When a tooth is extracted, the gums are injured. Improper care of the gums can lead to serious and painful medical complications. Knowing how to take the necessary preventive steps as well as the treatment (for before/after a tooth extraction procedure) will help facilitate a smooth healing process.
Caring for Gums After Tooth Extraction
Bite the gauze. After the tooth is extracted, the doctor will place gauze on the wound to stop the bleeding. Make sure you bite the gauze hard at the wound area to stop the bleeding. If heavy bleeding persists, reposition the gauze to better cover the wound.
Do not speak, as this can loosen the gauze and result in further bleeding.
If the gauze is too wet, you can replace it. However, don’t change it more often than necessary and don’t spit, as saliva can interfere with blood clotting.
Do not disturb the extraction area with your tongue or fingers. Also avoid blowing your nose and sneezing for now. Strong pressure can cause the wound to bleed again.
Remove the gauze after 30-45 minutes.
Take pain medication. Use only medications that are recommended by your dentist. If your oral surgeon hasn’t prescribed painkillers, you can take these over-the-counter medications. Take all antibiotics given by him.
Take the first dose of painkiller immediately before the anesthetic wears off. Follow the dosage instructions as prescribed.
Use an ice pack. Place an ice pack on your face, outside the extraction area. An ice pack will reduce bleeding and control swelling by constricting the blood vessels. Use an ice pack for 30 minutes, then remove it for 30 minutes. You can do this in the first 24 to 48 hours after tooth extraction. After 48 hours, the swelling should lessen and the ice will no longer be able to relieve the pain.
You can use a sealed plastic bag filled with crushed or ice cubes if you don’t have an ice pack.
Use a tea bag. Tea contains tanic acid, which helps blood clot formation by contracting the vessels. Tea bags can reduce bleeding. If you continue to bleed an hour after the tooth extraction, place a damp tea bag on the affected area and bite down gently to apply pressure. Do it for about 20 to 30 minutes. You can also drink cold tea, but a tea bag placed on the affected area will give better results.
Gargle with warm saline. Wait until the morning before doing it. You can prepare a warm brine by mixing a teaspoon of salt in 230 ml of water. Gargle slowly and gently, then spit the liquid out so as not to inhibit blood clots. Repeat mouth rinses with this liquid four to five times a day for a few days after tooth extraction, especially after eating and before going to bed.
Take frequent breaks. Adequate rest ensures that your blood pressure is stable, which will help blood clotting and gum healing. Do not engage in any physical activity for at least 24 hours after the tooth is extracted, and prop the head slightly at rest to ensure blood and/or saliva are not choking.
Jangan membungkukkan badan atau mengangkat benda berat.
Duduklah selalu dalam posisi tegak.
Gosok gigi. Setelah 24 jam, gosok gigi dan lidah perlahan, tetapi jangan gosok di dekat area pencabutan gigi. Alih-alih melakukannya, berkumurlah perlahan dengan cairan garam (seperti yang dijelaskan di atas) untuk menghindari kerusakan pada gumpalan darah. Ikuti prosedur ini selama 3-4 hari ke depan.
Benang gigi dan cairan kumur (mouthwash) juga bisa digunakan dalam rutinitas harian Anda. Pastikan saja Anda tidak menggunakan benang di dekat area pencabutan gigi. Gunakan cairan kumur antiseptik yang diresepkan dokter gigi untuk membantu membunuh bakteri dan mencegah infeksi.
Use Chlorhexidine gel . This gel can be applied to the bleeding area to heal faster, and it will also help reduce pain and discomfort.
Use a warm compress after 24 to 48 hours. Warm compresses help improve blood circulation, thereby speeding healing and reducing swelling and discomfort. Within 36 hours after the tooth is extracted, apply a warm wet towel externally to the affected side of the face. Leave it on for 20 minutes, then take it off for another 20 minutes.
Pay attention to your diet. Make sure the drug reaction is completely gone before you try to eat food. Start with soft foods. Chew the food using the side of your mouth that doesn’t hurt. Eat something cold and soft, such as ice cream, to relieve pain and provide energy. Avoid hard, crunchy, or hot foods, and don’t use a straw, as a straw can break up blood clots in the gums.
Eat regularly and don’t miss any sessions.
