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.