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London Square Dental Centre

Tooth Extraction Aftercare Guide

Proper aftercare following a tooth extraction is essential for a smooth recovery and to prevent complications like dry socket. This guide covers everything you need to know, from the first few hours after your procedure through complete healing.

Day 1: Immediately After Extraction

The first 24 hours are critical for blood clot formation and the start of healing. Rest, protect the extraction site, and manage discomfort with the steps below.

Do:

  • Bite firmly on gauze for 30-60 minutes
  • Apply ice packs (20 min on/off)
  • Eat soft, cool foods only
  • Elevate your head when resting
  • Take prescribed pain medication on schedule

Don't:

  • Use straws (suction can dislodge the clot)
  • Spit forcefully or rinse vigorously
  • Smoke or use any tobacco products
  • Eat hot, spicy, or crunchy foods
  • Exercise or do strenuous activity

Days 2-3: Swelling Peak

Swelling and discomfort typically peak around 48-72 hours after the extraction. This is normal and part of the healing process. Continue eating soft foods and managing pain as directed.

  • Begin gentle salt water rinses (1/2 tsp salt in warm water) after 24 hours
  • Stick to soft foods: yogurt, applesauce, mashed potatoes, smoothies (no straw), soup
  • Continue ice packs as needed for swelling during the first 48 hours
  • Switch to moist heat (warm cloth) after 48 hours if swelling persists
  • Take pain medication as directed - don't wait for severe pain

Days 4-7: Gradual Improvement

Most patients notice significant improvement by day 4. Swelling should be subsiding and pain decreasing. You can gradually reintroduce firmer foods as comfort allows. Continue gentle salt water rinses after meals. Avoid chewing directly on the extraction site.

Week 2 and Beyond: Healing Continues

The socket continues to fill in with new tissue. By two weeks, the surface should be largely closed. Complete bone healing beneath the surface takes 3-6 months.

  • Resume normal brushing and flossing, being gentle near the extraction site
  • Return to your regular diet as comfort permits
  • Attend your follow-up appointment so we can monitor healing
  • Contact us if you have any concerns about the healing process

Warning Signs. Contact Us Immediately If:

  • Heavy bleeding that won't stop after applying pressure for 30 minutes
  • Severe, throbbing pain that develops 2-4 days after extraction (possible dry socket)
  • Swelling that worsens after day 3 or spreads to the neck
  • Fever above 38°C (100.4°F)
  • Difficulty breathing or swallowing
  • Pus or foul taste/odor from the extraction site
  • Numbness that persists beyond what your dentist described
Call (403) 291-4945

Frequently Asked Questions

How long does it take to heal after a tooth extraction?+
The initial healing period takes about 1-2 weeks. The socket typically closes over within 3-4 weeks, and complete bone healing can take 3-6 months. Most patients feel significantly better within 3-5 days and can resume normal activities.
When can I eat normally after a tooth extraction?+
Stick to soft foods for the first 2-3 days. You can gradually reintroduce firmer foods as comfort allows, usually by days 4-7. Avoid chewing directly on the extraction site for at least a week. Hot, spicy, and crunchy foods should be avoided for the first few days.
What is dry socket and how do I prevent it?+
Dry socket occurs when the blood clot at the extraction site becomes dislodged or dissolves before healing is complete, exposing the underlying bone and nerves. It causes intense, radiating pain 2-4 days after extraction. Prevent it by avoiding straws, spitting, smoking, and vigorous rinsing for the first 48-72 hours.
Is bleeding after a tooth extraction normal?+
Some oozing and light bleeding is normal for the first 12-24 hours. Bite firmly on gauze pads to help control bleeding. If heavy bleeding continues beyond 4 hours or restarts after stopping, contact our office immediately.