Instructions to be followed after tooth removal

There are certain instructions that should be followed after removal of tooth for better healing process. All these precautions are taken inorder to provide a healthy environment for the blood clot formation and enhance the healing of the tooth removed socket.

On the day of extraction ,

  • Bite the cotton firmly for about one hour
  • Avoid hot and spicy food for three days
  • Do not spit the saliva instead keep swallowing for a day.
  • Do not rinse the mouth heavily for a day
  • Do not use straw kind of stuffs for drinking liquid, just do sipping.
  • Avoid forceful sneeze and cough for three days
  • Keep ice pack on the cheek over the tooth removed region ( particularly during the extraction of wisdom tooth and on the other tooth region when the extraction of the tooth was in difficulty level )
  • Hydrate well
  • Take the medications properly as prescribed by your surgeon.
  • Avoid smoking and alcohol consumption for a week.
  • Do not bite and check the cheeks or lips for three hours after extraction because of numbness feel.
  • If any abnormal bleeding encountered or if mild bleed does not stop for 6 hours after extraction, immediately report to the hospital.

From the next day of extraction,

  • Rinse the mouth well for 4-5 times with warm saline water ( 2 ml of salt mixed with 250 ml of lukewarm water)
  • Brush and floss every day to remove plaque formation
  • Avoid brushing on the tooth removed region for three days or do gentle brushing
  • Gently start with mouth opening exercise after 48 hours of extraction
  • Do not stop antibiotics (if prescribed) in a day or two just because the symptoms are subsided , complete the full course as recommended by your surgeon.
  • If sutures are placed, report to the hospital and get it removed after a week of extraction
  • Maintain proper oral hygiene for asymptomatic healing
  • If any abnormal pain encountered after three days of extraction, it could be due to dry socket Dry socket – Reason and treatmentand report to the hospital.
  • If not able to open the mouth adequately or encountering pain while opening after 4-5 days of extraction , it could be due to trismus, indicating inadequate mouth opening exercises. Keep hot pack on the cheek on such condition for 4-5 times on regular interval and report to the hospital.


For the better future environment

On behalf of world’s environmental day, here i am coming up with a few ideas that we can apply it on in our day-to-day life, to give a positive impact on our environment.

Our little contribution can bring a huge change on the nature, that we are blessed to have with ever.

To save our future environment,

Avoid the use of plastics.

  • Rite from using straw to carry bag and storage box we do have alternatives. Those are actually an essential practice rather than being alternative.
  • Sipping the juice will provide better digestion rather than drinking with the straw.
  • Likewise storing food in the glass or metal box will have better shelf life.

 Conserve thermal energy.

  • Use compact fluorescent light bulbs.
  • Turn off your house device when you do not use it. 
  • Do remember to switch off the electricity while leaving the room.

Conserve water.

  • Judicious use of water is mandatory for future survival.
  • Simply close the tap when not in use, even if the missed out time is for a minute.
  • Reduce the water flow and get use to it.
  • Fix the leaky faucet.
  • Water your lawn in the early morning.
  • Wash a full load of laundry or adjust the water level to the size of your load.
  • Avoid contaminating the sources of water.
  • Conserve rain water.

Minimize air pollution.

  • For travelling shorter distance, prefer walking or bicycle rather than opting motor cycle. This also helps to keep you fit.
  • Do not overfill the fuel tank, that may cause leakage of hydrocarbons.
  • Do not burn your yard waste.

Plant a tree.

  • Develop the habit of planting a tree on a regular basis. May be on the weekly or monthly once !!!In this concrete jungle, Let that bring a fresh feel for sore eyes..

Do not waste food.

  • Do not make dishes until you have a full load and make only as how much required.

Proper use of waste bin.

  • Do not put hazardous materials in the trash.
  • Follow proper waste management protocol
  • Do not litter.

Donate clothes.

Donate clothes and other gently used household items to the charitable organization rather than throwing it away.


Effect of tobacco on the oral cavity

A week after the world anti-tobacco day, it is good to write a blog on smoking and its adverse effects to the oral cavity.

Tobacco as such is a carcinogen (cancer causing agent). From inflammation till cancer, tobacco can cause anything and everything. A few notable effects that tobacco could cause to oral cavity are,

Tooth discoloration, increased plaque formation and bad breath :

Smoking increase tartar and plaque accumulation on the tooth structure which eventually weakens the tooth supporting structures like gums and periodontium.

Tobacco stains are extrinsic stains, yet are hard to remove completely which gives a poor aesthetic appearance. Halitosis (bad breath) is very common for tobacco users.

Weakening of gums and increased bone loss :

Smoking directly triggers the body inflammatory agents, causing swollened gums, prone for infection and increased risk of bone loss. Because smoking cause impaired collagen mechanism, the rate of repair of the lost structure will be extremely slow or nil.

Delayed healing or no healing after tooth removal :

Smoking have negative impact on healing of the tooth removed area called tooth socket. Heat from the smoke and the other tobacco contents directly disrupt the blood clot ( which is essential for the healing process ) on the socket, causing a condition called ‘dry socket’ ( very painful unhealed condition )

Lower sucess rate of implant :

Adequate bone height and bone density is required for a successful implant procedure. Due to chronic bone loss after smoking, success of implant treatment is questionable.

