www.bobhench.pa.net homepage- - -Instructions for care after procedures
Extractions ... Valplast ...



Bleeding after extractions is normal. Expect blood in the saliva for about (24) twenty-four hours. Bleeding helps to clean out the extraction site.
A gauze pad, paper towel, or moistened tea bag can be placed over the extraction site to aid clotting. until the bleeding has stopped.


After the bleeding has stopped and the numbness has wore away, you should eat something to give yourself strength and help build immunity. A liquid to soft diet is advisable for the week after.

Mouth rinses

After eating, a gentle rinse with warm salt water (one half pinch of salt in a drinking glass of warm water) will aid in keeping your mouth free of food debris.
Brush and floss after each meal except near the extraction site. After twenty-four (24) hours, you may brush and floss the teeth near the extraction site.


Swelling after extractions is normal. Expect to feel a lump surrounding the site at least 1 to 6 weeks after. Bone, when it heals, forms a lump of tissue called a callus. The callus is like a scaffold that enables worker cells to rebuild the bone in place of the missing tooth.

To help minimize swelling in other areas keep your head higher than the rest of your body. Sleep setting upright or use pillows to prop up head.

Cold compress can be applied intermittently (20) minutes on, 20 minutes off) against the skin over the site for the first twenty-four (24) hours.

If swelling is present after twenty-four (24) hours, discontinue the use of ice and apply heat in any form (hot towels, hot water bottle or heating pad). Continue to use the heat until the swelling has been reduced.


Expect discomfort after extractions for up to 7 days or longer depending on circumstances. When the numbness starts to wear off, take a pain pill either tylenol, motrin, aspirin or prescription usually every 4-6 hours (or as instructed) for several dosages, if needed.

Please read the instructions on the label and use as directed. Certain pain medications can impair your senses, so you should avoid driving and operating machinery.


To help relieve pain caused by infections, take a prescribed antibiotic usually every (6) six hours (or as instructed) for seven days. If one antibiotic does not work, ask for and try another. Certain antibiotics can cause gastrointestinal distress and/or diarrhea. Allergic reactions from antibiotics include hives, itchy skin, breathing, difficulty and swelling.

Toothaches, severe pain, swelling, and drainage before and after extractions usually indicates that your immune system is actively cleaning out aggressive bacteria that reside within the solid tooth socket and spongy jaw bone at the extraction site. This is called inflammation or abcess.

Broken down teeth with large holes and lots of decay funnel large amounts of bacteria into the jaw bone tooth socket. If your immune system determines that a part of the tooth socket bone requires to much cleaning, that bone (small and large pieces) will be pushed out through the gum.

To remove a small piece of bone, patiently massage the sharp area with a finger tip. Larger pieces of the socket may require local anesthetic to remove them. The extracted tooth is not broke off sticking in the gum causing irritation. Complete healing of the site will usually take about (6) six weeks.

Teeth decay or become soft from improper brushing, improper flossing, and improper prevention. Food and bacterial that are not properly removed after each meal or snack attack the teeth from 5 sides. Teeth that are bathing in destructive juices 24 hours a day, 365 days per year,for decades, break down. Fillings do not cause tooth decay. Fillings do not decay. Pregnancy does not cause tooth decay. Partial Dentures do not cause tooth decay. Extractions do not cause infections. Food and bacteria cause most dental problems.


Go to the nearest hospital emergency room if you have severe swelling, allergic reaction, difficulty breathing, or any life threatening problem.

Call your pharmacist or family Physician if you have any questions about antibiotics or pain pills and their reaction to other drugs you may be taking.

If you have any questions or problems, call my office at 582-2995 and leave a message after normal hours.

Oral Surgeons whom I refer for difficult issues that are difficult to resolve include the following. Miller Oral Surgery at 657-4400; Beaudry Oral Surgery 763-7630 or 558-9000; Currie and Hecht 249-7007; Harry P. Myers DDS at 717-697-7000 or 877-637-5297. The above listed have no relationship with my practice and is listed here for your convenience.

I recommend Community General Osteopathic Hospital Emergency Room, 4300 Londonderry Road Harrisburg PA 17109, who has Oral surgeons on call. Phone 717-652-3000.