(Precautions after a tooth extraction)
Hi, I suppose you are heading home after a tooth extraction right?
We aim to have this video's link sent via Kakao Talk while patients are heading home
So, I suppose that you are on your way home
Most of the time, patients will not regret having their tooth extracted
However, you might change your thoughts after the anesthesia wears off
But then as you get better, you will be happy about it again
Now, let's take a look at what precautions are there after a tooth extraction
First, You must have received a piece of paper that looks like this, right?
Our staff must have explained what's on the left side to you
And via Kakao Talk, you will have something about precautions after an extraction
You probably know what these are all about but let me explain to you again
Right after the procedure, things might just go over your head
Things our staff and hygienist were saying wouldn't have made any sense as well as myself
Therefore, I will explain to you again
First, you have to keep biting the gauze tightly for about 2hrs
The no.1 method to stop bleeding is to put pressure, they are the best
when you keep tightly biting the gauze, it will primarily stop the bleeding
The reason they tell you not to spit out saliva or blood is because
when you spit out, negative pressure will form which will cause more bleeding
That's why we tell you not to spit it out
Of course, they charge you for public spitting on Gangnamdaero
So, I hope you to be careful
Sorry for the terrible joke cause you probably are not in the mood right?
But, nothing can stop me from making a joke
Anyway, you can take the gauze out after about 2 hours but it still might bleed
Especially, having upper wisdom tooth out, you will not have much pain compared to lower ones
However, because of the bone structure, it may bleed for a day or two, or even for a week
Blood may come out in lumps but don't worry too much
We gave you extra gauze in case the bleeding doesn't stop when it does
Add some water to the gauze and bite it down tightly where it bleeds then it will stop bleeding
Applying pressure is the best way to stop the bleeding
I think you will definitely choose to have the gauze in your mouth for 2 hours
The instruction says to take the prescription right after having the gauze out
but I suggest you not to since you took some medication before the procedure
Therefore, you should get something to eat instead, you don't have to take another prescription
When doctors tell you to take prescriptions three times a day, they tell you after each meals
It's more important that you take them in the right time in fact
It's best to take your prescription regularly every 8 hours
If you have gastroenteric problem, we suggest you to eat some food before
Especially for anti-inflammatory medications, the degree of reaction depends on your body
Therefore, unless there were any exceptions,
We should have prescribed you with anti-inflammatory called ibuprofen
It is the most commonly prescribed medication
It basically the same as the 'Buprofen' which was used back in the days
Although it is relatively ease on your stomach but some people may have allergic reactions.
If that's the case for you, you shouldn't take that one
If you have too much pain, it's okay to take a dose of Tylenol with your prescription
Because Tylenol and ibuprofen has some kind of synergistic effect when taken together
When you take them together, you can expect better pain relief effect
It will be good if you can take it together
And normally we use ice packs for ice compression
The reason why we ask you to ice it for 48 hours is because
if you undergo surgery for broken bones or teeth extraction then swelling can last 48 hours
The effect of icing is to prevent it from swelling. Ice compression reduces swelling for sure
Since it can swell for 48 hours, for at least a day or a day and half
you have to use an ice pack for a frequent icing
If the one we gave you melts, you can buy an ice cream but not ice blocks
But like tank boy ice cream or the usual Popsicle kind of ice cream for icing as well
After doing that, normally after 48 hours we ask you to do a warm compression
If it doesn’t swell you don’t really have to do that
Why I ask you to do a warm compression is when its already was swollen for the past 48 hours
Warm compression is the best to get rid of the swelling quickly
Of course when its still cold and within 48 hours you do a warm compression
it can even cause more swelling so it's better not to do that
But actually we do a lot of training on the compression methods
If it's not specially swollen then just do a cold compression
On normal situation it's good it enough to just let it be
After all within one or two days you will come visit the clinic for a disinfection
If there’s a problem then we will tell you
After the anesthesia has been worn off after 2-3 hours or 3-4 hours
depends on the person the anesthesia effect will be gone after 5-6 hours
The reason why we tell you not to eat before all the anesthesia is worb out of the system is because
you could chew on the cheeks or even your tongue
Because you could chew your cheek or tongue under anesthesia without knowing
Thats why we tell you not to eat
Especially for children after they have got their tooth extracted there’s a lot of cases like that
so you have to be cautious
Also we tell you not to drink using straws
the reason why we tell you not to use straws for drinking is because
the strength used to suck up the contents in the straw is quite strong
so there might be a negative pressure which might result in the blood not coming to a stop
So when you do this to try to spit your saliva or the blood out
the negative pressure builds up and the blood will flow and so it's not good to suck on a straw
However, sucking a straw is not that much pressure so just be cautious
It's also best that you don’t go to jjimjilbang or sauna for the next 3-4 days
Even swimming isn’t good too so wait for a week until it's completely healed
then you can exercise afterwards
Sometimes people ask me is swimming okay but swimming is not okay
Yes, even triathlons aren't allowed. It's a joke that only I find funny
Anyway try to avoid strenuous exercises or any kinds of exercises that involve going into the water
You can brush your teeth normally like how you usually do
Just because your tooth out it doesn’t give you an excuse not to brush your teeth
Just in the case that we sutured your teeth
then make sure you are careful to not have any threads get caught at that side
Also, areas that you just got your tooth hasn't healed therefore causing food residue to be stuck there
so use water to gargle your mouth and it could help to remove it
So just using a mouth wash could be effective
Argh Argh gargle your mouth alright? Just gargling with water is good enough as well
And avoid alcohol and cigarettes for a week
People also ask what else other than alcohol and cigarettes should be avoided
Of course, cannabis or drugs aren't allowed. Yes, it's another joke that only I found it funny
Anyway, you can't drink or smoke
I think it'd be good to take this opportunity to quit smoking
There are two reasons why smoking is bad
From the sucking pressure it causes bleeding again
By that sucking motion it pressures the area where your tooth was extracted
That's why it's not good. And the smoke itself
They say it's not good for your tissue to heal
Alcohol is not good because it's highly related to inflammation
If it were me, I would definitely drink it after everything is completely all healed
Rather than suffering
And we set the appointment after a day or two
And after you pull out your tooth, and made an appointment for the next day
If you can't come that day, please come the next day
It's good to check at least once in 2-3 days
Nine out of ten isn't a problem, but sometimes one or two people
There could be some weird food or other abnormalities
Don't worry too much. Come once or twice to get it sanitize and for a check up
Now you know all the precautions, right?
If you go home and feel pain after anesthesia wears off
Please listen to it again, and again
I'll see you on the day you come for disinfection or when you pull out the thread. Goodbye