11/08/2026
Normal Post-Extraction Procedure
🔹 Remove all loose debris from socket:
➟ Bone spicules
➟ Tooth fragments
➟ Restoration pieces
➟ Calculus
🔹 Check buccal and lingual gutters and tongue for debris
Socket compression
🔹 Compress socket with fingers after extraction
🔹 Restores normal alveolar width after buccal plate expansion
🔹 Residual ridge recontouring occurs mainly by labial/buccal cortical bone resorption
Suturing
🔹 Usually not required for a simple extraction socket
🔹 Suture if:
➟ Papillae are excised
➟ Severe gingival bleeding
➟ Gingival cuff is torn or loose
Pressure dressing
🔹 Place slightly moistened folded gauze over socket
🔹 Patient bites firmly for 30–60 minutes
Post-op instructions
🔹 Give written instructions
🔹 Most common cause of post-extraction bleeding = failure to follow instructions
Pain control
🔹 Prescribe analgesic if pain is anticipated
Persistent bleeding
🔹 Ask patient to bite on a tea bag
🔹 Tannic acid helps promote hemostasis
High-yield pearl
🔹 Simple extraction usually does not need sutures
🔹 Pressure gauze for 30–60 min + proper instructions prevents most post-op bleeding