There are numerous reasons why you might need to have multiple teeth extracted at the same time. You may have suffered facial trauma that resulted in multiple teeth being severely damaged beyond repair. Tooth decay may have affected your teeth beyond the repair of a root canal. Advanced gum disease may have weakened the bone and periodontal ligaments around some of your teeth, causing an infection. No matter what your need for multiple tooth extractions, Reno-Tahoe Oral Surgery and Dental Implant Center is here to help. Extracting multiple teeth at the same time is not the same as extracting only one or two teeth. We will provide you with specific instructions on how to care for your mouth following extractions. This is some of what you can expect.


Some bleeding is to be expected following your extractions. You can manage this bleeding by placing gauze pads over the surgical sites and biting down with gentle pressure. Immediate dentures, if you have been provided with them, will help to stop bleeding as well, although you may experience some oozing from the sides.

Pain And Swelling

Pain and swelling are also common following multiple tooth extractions. Mild pain can be managed using an over the counter pain reliever such as Tylenol. Avoid using aspirin-based medications, as these can increase your bleeding risk. We will also provide you with a prescription for stronger pain medication, which can be used in the event of more severe pain.

For swelling, use ice, only during the first 24 hours. Wrap an ice pack in a towel and hold it to the side of the mouth near your surgical site for 20 minutes. Leave the ice off for 20 minutes and repeat as needed. This will help to minimize the total amount of swelling you experience. Moist heat after the first 24-48 hours can help to reduce your swelling (along with any bruising or discoloration) faster. Alternate your heat source for 15 minutes on and 15 minutes off as needed.

Oral Care

Taking care of your mouth following multiple tooth extractions is essential for preventing infections. During the first 24 hours, avoid rinsing and spitting, as these actions can dislodge clots. After the first 24 hours, rinse every few hours with a salt water solution. This will help to remove debris and kill bacteria. When you brush and floss your teeth, take care around the surgical sites. After your follow up visit, continue to rinse with a salt water solution 3 to 4 times a day.

Physical Activity

Following your extractions, it is important that you limit your activities, particularly during the first 24 hours. Sit or lie down with your head elevated. Avoid strenuous activities, bending over, or lifting heavy objects. Doing these things can greatly increase your risk of bleeding, pain, and swelling. As you begin healing, you can slowly begin to resume your normal activities.

Diet And Nutrition

After multiple tooth extractions, your mouth will understandably be a bit sore. It is important to eat a diet of soft foods. These should be nutrient dense, which will help aid in your healing. As you heal, you can slowly resume your normal diet. It is also important to drink plenty of water.

When To Call

Following your aftercare instructions will help to ensure that your recovery goes smoothly. It is still possible, however, to experience complications. If you experience any of the following, call our office immediately:
• Excessive bleeding that will not stop.
• Severe pain that cannot be controlled with prescription medication.
• Excessive swelling.
• Fever.

If you have any questions before your tooth extractions, or while you are healing, never hesitate to call.