Inflammation of salivary gland opening and reduced salivary flow :

Saliva is an important component in the mouth which play a vital role in defense mechanism, digestion process, lubrication, etc. Reduction in its flow has a tremendous negative effect on the oral environment. Heat from the smoke cause inflammation of the salivary gland opening (condition called smokers palate) and gradually reduces the salivary flow causing dry mouthDry mouth – cause and effect.

Increased risk of leukoplakia and other keratotic lesions:

Leukoplakia is the pre cancerous lesion where the oral mucous membrane undergoes metaplastic changes. Pouching of tobacco is one of the main etiological factor for such conditions and when left untreated it becomes cancer.

Increased risk of oral cancer :

Tobacco as such have a direct influence on the oral mucosa to cause dysplastic changes and thereby causing oral cancer.


Nevertheless of its consequences, it is always better to stay away from tobacco for the healthy and happy life.

Thumb sucking

Thumb sucking is one of the issue i often hear from the parents in the pediatric department. Here we see about the reason behind thumb sucking, its consequences on the prolonged practice, and how to manage it.

Why a child do thumb sucking?

Thumb sucking has a strong correlation with the child psychology. Let us see in detail.

Fear is the first emotion elicit by an individual ever after introduced to the world. It is a kind of inherent one. The rest all emotions are acquired slowly when the child grows. Sucking thumb psychologically provide a secured feel to the child as he/she is close to the mother. Thumb sucking is the positive reinforcement in child’s behavior upto the age of 3. By this time the child should have acquired trust and courage to face the outer environment/ society by his/her own and eventually the thumb sucking habit should wear off.

What are the reason for prolonged use of thumb sucking habit and when it is considered abnormal?

Any imbalance in the above process will lead the child to prolong the habit of thumb sucking whereby then it become the negative reinforcement. On or after the age of 4, thumb sucking habit is considered as abnormal and should seek for attention.

The unsecured feel that the child developed during their course of development causes to prolong the habit. The most probable reasons could be due to 

  • Child having less attention from their parents
  • Over protective child where he/she fails to learn self defense
  • Presence of sibling where he/she starts to compare the parents attention between each and become submissive
  • Child left with care taker in the first three years of life
  • Abused child
  • Child grown up in the closed environment with minimal exposure to the outer world
  • Dominant parents where the child gets minimal or nil chance to express his/her thoughts or requirements

What are all the consequences of thumb sucking habit ?

  • Deprived mental health of the child.
  • The child may become an attention seeker even for the basic things or will prefer to be all alone everytime or may become exceptionally imaginative
  • Dental problem includes, proclination of front teeth, narrowing of upper arch form and development of malocclusion

How to manage thumb sucking habit?

Management takes place by two intervention

Psychological intervention, where parents play a major role.

  • Sit and talk to your child as long as you can and try to grab out the hidden emotion that he/she is going through ( can take the medical counsellors support if you cannot able to find out )
  • Make your child to understand that how much he/she is important in your life, rather than simply advising to break the habit
  • Understand the child’s need and go accordingly
  • Spend adequate time with your children and treat the siblings equally and do not compare one with the other
  •  Provide them opportunities to decide by their own with good guidance.

Dental intervention,

  • Use of habit breaking appliance, which is to be wear for 7-8 months along with the muscle strengthening exercises.
  • To undergo orthodontic treatment to correct malocclusion.

Teeth whitening

Whiter and brighter smile is the wish for every one of us. This topic is about giving the facts, ideas and possibilities, pros and cons of undergoing teeth whitening treatment.

Why does the teeth get discolored?

There are various reasons for the teeth discoloration.

  • External factors includes tea,coffee, tobacco, food products etc stain the teeth,which on long term exposure discolour the teeth permanently
  • Intrinsic factors includes defect in enamel and dentin formation, intake of certain medications, excessive or reduced level of certain minerals in the body etc.
  • Age factor has a significant role in teeth discoloration. When age increases, the enamel get abraded due to various mechanical and chemical factors, exposing the underlying dentin thereby giving the yellowish tint to the tooth structure.

Who are all the ideal people to undergo the teeth whitening procedure?

  • young age people who are having the sound and healthy enamel
  • The permanent staining caused due to extrinsic factors
  • Mild to moderate level of staining caused due to intrinsic factors

Who is unfit to take up this procedure?

  • Old people whose dentin are exposed
  • Severe level of defect occured due to intrinsic factor.
  • discolouration caused due to decay of the tooth, discoloration occured on the fillings and crown restoration.

What are all the various ways to get the teeth whitened?

  • Use of teeth whitening toothpaste that are approved by ADA. It contain micro abrasives that are nominal enough to white the teeth. The duration of its usage will be according to the prescription of your dentist, which are based on the oral condition.
  • Teeth whitening IN-OFFICE procedure, which is carried out in the dental office. It is the single sitting procedure, where the total duration will be for 45 mins to 1 hour with multiple applications of the bleaching agent (hydrogen peroxide) , followed by AT- HOME bleaching trays (optional) .
  • Teeth whitening AT – HOME procedure, in which a splint and a bleaching kit ( containing carbamide peroxide) are given to the patient and instructed to use it for 30 mins to 4 hours per day according to the concentration of the bleaching agent prescribed. The total duration of this treatment is for upto 2 – 4 weeks according to the intensity of discoloration.

Ideally the above procedure can provide the result for three years but it is all depend on the life style or food habits you follow.

Side effects

A few people can encounter teeth sensitivity for few days after the treatment but these are temporary and can be fixed by desensitizing tooth pastes or fluoride application or neutralisers.