Wisdom teeth?

i just got all 4 impacted wisdom teeth out yesterday and have a few questions, when i came home i was spitting up blood. yes i know this is normal. but when i got out of bed this morning i had blood on my pajamas and pillow. is this ok? i wasnt swollen yesterday but i am a little bit today and care barely open my mouth. which is frustrating!! ive been putting ice on my mouth. is there anything else i should be doing? i'm not sure what to do about pain. i was given meds but it seems like whenever i take them i feel sick to my stomach and start throwing up. gonna try to call the dentist about that today, what kind of things can i eat and drink. ive only been eating ice cream and soup.

Wisdom teeth?
Yes, what you are experiencing is typical from the extractions. Today you can eliminate the ice, start using hot moist compresses on both jaws at the same time. While applying these start opening and closing your mouth, stretching a little wider each time. These jaw exercises help get the blood flowing back in the jaw muscles and help to regain the full function of your mouth much faster. We advise the moist heat and these exercises on "day 2" to all of our patients and most say they helped tremendously. Continue taking all medications given by your dentist and also add Motrin or Advil 600-800mg for inflammation and swelling (if you haven't already) about 2 hours after you take any pain medications. Don't forget the warm salt water rinses, several times a day, especially after you eat anything. This is to keep the socket areas free of food particles. The warm salt water is very soothing to the tissue. You can swish, just not too vigorously for another 2 days. Sounds like your doing fine, just keep up the good work and you'll be your normal self in another day or two. Good luck!





Additional information: Ice is used the first 24 hours for swelling, then moist heat is advised. Do the exercises with the moist heat and you'll see immediate relief. If your unsure about any instructions I've given you just talk with your dentist so he can reassure you.





Also be sure to eat a little something before taking any of the medications, they can really upset your stomach. Try some soup or even ice cream, pasta, mac and cheese, scrambled eggs, stuffed baked pot w/cheese, smoothies and any soft vegetables or beans that require very little chewing, milk is soothing and also coats the stomach, iced tea and juices just nothing with carbonation for a few days. Eat first and you'll feel much better with the medication. Anything else I can help you with just send an e mail. Good luck!
Reply:Yes DO call your dentist don't TRY to do it.





What you are experiencing is pretty normal, but still worth checking out.





I get sick from the pain meds after having teeth extracted too. Try ibuprofen (Advil) or naproxen (Alleve).





Do not take aspirin. It thins the blood and makes you bleed more easily.





You ARE going to be sore. The dentist yanked out four teeth that had their roots deep down in the jaw.





Avoid HOT things. They increase blood flow.





Do not drink with a straw. The suction can loosen the clots leaving you with dry sockets which are EXTREMELY painful.





For nutrition, try Boost or Ensure.
Reply:ok, dont spit or suck through a straw because the suction will cause the clots to come out and cause more bleeding. Bleeding at night is very normal. Eat only very soft foods, preferable liquid diet for a few days. Alternate ice and heat every 20 minutes the first day to prevent swelling. After the first day, there is nothing you can do for the swelling. You will probably feel sick to your stomach if you are swallowing alot of blood. You may also want to rinse with a one part listerine to 3 parts water mix to help prevent infection.
Reply:From my own experience the blood and swelling are normal. I had all of mine pulled about 6 months ago (1 surgically) and the only thing that really helped my pain was 600mg of Ibuprofen (with food of course). My dentist told me to take the pain meds, but they didn't help at all. I also rinsed my mouth with salt water, and this seemed to help slow the bleeding. As far as eating goes, I stuck with liquids the first two days and rinsed after every meal. I hope everything works out okay. Of course, it won't hurt to talk to your dentist.
Reply:Sounds like everything is going the way it should. There will be minimal blood from time to time...just make sure you don't do anything that would require a sucking motion ie. using a straw, spitting etc. this can cause ur mouth to bleed more. When ur sleeping, ur releasing a little bit of blood from ur mouth becuz u had (technically) 4 surgeries and arent swallowing the blood like u do throughout the day. Swelling will start to subside after day 3...tomorrow will probably be the most painful day for u cuz ur swelling will be at its peak. Keep eating liquidy foods, and keep drinking lots of cold fluids, try sucking on an ice cube (without actually sucking on it!). Best advice, rest! sleep as much as possible, this is when ur body heals itself...it may only seem like 4 teeth, but a surgery, regardless of the type, is a trama to the body and it needs to recover in its own way! Take care doll, you'll be feeling better soon!!! :)
Reply:so long as the stitches and or packing are all still in then you should be OK .


as for the pain medication try taking it with food put some crackers in your soup . you most likely will have an upset stomach from any medication that is powerful enough to treat the pain.


you can also take gravol . did he give you a sheet of instructions saying you could put a tea bag in your mouth over the spots . that's about it . try to tough it out on the pain medication unless he says he is going to give you something stronger because i know how painful this can be.


just be glad you wOKe up ok after the operation. i didn't spent 10 days in an awful state. i used a straw and i had carnation instant breakfast but rinse gently after each glass
Reply:you should not have blood all over. if it was a small amount or was diluted with saliva, you are probably ok. you just don't want to have the blood socket come loose. generally when it does, it feels like a hole there and is very painful. if the bleeding has stopped now and you don't have these symptoms, it is probably ok. have the dentist look at it if you are worried. if it is dry socket, they go open it back up so another blood socket will form. later, i recommed you get the cavitation done by a Biologic Dentist. the non-biologic dentists do not know to remove the periodontal ligament and it creates a cavitation by not allowing the bone to grow across and fill in the socket properly.


