After Multiple Extractions


Be sure to take the prescribed antibiotics as directed by your oral surgeron to help prevent infection. Please be aware that oral contraceptives are influenced by antibiotics and the contraceptive pill may not be very effective. It is advisable to use extra barrier methods as a precaution.


Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising.


ASome bleeding or a blood tinge in the saliva is normal for 24 hours after surgery. Excessive bleeding (your mouth fills up with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes.
If bleeding persists, call our office immediately. Do not remove immediate denture unless the bleeding is severe. Expect some oozing around the side of the denture.


Drink plenty of fluids. Avoid hot liquids or hot food for the first 48 hours after surgery. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

Oral Hygiene

Good oral hygiene is essential to good healing. After you have seen your dentist or prosthodontist for a denture adjustment, take out the denture and rinse three times a day. Otherwise if no denture was placed during surgery, 24 hours after surgery start mouth rinsing with warm salt water 3 times a day, after breakfast, lunch and dinner. Warm salt water rinses should be – 1 teaspoon of salt in a cup of warm water. Brush your teeth as normal, however do avoid the site of surgery for the first week after surgery. After 1 week brush as normal, just be gentle at the surgical sites. Continue this procedure until your follow up appointment with your surgeon.

It is important to resume your normal dental routine after 24 hours. This should include brushing and flossing your teeth at least once a day. This will speed healing and help keep your mouth fresh and clean.


You should begin taking pain medication as soon as you feel the local anaesthetic wearing off. For moderate pain, adults can take 2 tablets of panadol every 6 hours maximum of 8 tablets in a day. Ibuprofen (neurofen, advil) comes in 200mg – 400mg over the counter, and can be taken every 8 hours with food. Not to be taken if you have a gastric or kidney problems. For severe pain, the prescribed medication should be taken as directed.

If the pain does not begin to subside in two days, or increases after two days, please call the office.


It is important to take time to recover and this can vary from 5 – 10 days depending on the individual and the nature of the surgery. Please request a medical certificate if required.

Swelling And Brusing

Swelling and brusing is a normal occurrence after surgery. To minimize swelling, apply an ice pack on the cheek in the area of surgery. Apply the ice pack for 15 minute intervals, for the first 48 hours after surgery. If you would like to help the swelling subside start warm packs after 48 hours

Wearing Your Prosthesis

If immediate dentures have been inserted, sore spots may develop. In most cases, your dentist or prosthodontist will see you within 24-48 hours after surgery and make the necessary adjustments to relieve those sore spots. Failure to do so may result in severe denture sores, which may prolong the healing process.

Do noy remove the denture until you have seen your dentist or prosthodontist, unless otherwise directed


The removal of many teeth at one time is quite different than the extraction of one or two teeth. The bone is usually contoured to be smooth and regular prior to the insertion of a denture, this may lead to:

  • Swelling, reaching a maximum in two days. Discoloration around the eye may, also, occur. The application of a moist warm towel will help eliminate the discoloration. The towel should be applied continuously for as long as tolerable beginning 48 hours after surgery ice packs are used for the first 48 hours only).
  • A sore throat may develop. This relates to stretch of some of the muscles and to the general anesthetic mask/tube. This is normal and should subside in two to three days.
  • There may be a slight elevation of temperature for 24-48 hours. If the fever continues, notify the office.
  • If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Vaseline.

After a few days you will feel fine and can resume your normal activities. If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, call our office immediately on 07 3832 3232.