How to manage swelling & pain post tooth extraction? - Dr. Chandan Mahesh

Removal of  the  tooth involves  use  of local anaesthesia,  wherein the dentist will give a blood  or  a local anaesthesia or filtration  to the area  and he  tries to remove  the tooth. At the time of the removal the  patient  will be absolutely fine, but  post  removal the challenges are  how he needs  to take care. We tell the patient  how to bite  on the  cotton that is  given as a  pack  on the particular  area    and the patient is asked to bite that particular cotton for atleast  half  an  hour. In a  time  span  of  atleast  2 to 3  hours  there will be  formation of a  clot where  the thrombin and the prothrombin factors  in the blood  will help in forming a  clot.  And the clot once it is formed, the bleeding will stop.  As soon as the  bleeding is  stopped w e ask the patients  not to take  anything     like gargle in the mouth or anything hot  or  anything spicy  in the mouth. the only reason is  if the clot in the mouth if it is disturbed, then it  will lead  to  rebleeding  and bleeding will be  induced  again , and the stopping of that  will be  very challenging. So  we  just tell the patient  to place  an ice pack  over  that or  to have an icecream  and the  gelatine in  the icecream makes the taste of the blood   go off as  well as the icepack over  the particular  extraction area   when he rubs with the ice, the cold thing  will give  him a  satisfied feeling for  he will not  like  to  disturb  that area .  We  tell the patient  to   visit  the dentist  post one weeks  time  to see  whether  the bleeding is  happening  in a clean and neat  way, failing  that  it will lead  to  a  dry  socket, wherein the patient will  have severe pain or    the particular infection happens  through any smoking or   drinking post  extrication  then the  clot  gets  disturbed and  the patient will be in severe  pain and he visits the dentist an w e  have  to  treat it with multiple antibiotics  and painkillers have to be induced in the patient. Post operative  acre is  simple  is  to place a  cotton  pressure  for  half  an a hour and  remove  it  after  half  an hour  and  not disturbing  he clot for   7  to  8  hour s of time  and continuing  his  day to day habits  the next  day  would be  fine. In his case if  suture  is given  then it  would be much more  easier. Wherein the food that  can be  restored in a day  or  two,  and there are no much food restrictions  if a suture is placed.