3610 Shire Boulevard Suite #200, Richardson, TX 75082 | (214) 572-8633
4323 North Josey Lane, Professional Plaza 1, Suite 103 | Carrollton, TX 75010 | (972) 394-2114

Post-op Extraction Instructions

Following your treatment, you may experience swelling or stiffness. In most instances, you will begin to feel considerably more comfortable after a period of 3 to 4 days following your treatment. At this point, you can typically begin to eat a more substantial diet. Consult our team for any questions you have regarding your healing following extraction. Below are tips and recommendations provided by our time to assist you after your treatment.


  • Immediately following your procedure, place a tight roll of gauze over the treated area. Firmly bite down on the gauze. If bright-red bleeding continues to occur beyond one hour, replace the gauze and firmly keep it in place for an additional 30-60 minutes. As needed, change the gauze pads. You may use water to dampen the gauze to make it easier to place inside your mouth.
  • Slight bleeding is normal for the first 2 to 3 days following treatment.
  • Contact our office if bleeding is persistent and uncontrolled.


Swelling often accompanies treatment. You can apply a cold ice pack to your face over the treated area. During the first 24 hours following treatment, apply ice for 20 minutes and then refrain from icing for 20 minutes. Repeat this process as needed. After the first day, we advise changing to heat if swelling continues. Swelling usually occurs during the first 2 to 3 days, and will gradually decrease following this period.

Discomfort and Pain

  • Our team may prescribe pain medication following your procedure. Ibuprofen medications (such as Advil) can often help reduce any discomfort.
  • Your need for pain medication to manage discomfort should decrease following the first 48-72 hours. Depending on your treatment plan, we may suggest additional medication.


Swallowed blood, anesthesia medication, or pain medications may lead to feelings of nausea. When taking medication, consume a small amount of food and water to reduce accompanying nausea.


  • Refrain from drinking carbonated drinks or drinking with a straw for the first 4 to 5 days.
  • In the first several days following your procedure, your diet should primarily consist of bland and soft foods and cool liquids. This includes creamed soups, yogurt, milkshakes, and pudding. – Avoid hard and jagged foods such as popcorn, sunflower seeds, and nuts.
  • For patients with diabetes, maintain your usual diet as much as possible. Consult your doctor and our team for additional instructions.

Brushing & Rinsing

  • Do not touch or brush the area of treatment during the first 24 hours.
  • After 24 hours, gently brush your teeth. It is best to begin your usual oral hygiene routine as soon as possible following surgery to maintain the health of your teeth.
  • After 24 hours following your surgery, you should start using the prescribed antibiotic oral rinse (Peridex). Refrain from eating or drinking for 2 hours following use of the rinse.

Sharp Edges

You may feel sharp edges around the treatment site with your tongue. In most cases, this is the wall of your jaw which supported your tooth. These are not pieces of your tooth left behind. For the first two weeks following surgery, small slivers of bone may be noticeable.

Dry Socket

  • After 4 or 5 days, you may experience a dry socket. This is the result of the loss of the blood clot. This can be accompanied by discomfort and pain, and you may notice a bad taste in your mouth. Should you experience this, please contact our office for assistance.
  • It is vital that you refrain from smoking for 4 to 5 days following your procedure as it greatly inhibits your mouth’s ability to heal.

Important Emergency Information

Should you experience an emergency outside of our regular office hours, please call (214) 572-8633 and choose option 2 to contact the doctor on-call. For emergencies, do not leave a message on our main voicemail line as we will not hear it until the following business day. We ask that you allow up to 2 hours for our doctor on-call to return your message.