Choose soft/soft and slightly cold foods, such as ice cream, smoothies , puddings, gelatin, yogurt, and soups. These foods are especially good after tooth extraction because they can relieve discomfort caused by medical procedures. Make sure the food you eat isn’t too cold or hard, and you don’t chew on areas that are bleeding. Solid foods (eg cereals, beans, popcorn, etc.) can be difficult to eat and cause pain, which can result in re-injury to your wound. Make a gradual transition from liquid to semisolid foods to solid foods after a few days have passed.
Avoid straws. Drinking a drink through a straw creates suction pressure in the mouth, so bleeding can occur. Insert drinks or use a spoon to avoid this complication.
Avoid spicy, sticky foods, hot drinks, caffeinated products, alcohol, and fizzy drinks.
Avoid smoking/alcohol for at least 24 hours after the tooth is extracted.
Understanding the Healing Process After Tooth Extraction
Know that you will experience swelling. Your gums and mouth will swell in response to the surgery, and you may be in pain. This is a normal thing. The pain will usually subside after two to three days. During this time, apply an ice pack to the sore side of the cheek to relieve discomfort as well as swelling and inflammation.
Also be aware that you will bleed. After tooth extraction, the gums and bones will bleed profusely from the tiny blood vessels. However, this bleeding will not be extreme or excessive. When bleeding occurs, it is possible that the postoperative pack was placed between the teeth (rather than right into the wound). Consult a surgeon and reposition as needed.
Take care of blood clots. The blood will clot in the first day or two after surgery, and you should really not disturb or remove the clotted blood. Clotting is a necessary first step to healing gums, and removing or disrupting the area of the blood clot can result in prolonged healing and infection/pain.
You will also experience the formation of a layer of epithelial cells. Within 10 days of tooth extraction, the gum cells will form a layer of epithelium, which bridges the gap resulting from the extraction of the tooth. Do not interrupt this process while the gum is healing the wound.
You can also experience bone deposition. After the formation of the epithelial layer, bone-forming cells in the marrow are activated. This process usually begins along the side (lateral) wall of the socket and continues all the way to the center. Thus, the space created by tooth extraction will be completely closed. After bone deposition is complete, the gums are also completely healed.
Caring for Gums Before Tooth Extraction
Provide the oral surgeon with information about any medical conditions you may have. Also tell all the medications you are taking, otherwise the surgical procedure may get more complicated and you could have problems during/after the tooth extraction surgery.
Patients with diabetes usually take longer to heal after any dental treatment. Keep your blood sugar level as close to normal as possible to ensure a faster healing process after tooth extraction, and let your dentist know about your diabetes condition and the results of your latest blood glucose test. He or she will determine if your blood sugar level is adequately controlled and safe for the tooth extraction procedure.
Patients with high blood pressure should be aware that some blood pressure lowering drugs can cause bleeding in the gums. These drugs can cause complications if not stopped before surgery. Tell the surgeon about all the medications you have recently taken.
Patients taking anticoagulant/blood-thinning drugs (eg warfarin and heparin) should inform the surgeon before tooth extraction is started, as these types of drugs interfere with blood clotting.
Patients taking oral contraceptives containing estrogen may experience complications with the clotting process. Consult a surgeon if you are taking oral contraceptives.
Beberapa pengobatan jangka panjang bisa menyebabkan kekeringan mulut, sehingga Anda terkena infeksi setelah pencabutan gigi. Bicarakan hal ini dengan ahli bedah sebelum prosedur apa pun dijalankan. Anda juga harus menemui dokter Anda sebelum mengubah pengobatan atau dosis yang Anda konsumsi.
Pahami bahwa merokok bisa menimbulkan masalah. Merokok adalah faktor umum yang bisa menimbulkan penyakit gusi.Selain itu, tindakan merokok bisa mengakibatkan gumpalan darah salah posisi, sehingga menghambat penyembuhan gusi. Tembakau dalam rokok juga dapat mengiritasi luka dan mempersulit proses penyembuhannya.
Jika Anda seorang perokok, pertimbangkan berhenti sebelum prosedur pencabutan gigi.
If you don’t want to quit smoking, know that the patient should not smoke for at least 48 hours after surgery. Patients who chew tobacco or “dip” should also not do so for at least seven days postoperatively.
Meet your regular doctor. Tell him about the dental surgery you will be having to help avoid potential problems caused by the medications you are taking or the medical conditions you have.