Immediate Denture Instructions

A small amount of bleeding is to be expected following this procedure. Avoid hot liquids and keep your blood pressure down by avoiding exercise and keeping your head elevated. If bleeding seems excessive call our office immediately. Do not remove your immediate dentures unless the bleeding is severe. Expect some oozing around the side of the denture. Do not take out your dentures for the first week, if possible,

Use ice packs (externally) on the same side of the face as the operated area. Apply ice for the first 36 hours only. Apply ice 20 minutes on/off. After 36 hours moist heat will speed the healing process.

For mild discomfort use Tylenol; two tablets every 3-4 hours or Ibuprofen (Advil, Motrin) (200mg tablets) can be taken 2-3 tablets every 3-4 hours. For severe pain take the pain medication I prescribed with one tablet (200mg) of Ibuprofen, provided you are not allergic to Ibuprofen or on a blood thinner. If the pain does not begin to subside in 2 days, or increases after 2 days, please call our office. If an antibiotic has been prescribed, finish your prescription regardless of your symptoms.

Drink plenty of fluids. If many teeth have been extracted, the blood lost at this time needs to be replaced. Drink at least six glasses of liquid the first day.

Do not rinse your mouth for the first post-operative day, or while there is bleeding. After the first day, use a warm salt-water rinse every 4 hours and following meals to flush out particles of food and debris that may lodge in the operated area (One half teaspoon of salt in a glass of warm water).

Restrict your diet to liquids and soft foods, which are comfortable for you to eat. As the wounds heal, you will be able to advance your diet.

The removal of many teeth at one time is quite different than the extraction of one or two teeth. Because the bone must be shaped and smoothed prior to the insertion of a denture, the following conditions may occur, all of which are considered normal:

  • The area operated on will swell reaching a maximum in two to three days. Swelling and discoloration around the eye may occur. The application of a moist warm towel will help eliminate the discoloration quicker. The towel should be applied continuously for as long as tolerable beginning 36 hours after surgery (remember  ice packs are used for the first 36 hours only).
  • A sore throat may develop. The muscles of the throat are near the extraction sites. Swelling into the throat muscles can cause pain. This is normal and should subside in 2-3 days.
  • If the corners of the mouth were stretched, they may dry out and crack. Your lips should be kept moist with an ointment like Vaseline. There may be a slight elevation of temperature for 24-48 hours. If fever persists, notify our office.

Because immediate dentures have been inserted, sore spots may develop. In most cases, I will see you one week after surgery and make the necessary adjustments to relieve those sore spots and to remove any sutures. Failure to do so may result in severe denture sores, which may prolong the healing process.