Post-Molar Extraction Care: Complete Recovery Guide
Proper aftercare prevents dry socket, infection, and delayed healing. Follow these evidence-based steps.
Immediate (First 24 Hours)
- Gauze pressure: Bite firmly 30–45 min. Replace if saturated. Don't chew gauze.
- NO rinsing, spitting, straws, smoking. Suction dislodges clot → dry socket (alveolar osteitis).
- Bleeding persists? Damp gauze + firm pressure 30 min. Tea bag (tannins) alternative. Call if heavy >2 hrs.
- Rest: Head elevated 30–45°; no exercise, bending, heavy lifting.
Pain Management
- Prescribed meds: Take as directed, before numbness wears off.
- OTC combo: Ibuprofen 600 mg + acetaminophen 500 mg q6h (if no contraindications) — superior to opioids for dental pain.
- Cold: Ice pack 20 min on/off (cheek, not directly on site) × 24–48 hrs.
- Elevation: Extra pillow first 2 nights.
Oral Hygiene
- Day 1: No brushing near site. Gentle wipe other teeth.
- Day 2+: Saltwater rinse (½ tsp salt/8 oz warm water) 4–6x/day, especially after meals. Gentle.
- Brushing: Resume carefully day 2; avoid site × 7–10 days.
- No commercial mouthwash (alcohol) × 1 week.
Diet Progression
| Time | Foods | Avoid |
|---|---|---|
| 0–24 hrs | Cold liquids, yogurt, pudding, applesauce, smoothies (no straw) | Hot, spicy, crunchy, acidic, alcohol |
| Days 2–3 | Warm soft: mashed potatoes, scrambled eggs, oatmeal, pasta, fish | Same + tough meats, nuts, seeds |
| Days 4–7 | Gradually normal; chew away from site | Hard, sticky, sharp until comfortable |