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Guide

After a tooth extraction: what to expect and how to heal

The first 24 hours matter most. Here is how to protect the socket, stay comfortable, and know when something isn't right.

Medically reviewed by Dr. Rodolfo Rodriguez, DMD · Updated

The first 24 hours

  • Bite gently on the gauze for as long as we tell you, to help a clot form
  • Don't rinse, spit forcefully or drink through a straw
  • Don't smoke or vape
  • Rest, and keep your head raised
  • Hold a cold pack on your cheek, on and off, to limit swelling

Eating and drinking

  • Stick to soft, cool foods for the first days
  • Chew on the other side
  • Avoid hot drinks, alcohol, and crunchy or spicy foods until the area feels better
  • Drink plenty of water — but not through a straw

Keeping it clean

Brush your other teeth as usual from the first night, avoiding the socket. From the second day, rinse gently with warm salt water after meals, unless we've told you otherwise.

Pain and swelling

Soreness usually peaks in the first two or three days and then improves. Take pain relief as Dr. Rodriguez recommends. Some bruising can appear, especially after wisdom teeth.

When to call us

  • Bleeding that doesn't slow with firm pressure on gauze
  • Pain that gets worse after the third day — a sign of dry socket
  • Swelling that increases after the third day, or a fever
  • A bad taste or pus from the socket
  • Numbness that hasn't worn off by the next day

If swelling makes it hard to breathe or swallow, go to the emergency room. On Friday evenings and weekends, Perla After Hours can see you by appointment.

FAQs

When can I eat normally?
Most people are back to their usual foods within a week, moving at the pace of their comfort.
When can I exercise?
Take it easy for a day or two; strenuous exercise can restart the bleeding.
What about replacing the tooth?
If you can, ask about your options before the extraction — see options for replacing missing teeth.

Start with a conversation.

Tell us what's going on, in English or Spanish. We'll take it from there.

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