Post extraction instructions The healing process begins immediately after a tooth is extracted, as the body sends blood to nourish the tooth socket. The blood clot soon stabilizes, and acts as a framework for the later growth of new bone and new gum tissue in the area of the extraction. To Do

1. Apply direct pressure to the site, by firmly biting on a folded gauze pad, as a way of controlling the initial bleeding.
2. Apply ice packs to your face on the side of the extraction to help control swelling. This can be effective for the first 24 - 36 hours.
3. A soft diet for the first few days after extraction such as curd rice, khichdi etc will help to minimize irritation to the site. Also, drink plenty of fluids for the first few days.
4. Take pain reducing medication as needed. Also, if you are given a prescription for an antibiotic, be sure to take it as directed, for the full number of days prescribed.
5. Warm salt water rinses, 4 - 5 times a day, starting 24 hours after the extraction, will help to keep the area clean and reduce the soreness
6. Blood or saliva should be swallowed (do not spit)
7. After 40 minutes take out the cotton and take an ice cream(provided you are not a diabetic)
8. Go in for an artificial tooth replacement within 4 weeks.
9. If a stitch is placed (sutures), visit the doctor after a week to get it checked/taken out.
10. Do not go out in harsh sunlight and do not do strenuous exercises for 2-3 days post impaction.

To Not Do

1. Do not smoke for at least 24 hours after an extraction. Smoking will interfere with early healing, cause persistent bleeding, and can cause severe pain, infection and other problems.
2. Do not rinse or spit for the first 24 hours. You do not want to dislodge the blood clot.
3. Avoid hot and hard and spicy food stuff .Cold and soft food is recommended for the first day.
4. Do not chew anything hard or crunchy in the area for 6 - 8 weeks. Things like popcorn kernels and hard food debris can easily "get stuck" in the socket.
5. Do not brush your teeth in the immediate area of the extraction for the first 24 hours. Then, be a little gentle for the first few days to avoid trauma to the area. Of course, it's very important to brush and floss normally everywhere else, and keep your mouth as clean as possible.
6. Do not give hot packs.
7. Do not touch the surgical area with your tongue or your finger.
8. Do not bite your cheek or tongue as they will be numb for 2-3 hours.
9. Avoid using a straw to drink any liquid or anything that requires sucking in of air.
10. Do not cough too loud and do not sneeze with force as it may dislodge the blood clot (upper teeth).

Immediate Replacement There are two options for the replacement of extracted teeth-

1. An immediate implant can be placed.
2. Crown and bridge can be placed within 4 weeks