After Tooth Extractions

in Bethesda, MD

A tooth extraction is one of the most common dental procedures, and most patients recover smoothly with proper at-home care. The first 24–72 hours are the most important window for healing, so following these general guidelines will help minimize discomfort and reduce the risk of complications.

Please note: The following instructions are general guidelines to support your recovery. Every patient and procedure is unique — please follow any specific instructions provided by your dental provider, and don't hesitate to call our office with any questions or concerns.

Bleeding & Clot Protection

  • Bite firmly on the gauze pad placed by your dentist for 30–45 minutes to control bleeding.
  • Avoid spitting, rinsing forcefully, or using a straw for at least 48–72 hours — these actions can dislodge the blood clot.
  • Do not smoke or use tobacco products during recovery, as this significantly increases the risk of dry socket.
  • If bleeding persists, bite down on a fresh gauze pad or a moistened tea bag (the tannins help promote clotting).

Swelling & Discomfort

  • Apply an ice pack to the outside of your cheek in 15-minute on/off intervals for the first 24 hours.
  • Take over-the-counter or prescribed pain medication as directed by your provider.
  • Keep your head elevated, even while sleeping, to reduce swelling.
  • Some swelling and mild bruising is normal and typically peaks around 48 hours post-procedure.

Eating & Drinking

  • Stick to soft foods for the first few days — yogurt, scrambled eggs, mashed potatoes, smoothies, and soup (not too hot) are great options.
  • Avoid hard, crunchy, sticky, or chewy foods until the site has healed.
  • Stay hydrated with water, but skip the straw.
  • Gradually reintroduce firmer foods as comfort allows over the following week.

Oral Hygiene

  • Avoid brushing directly over the extraction site for the first 24 hours.
  • After 24 hours, you may gently rinse with warm salt water (1/2 tsp salt in 8 oz water) a few times daily.
  • Continue brushing and flossing the rest of your mouth normally.

When to Call Our Office

  • Severe or worsening pain after the first 48 hours (may indicate dry socket).
  • Swelling, fever, or signs of infection (pus, foul taste, or odor).
  • Bleeding that doesn't slow down after applying pressure for 30+ minutes.

Questions about your recovery? Don't hesitate to call Bethesda Center for Family and Cosmetic Dentistry — we're always happy to help guide you through the healing process.