Swelling typically peaks at 48-72 hours. Continue ice packs if helpful. Begin gentle warm salt water rinses (1/2 teaspoon salt in 8 oz warm water) after 24 hours — rinse gently, do not spit forcefully. Continue soft foods. Brush teeth gently, avoiding the extraction site.

Days 4-7

Swelling should begin to subside. Continue salt water rinses 2-3 times daily. You can gradually return to a normal diet as comfort allows. Avoid hard, crunchy, or sharp foods near the extraction site. Most patients feel significantly better by day 5.

Warning Signs — Call Us Immediately

• Severe, worsening pain 3-4 days after extraction (may be dry socket)
• Fever above 101°F
• Excessive bleeding that does not stop with gauze pressure
• Swelling that is getting worse after day 3
• Numbness that has not resolved
• Difficulty swallowing or breathing