Tooth extraction is a common procedure many people encounter. To ensure optimal results, it's crucial to understand the specific contraindications associated with tooth extraction. These are essential points to know before undergoing the procedure. So, what specific contraindications should we be aware of?
Avoid extraction during menstruation: Extraction during a woman's menstrual period may cause excessive bleeding. Extraction during pregnancy may induce premature labor or even miscarriage. As extraction is an invasive procedure, undergoing it while fighting a cold—when the body's resistance is low—may lead to post-operative infection. Generally, extraction should be avoided during acute inflammatory phases. However, this is not an absolute rule; in some cases, extraction can facilitate drainage and alleviate symptoms. This requires professional medical judgment.
Patients with systemic conditions like diabetes, heart disease, or hypertension must ensure their conditions are stable before extraction. Those with hyperthyroidism, hepatitis, nephritis, or the elderly should undergo necessary examinations and treatments beforehand.
Timing of extraction. While some claim morning sensitivity to pain is lower than afternoon sensitivity, suggesting afternoon appointments, this distinction seems unnecessary. Modern anesthetics used during tooth extraction are highly effective, virtually guaranteeing a pain-free procedure.
If extraction occurs in the morning, waking from anesthesia typically occurs in the afternoon when sensitivity to pain is reduced—potentially offering a more comfortable experience.Therefore, whether the extraction occurs in the morning or afternoon makes little difference. However, if scheduled for the morning, ensure a substantial breakfast to avoid undergoing the procedure on an empty stomach, which could lead to anxiety-induced hypoglycemia. Adequate rest before the extraction is essential to maintain sufficient energy and physical strength; avoid extractions when fatigued.
Do not spit after extraction: The procedure isn't over once the tooth is out. To prevent bleeding and infection, pay attention to these details. Gently bite down on a cotton ball or gauze pad for 30–40 minutes to help stop bleeding.
Avoid eating or rinsing your mouth for two hours after extraction. After two hours, consume soft foods. Steer clear of extremely hot, hard, spicy, or irritating foods. Opt for vitamin-rich fruits and juices to nourish your body and promote healing. Remember to chew on the non-surgical side.
After extraction, the wound may bleed slightly, leaving a metallic taste in your mouth. While the urge to spit may be strong, this action should be avoided. The sucking motion before spitting can dislodge the blood clot and cause bleeding. Do not brush your teeth on the day of extraction to prevent disturbing the wound.
Mild pain within 24 hours post-extraction, along with pinkish saliva or blood streaks, is normal. Anti-inflammatory and pain-relieving medication may be taken under your dentist's guidance. Pain and bleeding will gradually subside. If persistent bleeding or pain continues for several days, or if you experience significant dizziness, palpitations, or other discomfort, seek prompt medical attention.
Except for wisdom teeth, other extracted teeth require timely follow-up restoration within about three months. Failure to do so may cause adjacent teeth to tilt, opposing teeth to elongate, and disrupt normal bite alignment.