Medical expert of the article
New publications
What to do after a tooth extraction?
Last reviewed: 04.07.2025

All iLive content is medically reviewed or fact checked to ensure as much factual accuracy as possible.
We have strict sourcing guidelines and only link to reputable media sites, academic research institutions and, whenever possible, medically peer reviewed studies. Note that the numbers in parentheses ([1], [2], etc.) are clickable links to these studies.
If you feel that any of our content is inaccurate, out-of-date, or otherwise questionable, please select it and press Ctrl + Enter.
So, for some reason you had a tooth removed and you don't know what to do after tooth extraction. Our recommendations may be able to help you.
After the tooth extraction, you will have a hole in the place of the tooth roots. The clot covers it. In a month, bone tissue will form in this place. Over time, there will be no traces left in the bone that there used to be a tooth there. In a couple of days, you will have forgotten that your tooth was extracted. This is if everything is normal. If not, you may experience prolonged pain. Below are tips on how to avoid this.
What should not be done immediately after tooth extraction?
- For the first hour after tooth extraction, you must not consume any food.
- Do not drink very hot or cold drinks for 48 hours.
- It is not recommended to take a bath for 24-48 hours.
- Solarium is not recommended.
- It is not recommended to drink alcohol immediately after tooth extraction (you will have time to grieve about this later!).
- The clot that has formed must not be damaged. Brush your teeth carefully. Intensive rinsing is not recommended. If bleeding does occur, apply a new tampon and keep it in the hole for an hour.
- Quickly (within 5-10 minutes) spit out the tampons with which the doctor covered the hole.
- After tooth extraction, you may feel some swelling. This can be relieved by applying ice to the cheek near the extraction site for 15 minutes.
- If your temperature rises, contact your doctor.
If you want to relieve the pain, you can take an over-the-counter pain reliever, such as Nimesil or Tylenol.
Medicines after tooth extraction
Nimesil is an anti-inflammatory drug with a 5-hour analgesic effect. It is prescribed only to adults. The daily dose of the drug is 200 mg. Pour the contents of the bag into a glass and fill it with warm (not hot, you can’t drink hot drinks after the removal) water.
Side effects: CNS disorders, headache, drowsiness, nightmares about how you had a tooth extracted (or whatever your fears are), palpitations, vomiting, constipation, jaundice, rash, sweating, renal failure, anemia. Nimesil should not be taken if you have a stomach ulcer, pregnancy, kidney disease, heartburn, diarrhea, diabetes, or heart failure. Be careful if you often have high blood pressure. In case of overdose, the side effects become more pronounced. If this happens, do a gastric lavage.
Tylenol (paracetamol) is an over-the-counter painkiller. Available in 500 mg caplets, infusion solution, and syrup. Adults take with water one hour after meals. Single dose: 2 caplets. No more than 4 g per day. The drug should not be taken for more than a week without a break. Contraindicated in renal failure and viral hepatitis, alcoholism, pregnancy (without consulting a doctor), and in old age. The syrup is contraindicated in diabetes. Itching of the skin, nausea, anemia, and renal colic are possible. Liver necrosis is possible in case of overdose.
Temperature increase after tooth extraction is normal. Temperature can rise up to 4 days after extraction. If temperature and swelling persist for a long time, this is a reason to be wary: sometimes doctors forget instruments in the jaw or infection develops.
And remember: today a tooth is removed in exceptional cases: if it cannot be saved because it is badly damaged, if its condition threatens neighboring teeth, if it prevents the growth of other teeth. "Eights" are often removed because they change the bite.
Even before removing a tooth, it is advisable to decide what kind of prosthesis you will replace it with - removable, non-removable, or an implant with a crown.
What to do after a child's tooth is removed?
What are the special features of socket care, what to do after tooth extraction in a child? Remember that tooth extraction is not an easy procedure for children, a stressful situation, and it can be very difficult to make these fidgets follow the doctor's recommendations. Children are often afraid of dentistry and injections, they literally start to have hysterics. Of course, you need to trust a pediatric dentist who is disposed towards children and knows how to establish contact with them.
Reasons for removing baby teeth in children:
- Advanced caries.
- If a child's baby tooth is loose and won't fall out.
- Tooth trauma: If a baby tooth cracks, it can cause damage to the child's gums.
- Periodontitis is an inflammation of the dental ligaments.
The reasons for removing permanent teeth are usually the same as for adults, except that the child's wisdom teeth are not coming in. This usually happens when all the permanent teeth are already in place.
You need to be careful - in the first two days, make sure that the child does not spit or rinse his mouth. This can dislodge the blood clot that has formed.
You cannot eat immediately after the anesthesia wears off.
Until the socket has completely healed, you should avoid spicy hot food, giving preference to pureed dishes, ice cream, yogurt, milk porridge. Also, do not allow the child to run and jump a lot in the first days after the operation.
Sauna and swimming pool are contraindicated for the first 3-4 days.
You should brush your teeth with a soft brush without toothpaste so that you don’t have to rinse your mouth vigorously.
Your doctor may prescribe antibiotics for your child after tooth extraction, such as Sumamed.
Sumamed is a macrolide antibiotic. It is prescribed once a day 1 hour before or 2 hours after meals at a rate of 10 mg/kg for 3 days. Side effects from taking Sumamed: nausea, abdominal pain, vomiting and rash. Contraindicated in case of hypersensitivity to macrolide antibiotics.
What to do after tooth extraction during pregnancy?
What to do after tooth extraction during pregnancy, what medications to take so as not to harm the baby? What kind of anesthesia can and cannot be used by pregnant women?
During pregnancy, a woman's body experiences a calcium deficiency, increasing the likelihood of developing caries.
After the tooth is removed, avoid brushing the socket. You can only eat 3 hours after the extraction – do not come to the clinic hungry – your little one will not like it. Do not drink juice through a straw – sucking in air can damage the clot that forms in the socket.
Today, Ultracaine and Ubistesin are used to relieve dental pain in a concentration of 1:200,000.
Of the analgesics, it is better to use paracetamol. A single dose of paracetamol is 0.35-0.5 g 3-4 times a day, the maximum single dose for adults is 1.5 g, the maximum daily dose is 3-4 g. The drug should be taken after meals, with plenty of water. Renal colic, skin rash and nausea are possible. Before using any drug, consult with your gynecologist.
Preference should be given to antibiotics of the penicillin group, for example, Amoxiclav - an antibacterial combination drug with clavulanic acid. Before use, the tablets are dissolved in half a glass of water (at least 100 ml). After that, the resulting suspension is thoroughly mixed or the tablets are chewed before swallowing. Prescribed orally for children weighing 40 kg or more, as well as adults. The average daily dosage is 375 mg (1 tablet) every 8 hours (3 times a day); or 625 mg (1 tablet) 2-3 times a day (depending on the severity of the infectious process). Side effects - nausea, diarrhea, vomiting, flatulence, gastritis, stomatitis, rash, anxiety, dizziness, insomnia.