After Tooth Extractions - Harbourside Oral and Facial Surgery Centre

Extractions and placement of full or partial denture

“General Post-Surgical Instructions” should be followed, in addition to these special instructions unique to your surgery.

Emergencies

If you have any questions or problems, call our office at 604 924-8088. There is always an Oral and Maxillofacial Surgeon on call for emergencies.

Your denture may be inserted at the end of your surgery after the extraction(s) of your teeth is complete. Please do not remove your denture for the first 24 – 48 hours following surgery. Thereafter it can be removed at night.
If you remove your denture(s) for extended periods of time the tissue may swell and you may not be able to reinsert them again for days until the swelling has subsided.
ADJUSTMENTS: Partial or full dentures should be adjusted by your dentist or denturist in the first 24 – 48 hours if possible. They may need to be adjusted over the following weeks as the tissue and bone heal. Failure to have dentures adjusted may result in sore spots forming as well as prolonged and painful healing of the area. This may result in ill fitting dentures and continual problems over time.

To control the bleeding, the gauze should be placed to line the top and bottom teeth (in the case of full dentures) or directly between teeth and partial denture, and firm pressure applied. The gauze should be changed every 30 – 60 minutes as necessary. Once there is little spotting on the gauze, it is no longer required.
If you are having trouble controlling the bleeding, it may be necessary to remove the denture and apply direct pressure with the gauze to the extraction site(s). Once bleeding has subsided, re-insert your denture.

The morning following your surgery, remove your denture, and rinse your mouth. Brush and clean the denture and reinsert immediately after. Continue to rinse your mouth frequently and clean the denture. This should be done first thing in the morning, following meals and again at bedtime.
You may experience discomfort removing and replacing your denture for rinsing. Rinsing one hour after pain medications will give you optimum comfort.

SINUS PRECATIONS: To be followed for two weeks post operatively.
Do not be concerned with minor nasal bleeding following surgery, however, active nasal bleeding greater than 5 minutes should be evaluated.
Do Not do any activities that will increase the pressure in your mouth or nose.
No smoking, nose blowing, holding your breath, blowing up balloons or playing wind instruments. Please do not drink through a straw or from any bottle that requires suction.
Coughing, sneezing and yawning should be done with your mouth open so the pressure between mouth and nose equalizes faster.
Some post operative sinus pressure may occur. This can be relieved by purchase of a decongestant at your pharmacy. You may use a decongestant in the morning and at bedtime as necessary, but not for a period of more than 10 days.