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Surgery and implants

Care After Tooth Extraction

Complete care instructions after tooth extraction. What to do in the first 24 hours, diet, hygiene and warning signs. Dentist in Mexicali.

Guide written by Dr. Jesara López · Dental Surgeon (UABC) · Mexicali, B.C.

You just left the office and we want to make sure your recovery is as comfortable as possible. Follow these instructions for optimal healing.

The First 24 Hours

This period is critical for forming the clot that will protect your wound

  • Bite the gauze: Maintain firm pressure on the gauze for 30-45 minutes. If bleeding continues, place new gauze and repeat.
  • Apply cold: Use cold compresses on your cheek: 20 minutes with ice, 20 minutes rest. This reduces swelling.
  • Rest: Keep your head elevated with extra pillows. Avoid physical exertion and intense activities.
  • Protect the clot: DO NOT spit, DO NOT use straws, DO NOT rinse vigorously. The clot is essential for healing.

Do’s and Don’ts

Do

  • Rest for the first few hours
  • Take your medications on time
  • Eat cold and soft foods
  • Keep your head elevated while sleeping
  • Drink plenty of water
  • Brush your other teeth carefully

Don’t

  • Don’t smoke for at least 5 days
  • Don’t drink alcohol
  • Don’t use straws
  • Don’t spit forcefully
  • Don’t touch the wound with your tongue
  • Don’t do intense exercise (48h)

During the first few days, your diet is key to good recovery

  • Plain yogurt
  • Ice cream (no chunks)
  • Mashed potatoes
  • Warm soups (not hot)
  • Smoothies and shakes
  • Gelatin
  • Soft scrambled eggs
  • Mashed avocado

Avoid These Foods

  • Hot foods
  • Crunchy or hard food
  • Small seeds (rice, chia)
  • Spicy foods
  • Carbonated drinks
  • Alcohol

Oral Hygiene

  • Day 1 — Extraction day: DO NOT brush the extraction area. You can brush the rest of your teeth carefully.
  • Day 2 — The next day: Start gently brushing near the area. If we prescribed chlorhexidine rinse, use it without vigorous swishing.
  • Day 3+ — Following days: Gradually return to normal hygiene. Brush the area with a soft brush, always gently.

Medication

Take medications exactly as prescribed. It’s important to start the painkiller BEFORE the anesthesia wears off to prevent intense pain.

Do not take aspirin as it interferes with clotting. If you have questions about any medication, contact us.

Warning Signs

Contact us immediately if you experience any of these symptoms:

  • Worsening pain: If after day 2-3 the pain increases instead of decreasing
  • Excessive bleeding: If bleeding doesn’t stop after 1 hour of gauze pressure
  • Fever: Temperature above 38°C (100.4°F) may indicate infection
  • Bad taste or smell: Persistent very unpleasant taste or intense bad breath
  • Increasing swelling: If inflammation keeps growing after day 3
  • Difficulty opening mouth: Severe trismus that doesn’t improve over days

What is Dry Socket?

Dry socket occurs when the blood clot that protects the bone becomes dislodged or doesn’t form properly. This leaves the bone exposed and causes intense pain.

Symptoms:

  • Intense pain appearing 2-4 days after extraction
  • You can see white bone in the socket
  • Bad breath or unpleasant taste
  • Pain extends to ear or neck

How to prevent it?

By following all the instructions in this guide, especially: no smoking, no straws, no spitting, and no vigorous rinsing during the first 24 hours.

Recovery Timeline

Everyone is different, but this is the typical progression:

  • Day 1-2 — Normal discomfort: Increasing swelling, possible light bleeding, discomfort controllable with medication.
  • Day 3-4 — Improving: Swelling peaks and starts to go down. Pain gradually decreases.
  • Day 5-7 — Active recovery: Minimal discomfort. You can resume most normal activities.
  • Day 7-10 — Healing: Gum is healing well. Stitches may fall out on their own or we remove them.
  • 2 weeks — Follow-up: Tissue is well recovered. Schedule your follow-up appointment.
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