After Extraction and Bone Graft


  • Bleeding is normal for 24 hours and will increase with talking and general activity.
  • Bite on MOIST gauze for 20 minutes at a time and change until bleeding stops. 
  • If bleeding continues or is increasing, place a moist tea bag (not herbal) directly over surgical site and bite down for 1 hour. Repeat as needed.


Pain Management/Medicine

  • After something cold and soft to eat, like a milkshake or yogurt, take pain medicine as directed.  

600mg Ibuprofen OR 500mg Tylenol WITH the Narcotic prescription every 4-6 hours.

  • If nauseated, take 25 mg of Benadryl to settle the stomach.
  • Take antibiotic as directed. If rash or itching develops, stop taking antibiotic, take 25 mg of Benadryl and call the office.



  • Apply ice pack to face (20 min. on 20 min off) for 24 hours to control bleeding, pain and swelling.



  • Eat cold, soft foods until numbness wears off to avoid biting your lip or tongue.
  • No hard, crunchy foods for 2-3 weeks. Refer to diet sheet for food suggestions.
  • Avoid chewing on surgical site for at least 1-2 weeks while area is healing. If a graft was placed avoid for 3 weeks or until the gums have closed
  • Avoid straws for 1 week


Oral Hygiene (see additional instructions on back of paper)

  • Brushing with a soft bristled, manual toothbrush may be resumed the day following surgery, being careful to avoid the surgical site.
  • You may gently rinse with water only, but do not swish vigorously to protect the surgical site
  • If instructed, one WEEK after the procedure, gently rinse with warm salt water twice daily for one week. [ 1 cup warm water + 1 tsp salt]



  • No exercise or heavy lifting for 3-4 days, or as directed


  • Swelling and bruising are normal following surgery and can peak on day 3 then start to dissipate
  • Bruising is possible, especially if patient is on blood thinners

Dry Socket/Smoking

  • If pain increases or is referred to the ear on day 4-5, call the office to be evaluated for a possible dry socket or muscle spasm
  • Take Motrin to reduce discomfort
  • Avoiding straws, smoking, rinsing and exercise for 1 week following surgery will decrease your chances of getting a dry socket
  • Smoking delays healing, avoid for 1 week following surgical procedures

If Bone Graft placed

(in addition to General Instructions)

  • Do not spit, swish or rinse any liquids in your mouth or chew on that area for 3 weeks until the gum has healed – the bone graft can come out.
  • Avoid any commercial mouth rinses (eg. Listerine), electric toothbrushes and water piks for 3 weeks
  • There can be an altered taste due to the bone graft or membrane material
  • No swimming for 3 weeks while graft is healing


If Sinus exposure

  • There may be some bleeding from the nose on that side
  • Do not blow your nose or sneeze through your nose. If you have to sneeze, open your mouth wide
  • Use the nasal spray and antibiotics as directed.


Signs to watch for

Fever, chills, sour taste of pus, swelling that worsens after the third day, bleeding after the second day.

If you notice any of the signs, call the office at 410-337-7755 or emergency only after hours 410-494-7535