After Tooth Extraction/Bone Grafting

After tooth extraction, it’s important for a blood clot to form to stop the bleeding and begin the healing process.  That’s why we ask you to bite on a gauze pad for 45 minutes after the appointment.  If the bleeding or oozing persists, place another gauze pad and bite firmly for another 45 minutes.  You may have to do this several times.  It is important to leave the gauze in place for the full 45 minutes and to avoid removing it frequently to check on the site.

After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing.  Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours.  These activities will dislodge or dissolve the clot and graft material and retard the healing process.  Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.


Swelling is a normal occurrence after surgery.  To minimize swelling, apply the ice pack given to you on the cheek in the area of the surgery.  Apply the ice continuously, as much as possible, for the first 24 hours.  Swelling generally increases for 48-72 hours and will then decrease over the next 5-7 days.


For pain take prescribed pain medication as soon as it is picked up from the pharmacy.  It is important to be ahead of the pain and to have the medication in your system before the numbness wears off.  The prescribed medication will be taken every 4 hours.  In between that 4-hour period (2 hours after prescribed medication is taken) you can take 2-3 Advil or Motrin.  You may have to follow this regimen for 5-7 days.


If antibiotics are prescribed, continue to take them as prescribed for the indicated length of time, even if signs and symptoms of infection are gone.


Drink lots of fluids and eat nutritious soft food on the day of the extraction. Avoid hot, spicy, citrus and or hard foods.  You can eat normally as soon as you are comfortable.

Graft Care

It is normal to feel sand-like material in the mouth over the first 5-7 days as the superficial parts of the bone graft often become dislodged.  Do your best not to eat, brush, rinse near the area over the next 5-7 days.  This will assure the best healing. 

Oral Hygiene

You can gently brush the teeth in the area away from the surgical site starting tomorrow.  Gentle rinsing is allowed but you should not use mouthwash for 5-7 days as this will cause discomfort at the surgical site. Remember a clean wound heals better and faster. 

After a few days you will feel fine and can resume normal activities.  If you have heavy bleeding, severe pain or a reaction to the medication, call our office immediately at 718-382-9399. 


Oral and MaxilloFacial Surgeon - Brooklyn
2469 65th Street
Brooklyn, NY 11204