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(Precautions after a tooth extraction)

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Hi, I suppose you are heading home after a tooth extraction right?

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We aim to have this video's link sent via Kakao Talk while patients are heading home

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So, I suppose that you are on your way home

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Most of the time, patients will not regret having their tooth extracted

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However, you might change your thoughts after the anesthesia wears off

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But then as you get better, you will be happy about it again

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Now, let's take a look at what precautions are there after a tooth extraction

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First, You must have received a piece of paper that looks like this, right?

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Our staff must have explained what's on the left side to you

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And via Kakao Talk, you will have something about precautions after an extraction

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You probably know what these are all about but let me explain to you again

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Right after the procedure, things might just go over your head

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Things our staff and hygienist were saying wouldn't have made any sense as well as myself

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Therefore, I will explain to you again

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First, you have to keep biting the gauze tightly for about 2hrs

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The no.1 method to stop bleeding is to put pressure, they are the best

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when you keep tightly biting the gauze, it will primarily stop the bleeding

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The reason they tell you not to spit out saliva or blood is because

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when you spit out, negative pressure will form which will cause more bleeding

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That's why we tell you not to spit it out

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Of course, they charge you for public spitting on Gangnamdaero

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So, I hope you to be careful

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Sorry for the terrible joke cause you probably are not in the mood right?

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But, nothing can stop me from making a joke

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Anyway, you can take the gauze out after about 2 hours but it still might bleed

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Especially, having upper wisdom tooth out, you will not have much pain compared to lower ones 

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However, because of the bone structure, it may bleed for a day or two, or even for a week

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Blood may come out in lumps but don't worry too much

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We gave you extra gauze in case the bleeding doesn't stop when it does

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Add some water to the gauze and bite it down tightly where it bleeds then it will stop bleeding

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Applying pressure is the best way to stop the bleeding

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I think you will definitely choose to have the gauze in your mouth for 2 hours

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The instruction says to take the prescription right after having the gauze out

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but I suggest you not to since you took some medication before the procedure 

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Therefore, you should get something to eat instead, you don't have to take another prescription

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When doctors tell you to take prescriptions three times a day, they tell you after each meals

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It's more important that you take them in the right time in fact

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It's best to take your prescription regularly every 8 hours

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If you have gastroenteric problem, we suggest you to eat some food before

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Especially for anti-inflammatory medications, the degree of reaction depends on your body

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Therefore, unless there were any exceptions, 

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We should have prescribed you with anti-inflammatory called ibuprofen

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It is the most commonly prescribed medication

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It basically the same as the 'Buprofen' which was used back in the days

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Although it is relatively ease on your stomach but some people may have allergic reactions.

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If that's the case for you, you shouldn't take that one

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If you have too much pain, it's okay to take a dose of Tylenol with your prescription

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Because Tylenol and ibuprofen has some kind of synergistic effect when taken together

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When you take them together, you can expect better pain relief effect

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It will be good if you can take it together

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And normally we use ice packs for ice compression 

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The reason why we ask you to ice it for 48 hours is because

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if you undergo surgery for broken bones or teeth extraction then swelling can last 48 hours

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The effect of icing is to prevent it from swelling. Ice compression reduces swelling for sure

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Since it can swell for 48 hours, for at least a day or a day and half

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you have to use an ice pack for a frequent icing

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If the one we gave you melts, you can buy an ice cream but not ice blocks

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But like tank boy ice cream or the usual Popsicle kind of ice cream for icing as well

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After doing that, normally after 48 hours we ask you to do a warm compression

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If it doesn’t swell you don’t really have to do that

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Why I ask you to do a warm compression is when its already was swollen for the past 48 hours

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Warm compression is the best to get rid of the swelling quickly

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Of course when its still cold and within 48 hours you do a warm compression

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it can even cause more swelling so it's better not to do that

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But actually we do a lot of training on the compression methods

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If it's not specially swollen then just do a cold compression

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On normal situation it's good it enough to just let it be

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After all within one or two days you will come visit the clinic for a disinfection 

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If there’s a problem then we will tell you

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After the anesthesia has been worn off after 2-3 hours or 3-4 hours 

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depends on the person the anesthesia effect will be gone after 5-6 hours

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The reason why we tell you not to eat before all the anesthesia is worb out of the system is because

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you could chew on the cheeks or even your tongue

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Because you could chew your cheek or tongue under anesthesia without knowing

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Thats why we tell you not to eat

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Especially for children after they have got their tooth extracted there’s a lot of cases like that

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so you have to be cautious

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Also we tell you not to drink using straws

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the reason why we tell you not to use straws for drinking is because

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the strength used to suck up the contents in the straw is quite strong

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so there might be a negative pressure which might result in the blood not coming to a stop

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So when you do this to try to spit your saliva or the blood out

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the negative pressure builds up and the blood will flow and so it's not good to suck on a straw

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However, sucking a straw is not that much pressure so just be cautious 

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It's also best that you don’t go to jjimjilbang or sauna for the next 3-4 days

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Even swimming isn’t good too so wait for a week until it's completely healed

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then you can exercise afterwards

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Sometimes people ask me is swimming okay but swimming is not okay

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Yes, even triathlons aren't allowed. It's a joke that only I find funny 

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Anyway try to avoid strenuous exercises or any kinds of exercises that involve going into the water

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You can brush your teeth normally like how you usually do

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Just because your tooth out it doesn’t give you an excuse not to brush your teeth

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Just in the case that we sutured your teeth 

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then make sure you are careful to not have any threads get caught at that side

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Also, areas that you just got your tooth hasn't healed therefore causing food residue to be stuck there


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so use water to gargle your mouth and it could help to remove it

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So just using a mouth wash could be effective

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Argh Argh gargle your mouth alright? Just gargling with water is good enough as well

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And avoid alcohol and cigarettes for a week

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People also ask what else other than alcohol and cigarettes should be avoided 

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Of course, cannabis or drugs aren't allowed. Yes, it's another joke that only I found it funny 

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Anyway, you can't drink or smoke

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I think it'd be good to take this opportunity to quit smoking

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There are two reasons why smoking is bad

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From the sucking pressure it causes bleeding again 

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By that sucking motion it pressures the area where your tooth was extracted 

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That's why it's not good. And the smoke itself

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They say it's not good for your tissue to heal

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Alcohol is not good because it's highly related to inflammation

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If it were me, I would definitely drink it after everything is completely all healed 

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Rather than suffering

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And we set the appointment after a day or two

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And after you pull out your tooth, and made an appointment for the next day

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If you can't come that day, please come the next day

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It's good to check at least once in 2-3 days

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Nine out of ten isn't a problem, but sometimes one or two people

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There could be some weird food or other abnormalities

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Don't worry too much. Come once or twice to get it sanitize and for a check up

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Now you know all the precautions, right?

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If you go home and feel pain after anesthesia wears off

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Please listen to it again, and again

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I'll see you on the day you come for disinfection or when you pull out the thread. Goodbye