When it comes to tooth extraction, many people may frown at the thought, but most simply view it as a minor discomfort that can be endured.However, tooth extraction is actually a surgical procedure. Clinically, unexpected deaths following extraction due to various complications are not uncommon. Therefore, while the extraction itself may seem minor, the details before and after the procedure are critical and require careful attention. Among these, selecting the optimal timing for extraction is a key consideration.
I. Optimal Timing for Extraction
Timing: Extractions cannot be performed arbitrarily; they require consideration of "timing, location, and individual factors": Since pain sensitivity is higher in the morning than in the afternoon, extractions should ideally be scheduled for the afternoon. For patients requiring morning extractions, a substantial breakfast is essential to avoid undergoing the procedure on an empty stomach, which could trigger hypoglycemic reactions due to anxiety.Sufficient energy and physical strength are also required before extraction. Avoid scheduling procedures immediately after all-nighters, long-distance travel, or excessive fatigue.
Avoid Extractions During Menstruation
Women should postpone extractions during menstruation or pregnancy to prevent excessive bleeding during menstruation or premature labor/miscarriage during pregnancy. Patients with a history of drug allergies must inform their dentist to avoid allergic reactions to anesthetics.Additionally, avoid extraction when suffering from a cold. Patients with hyperthyroidism, hepatitis, nephritis, blood disorders, or diabetes—especially elderly patients—should undergo necessary examinations and treatment. Extraction should only proceed after the condition is under control. Post-Extraction Precautions The completion of extraction does not signify the end of oral health concerns.Bleeding and infection are most likely to occur after extraction, so several details require attention:
1. Avoid rinsing or eating for 2 hours
Do not rinse your mouth or eat for 2 hours after extraction. Refrain from touching the wound with your tongue or fingers to prevent rebleeding or secondary infection.
2. Gently bite down on a cotton ball or gauze pad
Applying pressure to stop bleeding requires careful technique. Biting too hard causes severe pain; biting too lightly or for too short a time hinders clotting; leaving it in too long allows saliva to soak the material, increasing infection risk. Ideally, bite gently for 30–40 minutes before removing.
3. Minimize talking and rest adequately
Tooth extraction is a surgical procedure. Afterward, prioritize rest, speak minimally, and avoid strenuous exercise or heavy physical labor. Refrain from smoking and drinking alcohol to prevent increased pain and prolonged healing.
4. Avoid brushing teeth on extraction day
Refrain from brushing teeth on the day of extraction to prevent reopening the clot. Rinse with mild mouthwash or diluted saltwater instead. Avoid extremely hot, hard, or spicy foods. Consume vitamin-rich fruit juices or purees to support nutrition and wound healing.
Regarding the timing of tooth extraction, experts advise: Mild pain within 24 hours after extraction is normal, as is spitting up saliva mixed with pinkish blood or blood streaks. You may take appropriate anti-inflammatory pain medication as directed by your dentist. However, note that pain and bleeding should gradually decrease over time.If persistent bleeding or pain continues for several days, or if significant symptoms like dizziness or palpitations occur, seek immediate medical attention for diagnosis and timely treatment.