When can i take aspirin after tooth extraction

Tooth extraction after care

A blood clot will form in the socket where the tooth has been removed.

This blood clot is necessary for good healing of the wound and should not be disturbed. It is your body’s natural healing process. You can help this healing process by following the simple points below:

  • Do not drink or eat for three hours after tooth extraction. We recommend eating soft food and to chew on the other side of your mouth.
  • Do not suck or touch the wound (this includes sticking your finger or tongue in the wound) as this can dislodge the blood clot and may lead to infection or bleeding.
  • Do not rinse your mouth out. You may drink normally but don’t rinse and spit out for 24 hours.
  • Stay relaxed and take it easy for the rest of the day. Do not do any bending, heavy lifting
    or exercise.
  • Do not drink alcohol for 24 to 48 hours. This is important because it can cause an infection in
    the wound.
  • Do not smoke for 24 to 48 hours. This is important because it can increase your risk of developing a painful condition called dry socket which is inflammation in the bone.
  • Do not take aspirin as it thins the blood and could cause bleeding to start again. Continue to take routine medication as normal. If your GP has prescribed aspirin for a heart condition, please notify your dentist.

General guidance

  • In your take away pack you will find a cotton wool roll, like the one you were given to bite on after the extraction by the dentist. If the socket starts to bleed again you may dampen the cotton wool roll, roll it up, place it over the wound and bite firmly for 30 minutes while sitting quietly. This should stop any further bleeding. If bleeding continues and you are concerned please contact the number below. If it is out of normal working hours and the bleeding is heavy or prolonged attend your local Accident and Emergency department.
  • Be careful while you are numb from the local anaesthetic as you may bite your cheek or lip. While this may not be painful whilst you’re numb, it will be painful when the feeling comes back.
  • Ensure hot drinks are not too hot as this may scald you.
  • When, or if you look into your mouth later, you may notice some blood. You can just swallow this normally and have a sip of water if required. Remember that a little bit of blood mixed with your saliva will look a lot but in fact it is probably minimal.
  • Soreness around the area may persist for a day or two after the procedure. If needed you may take your normal painkillers. Remember to avoid aspirin or any medication containing aspirin unless you are prescribed it by your GP for heart conditions. If this is the case you should notify your dentist.
  • You may find it helpful to cover your pillow with a towel when you go to bed as this will soak up any residue saliva and blood which may dribble in the night.
  • 24 hours after your extraction you may rinse your mouth with a salt water wash. Add a teaspoon of salt to a cup of warm water and rinse gently two to three times a day for three days.

Always consult your dentist if you have any questions or you are concerned about anything.

Emergency treatment

If you need urgent daytime dental care, please phone 111.

For emergency appointments, outside of our normal opening hours, please contact the service.

I’ve had my tooth out – what should I do now?

Take it easy for the rest of the day. Take as little exercise as you can, and rest as much as you can. Keep your head up to avoid any bleeding.

What precautions should I take?

Avoid hot food or drinks until the anaesthetic wears off. This is important as you cannot feel pain properly and may burn or scald your mouth. Also be careful not to chew your cheek. This is quite a common problem, which can happen when there is no feeling.

If you do rest, try to keep your head higher for the first night using an extra pillow if possible. It is also a good idea to use an old pillowcase, or put a towel on the pillow, in case you bleed a little.

Should I rinse my mouth out?

Do not be tempted to rinse the area for the first 24 hours. It is important to allow the socket to heal, and you must be careful not to damage the blood clot by eating on that side or letting your tongue disturb it. This can allow infection into the socket and affect healing.

Is there anything else I should avoid?

Avoid alcohol for at least 24 hours, as this can encourage bleeding and delay healing. Eat and drink lukewarm food as normal but avoid chewing on that area of your mouth.

When should I brush?

It is just as important, if not more so, to keep your mouth clean after an extraction. However, you do need to be careful around the extraction site.

What do I do if it bleeds?

The first thing to remember is that there may be some slight bleeding for the first day or so. Many people are concerned about the amount of bleeding. This is due to the fact that a small amount of blood is mixed with a larger amount of saliva, which looks more dramatic than it is.

If you do notice bleeding, do not rinse out, but apply pressure to the socket. Bite firmly on a folded piece of clean cotton material such as a handkerchief for at least 15 minutes. Make sure this is placed directly over the extraction site and that the pad is replaced if necessary.

If the bleeding has not stopped after an hour or two, contact your dentist.

How soon can I have a cigarette?

It is important not to do anything which will increase your blood pressure, as this can lead to further bleeding. We recommend that you avoid smoking for as long as you can after an extraction, but this should be at least for the rest of the day.

Is there anything I can do to help my mouth?

Different people heal at different speeds after an extraction. It is important to keep your mouth and the extraction site as clean as possible, making sure that the socket is kept clear of all food and debris. Don't rinse for the first 24 hours, and this will help your mouth to start healing.

After this time use a salt-water mouthwash, which helps to heal the socket. A teaspoon of salt in a glass of warm water gently rinsed around the socket twice a day can help to clean and heal the area. Keep this up for at least a week or for as long as your dentist tells you.

It is important to keep to a healthy diet; and take a Vitamin C supplement, which will help your mouth to heal.

I am in pain, what should I take?

There will usually be some tenderness in the area for the first few days, and in most cases some simple pain relief is enough to ease the discomfort. What you would normally take for a headache should be enough. However, always follow the manufacturer's instructions, and if in doubt check with your doctor first. Do not take aspirin, as this will make your mouth bleed.

Are there any medicines I should avoid?

As we have said, it is important not to use anything containing aspirin as this can cause further bleeding. This happens because aspirin can thin the blood slightly. Asthma sufferers should avoid Ibuprofen-based pain relief. Again check with your chemist or dentist if you are worried or feel you need something stronger.

I am still in pain, what could it be?

Sometimes an infection can get in the socket, which can be very painful. This is where there is little or no blood clot in the tooth socket and the bony socket walls are exposed and become infected. This is called a dry socket and in some cases is worse than the original toothache!

In this case, it is important to see your dentist, who may place a dressing in the socket and prescribe a course of antibiotics to help relieve the infection. You may also feel the sharp edge of the socket with your tongue and sometimes small pieces of bone may work their way to the surface of the socket. This is perfectly normal.

Will my dentist need to see me again?

If it has been a particularly difficult extraction, the dentist will give you a follow-up appointment. This could be to remove any stitches that were needed, or simply to check the area is healing well.


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Can aspirin be continued during dental extraction?

Local hemostasis is sufficient to control bleeding. Clinical implications: Patients receiving aspirin therapy to prevent blood clot formation may be subject to emboli formation if the treatment is stopped. The results of this study show that aspirin therapy should be continued throughout oral surgical procedures.

How does aspirin affect dental treatment?

Abstract. Cardiac patients on aspirin therapy may require extractions for their diseased teeth. It is a common practice among physicians and treating surgeons to stop aspirin prior to tooth extraction because of fear of bleeding complications. This practice often predisposes the patient to adverse thromboembolic events ...

Can aspirin help with tooth extraction pain?

Adverse events due to the medication were few and showed no differences between treatment groups. Soluble aspirin 900 mg appears to be a more useful analgesic than paracetamol in the control of postoperative pain after third molar surgery.

Can I take aspirin after dentist?

This study demonstrated that extraction of teeth in patients taking 81 mg of ASA did not cause significant bleeding post-operatively. All post-operative bleeding was controlled by using good local measures. For minor oral surgery procedures, we do not recommend that patients using ASA should stop taking the medication.