Multiple extractions and immediate dentures

The first few days

• Some bleeding is normal for 24 hours. Use firm pressure on the denture or gauze directly over the sites; do not rinse or spit forcefully.
• Protect the clots: avoid straws, smoking, forceful spitting, and vigorous rinsing.
• Use ice for 20 minutes on and off every 2 hours during the first 24 hours and keep your head elevated.
• Take medicines as prescribed. The practice sheet directs starting 800 mg ibuprofen (or as directed), alternating it with acetaminophen every 3–4 hours for 48 hours, and reserving hydrocodone for stronger pain.
• Eat cool, soft foods, stay hydrated, avoid alcohol, and avoid strenuous activity for 5–7 days.

Caring for your new denture

• Keep the denture in place for the first 24 hours. If bleeding is heavy, remove it, bite on gauze for 30–45 minutes, then replace it.
• Initial looseness is expected because the denture allows room for swelling. Do not use adhesive near fresh surgical areas.
• See your dentist within 72 hours for adjustments and sore spots; delay can create severe sores.
• After the first week, leave the denture out overnight. During the first 4–6 weeks, treat it as cosmetic while you adjust.

When to call

Swelling and mild bruising often peak around day 2. Call for ongoing pain, swelling, fever, a bad taste, or bleeding that will not slow.