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Diastema Closure
Implants
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Tooth Extraction



Anesthetics
The length of time you experience numbness varies, depending on the type of anesthetic you've received. While your mouth is numb, you'll want to be careful not to bite your cheek, lip or tongue. The numbness should subside within a few hours. If it doesn't subside, contact your dentist.

Bleeding

Your dentist will place a gauze pack on the extraction site to limit bleeding and confine the blood while clotting takes place. This gauze pack should be left in place for 30 to 45 minutes after you leave the dentist's office. Do not chew on the pack. There may be some bleeding or oozing after the pack is removed. If so, follow this procedure:
 Fold a piece of clean gauze into a pad thick enough
    to bite on. Dampen the pad and place it directly on the
    extraction site.
Apply moderate pressure by closing the teeth
   firmly over the pad. Maintain this pressure 
   for about 30 minutes. If the pad becomes soaked
   with blood, replace it with a clean
   one as necessary.
 Do not suck on the extraction site A slight amount
   of blood may leak at the extraction site
   until a clot forms. However, if heavy bleeding continues,
   call your dentist. (Remember, though, that a lot of saliva
   and a little blood can look like a lot of bleeding.)


The Blood Clot

After an extraction, a blood clot forms in the tooth socket. This clot is an important part of the normal healing process. You should therefore avoid activities that might disturb the clot. Here's how to protect it:

Do not smoke, or rinse your mouth vigorously, or drink
 through a straw for 24 hours. These activities create suction
 in the mouth, which could dislodge the clot and delay healing. 
Do not clean the teeth next to the healing tooth socket for
 the rest of the day. You should, however, brush and floss your
 other teeth thoroughly. Gently rinse your mouth afterward.
Limit strenuous activity for 24 hours after the extraction.
 This will reduce bleeding and help the blood clot to form. 
If you have sutures that require removal, your dentist will 
instruct you when to return.
Occasionally, a dry socket occurs when the blood dot 
breaks down earlier than normal. A dressing may be placed 
in the socket to protect it until the socket heals.

Medication

Your dentist may prescribe medication to control pain and prevent infection. Use it only as directed. If the medication prescribed does not seem to work for you, do not increase the dosage. If you have prolonged or severe pain, swelling, bleeding or fever, call your dentist immediately. He or she will give you exact instructions on how to care for your problem.

Swelling and pain

After a tooth is removed, you may have some discomfort and notice some swelling. You can help reduce swelling and pain by applying cold compresses to the face. An ice bag or cold, moist cloth can be used periodically. The dentist may give you specific instructions on how long and how often to use a cold compress. The dentist may also give you a plastic bag of ice to use on your way home from the Office.

Diet

After the extraction, drink lots of liquids and eat soft, nutritious foods. Avoid alcoholic beverages and hot liquids. Begin eating solid foods the next day or as soon as you can chew comfortably. For about two days, try to chew food on the side opposite the extraction site. If you are troubled by nausea and vomiting, call your dentist for advice.

Rinsing

The day after the extraction, gently rinse your mouth with warm salt water (half a teaspoon salt in an 8 oz. glass of warm water). Rinsing after meals is important to keep food particles out of the extraction site, but remember not to rinse your mouth vigorously. Avoid using a mouth rinse or mouthwash during this early healing period.

Oral Hygiene

It is important to continue to brush thoroughly twice a day using an ADA-accepted fluoride toothpaste, 0ne floss or clean in between your teeth with inter dental cleaners, daily. The tongue should also be brushed. This will help eliminate the bad breath and unpleasant taste that is common after an extraction. Always use a soft bristled brush so that you do not injure the tissues in your mouth. Following an extraction, avoid cleaning the teeth next to the healing tooth socket. Remember that you have just had surgery. Be kind to yourself.
 

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