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POST-OP INSTRUCTIONS





Bite on the gauze for about 30 minutes after your surgery. Do not bite too firmly, just enough to keep the gauze in place. After the blood clot forms it is important to protect it especially for the next 48 hours to avoid dry socket. Drainage for a few days is normal. To minimize swelling and bleeding, keep head elevated (use extra pillows when sleeping). You can brush your teeth the day of surgery. Avoid brushing the surgery site. Any stitches will come out on their own in a week





Rinse your mouth with warm salt water after meals and before bed. Begin a very gentle warm salt water rinses (1tsp. salt for every 8oz. of water). The first day or so, do not swish the water around in your mouth; Instead, move your head side to side to rinse. Do not spit; Let the water flow out of your mouth. If you are watching salt intake in your diet, you may substitute the salt water rinse with a peroxide and warm water rinse. Use a 50/50 peroxide and water solution





NO smoking for 2 days


NO drinking through a straw for 2 days


NO mouthwash for a week


NO excessive spitting


NO vigorous rinsing for at least 48 hours after your surgery


AVOID alcoholic beverages


AVOID greasy foods


AVOID high acidic foods and drinks such as tomatos, orange juice, etc....


DO NOT over exert yourself. It is ok to ride in a car or on a plane





For Pain:





Advil (Ibuprofen) or Aleve (Naproxin Sodium) or Extra-Strength Tylenol (Acetaminophen). Take with food. NO aspirin or aspirin products





For Swelling:





Place an ice bag on side of face where your surgery was, for 30 minutes on, then 30 minutes off. Repeat for 6 hours. After 48 hours, use warm compresses as needed for swelling





Eat soft foods. No chips, pretzels, peanuts, etc.... Stay away from crunchy, chewy or small hard foods, to avoid food particles becoming lodged in the socket. Suggested foods are clear broth, pasta, potatoes, yogurt, baby food, smoothies, pudding, cream of wheat, 7up, Ginger Ale, apple juice


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CAVITATIONS





A cavitation is an unhealed hole in the jawbone caused by an extracted tooth [or a root canal or an injury to a tooth]. Since wisdom teeth are the most commonly extracted teeth, most cavitations are found in the wisdom tooth sites. Please see the graphic and photo below to get a glimpse of what may be in your mouth and the effects it is having. The photo and diagram demonstrate the destructive and pathologic consequence of a routine tooth extraction. Dentists are taught in dental school that once they pull a tooth, the patient's body heals the resulting hole in the jawbone. However, approximately 95% of all tooth extractions result in a pathologic defect called a cavitation. The tooth is attached to the jawbone by a periodontal ligament which is comprised of "jillions" of microscopic fibers. One end of each fiber is attached to the jawbone and the other end of the fiber is attached to the tooth root. When a tooth is extracted, the fibers break midway between the root and the bone. This leaves the socket (the area where the root was anchored in the bone) coated with periodontal ligament fibers.





There are specialized cells in the bone called osteoblasts. Osteoblasts make new bone. The word "osteoblast" means bone former. They are active during growth and maintenance. However, the periodontal ligament prevents the osteoblasts from filling in the tooth socket with bone since the periodontal ligament fibers lining the socket act as a barrier beyond which the osteoblasts cannot form bone. In other words, an osteoblast "sees" a tooth when it "sees" periodontal ligament fibers. Since there are billions of bacteria in the mouth, they easily get into the open tooth socket. Since the bone is unable to fill in the defect of the socket, the newly formed "cavitation" is now infected. Since there is no blood supply to the "cavitation" it is called "ischemic" or "avascular" (without a blood supply). This results in necrosis (tissue death). Hence we call a cavitation an unhealed, chronically infected, avascular, necrotic hole in the bone. The defect acts to an acupuncture meridian the same way a dead tooth (or root canal tooth) acts. It causes an interference field on the meridian which can impair the function and health of other tissues, organs and structures on the meridian. Significantly, the bacteria in the cavitation also produce the same deadly toxins that are produced by the bacteria in root canals (see Root Canals). These toxins are thio-ethers (most toxic organic substance known to man), thio-ethanols, and mercaptans. They have been found in the tumors in women with breast cancer.



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