Sinjab Periodontics
Dr. Khaled Sinjab, DDS, MS · (248) 949-4349

Post-op instructions: Tooth extraction

What to do for the next week after a tooth extraction.

1Bleeding

If the area is still bleeding, bite on damp gauze with light, steady pressure for 10 to 15 minutes at a time, up to 30 minutes, switching to a fresh piece when it's soaked. A little oozing is normal for 24 hours; most people clot within a few hours.

For the first 5 to 7 days: no straws, no spitting, no vigorous rinsing, and don't touch the area. Losing the clot exposes the bone (a dry socket), which is painful and needs further care.

2Swelling

Sleep with an extra pillow and not on the surgery side. Avoid bending, lifting, and anything that raises your heart rate. Ice the outside of the face for the first 24 hours, 20 minutes on and 20 off. After that, stop icing unless it's throbbing.

3Pain

Soreness is expected. Take ibuprofen and acetaminophen as directed, together or staggered three hours apart. Severe pain is not normal; call us.

4Eating

Cool, soft, or liquid foods for 24 hours, then warm soft foods on the other side. No crunchy, crumbly, or seeded foods until the socket has closed.

5Keeping it clean

After 24 hours, rinse gently after every meal with water or salt water (1 teaspoon salt in a cup of room-temperature water). Don't brush on the socket or stitches. No electric toothbrush near the area until healed.

6Medications

Take any prescriptions exactly as written. Finish antibiotics even if you feel fine.

7Activity and downtime

Rest today. No gym, swimming, or heavy lifting until your doctor clears you. No smoking or nicotine while healing.

8When to call us

Uncontrolled pain, pain that returns after going away, swelling that worsens after day three, fever, bad taste or smell, or bleeding that won't stop.

These instructions are general guidance from your dental specialist. Your doctor's specific instructions always come first. Questions: (248) 949-4349