Pus after tooth extraction and swollen cheek: what to do

What should gums normally look like after tooth extraction?

When a tooth is pulled out, a hole remains in its place, which immediately fills with blood. During the first 30 minutes after surgery, the bleeding stops and the blood clots. A burgundy blood clot forms, completely covering the wound and performing a protective function. If healing proceeds normally, then after 1–2 days the blood clot changes its color from dark red to whitish, covered with a yellow film. This color is explained by the presence of a special fibrin protein in the clot, which is produced by the body during blood clotting.

The wound gradually heals, its edges come closer together, and granulation tissue is actively formed on the surface, which, in the case of normal healing, almost completely covers the hole already on the seventh day after extraction. But if the removal was difficult and traumatic, then the regeneration process is slower and can take up to 3 weeks. Next, young bone tissue is formed at the site of granulation - this lasts another 2-3 months.

Important! The recovery process is painless, but in the first 5 days after extraction the patient may suffer from the natural physiological consequences of the intervention: pain, non-infectious inflammation, redness and swelling of the gums. However, every subsequent day a positive trend should be observed - the unpleasant sensations begin to subside.

Severe pain after removal and surgeon error -

When a tooth has been removed, the gums hurt so much that even strong analgesics help little - the reason most often turns out to be the incompetence of the surgeon. Unfortunately, many surgeons do not strive to minimize trauma to bone tissue and gums during the removal process, which leads to severe pain. Below we list the main medical “flaws” in the process of tooth extraction -

• When cutting out bone with a drill - according to the rules, when cutting out bone around a tooth, the doctor must use a surgical handpiece that supplies coolant to the drilling area.
  In 90% of cases, handpieces without such cooling are used in surgical rooms (24stoma.ru). As a result, the bone suffers a thermal burn and superficial necrosis, and the patient suffers acute pain after removal. If you have had a bone cut out and your gums hurt after tooth extraction: what to do in such a situation will depend on the condition of the socket of the extracted tooth. If the clot is dense and there are no symptoms of inflammation other than pain, you should wait and take strong NSAID-based analgesics. If the socket is empty and there are signs of inflammation (see below), you need to go for a second visit to the dentist and clean the socket.

• Sharp edges of the bone stick out from the socket (Fig. 4-5) - if the bone walls have sharp edges after tooth extraction, then they can injure and break through the mucous membrane (Fig. 4), and even stick out from under it. Or if the interradicular bone septum of multi-rooted teeth has a large height, then it may not be completely covered by a blood clot, protruding from under it.
  The origin of this problem is that the doctor either did not bite down the sharp edges of the bone and the high interradicular septum with forceps, or did not apply sutures to the too mobile gum around the tooth in order to bring the edges of the wound closer together. The presence of exposed bone fragments can be determined by the characteristic pain when touching such fragments with the tongue, as well as the occurrence of acute pain in response to cold/hot water. Sometimes they can be seen with the naked eye in the mirror.

• Moving bone fragments in the wound - the surgeon can leave large, inactive bone fragments in the socket of the extracted tooth, which are formed when the tooth dislocates/rocks. Their presence can lead to severe pain and inflammation of the extracted tooth socket, as well as the need for a second visit to the surgeon to remove them.

• An incorrect removal strategy is the most common mistake. The fact is that different doctors (due to differences in experience and intelligence) remove exactly the same teeth in different ways. This leads to the fact that one surgeon can torment the patient for 1-2 hours, trying to use only forceps and elevators when removing and regardless of the trauma caused to the bone, while another will decide to immediately saw the tooth into 2 parts (removing them separately), and spending only 15-25 minutes on the entire removal.

• “Empty hole” (Fig. 6) –

  
  if the doctor used too much anesthetic with a vasoconstrictor (this component promotes vasospasm at the site of anesthesia), then the hole after removal may not fill with blood. Doctors usually don't test for this, but simply apply a tampon and send the patient home. In an empty socket, the bone tissue will be exposed and will react with severe pain.

• The doctor did not put sutures - before removal, the mucous membrane around the tooth is peeled off from it with a trowel, which leads to the fact that the edges of the mucous membrane around the socket of the extracted tooth will be mobile.
  Often, even seeing the need for suturing, surgeons are too lazy to do it. Ideally, at least 1 suture should be applied even after the removal of small single-rooted teeth, not to mention multi-rooted ones. Studies have shown that suturing the socket can reduce the intensity of pain by 30-50%, reduce the risk of developing inflammatory complications by up to 90%, accelerate wound healing, and almost completely prevent the loss of a blood clot from the socket and the risk of bleeding. I can recommend to you - always, before removal, ask the doctor to suture the hole (even if you have to pay an extra 250-500 rubles for 1 or 2 stitches). This will save you a lot of nerves.
• If the doctor does not prescribe antibiotics after a complex removal, there is a high risk of developing inflammation of the socket and, as a result, severe pain. Antibiotics should only be prescribed by a doctor, so you should go for a re-examination and complain about pain.

What to do in all these situations -

How long does the gum hurt after tooth extraction in these situations - normally, pain should last no more than 1-2 days after simple removal, and its severity should be mild or moderate. Moreover, pain, swelling (if it also appears) and other negative symptoms should gradually decrease. After complex removal, pain can be severe and normally last 3-5 days, but starting from the next day they will also begin to decrease.

If the intensity of the pain does not decrease within 2 days, if you feel bone fragments in the wound with your tongue, if you experience pain in the socket when responding to cold/hot water, if a blood clot has fallen out of the socket, if there is an unpleasant odor from the socket... – you need to urgently go to the surgeon for a second appointment (without waiting for your gums to become inflamed after tooth extraction).

Important: in some cases, pain can also be caused by the patient’s mistakes in how he cares for the socket of the extracted tooth. For example, very often patients begin to rinse their mouth intensively, believing that this will be better. But this leads to the blood clot falling out of the socket and causing severe pain. Read about what you can and cannot do after removal in our article: → “Memo for the patient on how to behave after removal”

Symptoms of the pathological process

Important! Observing a similar situation, some patients try to squeeze out the pus, pick at the wound, clean it of plaque, or pull out the clot with a toothpick or cotton swab. Such actions are prohibited! They are unacceptable, as they can lead to even more serious complications and the advancement of pus into the deeper layers of tissue.

Diagnostics

If a patient experiences characteristic symptoms after tooth extraction, the inside of the socket is dry and the wound area hurts, then he will not be able to do without the help of specialists.

When visiting a dentist, the patient will have to undergo certain tests and undergo an x-ray. After this, the attending physician will be able to confidently diagnose the inflammatory process progressing in the hole formed at the site of tooth extraction.

During the examination, the dentist may notice the absence of granulation tissue in the socket. Bone tissue can also be visually visible at the bottom of the hole. When using a constructive treatment technique, healing of the wound and surrounding damaged tissue at the site of tooth extraction occurs quite quickly.

Why complications develop

Usually the gums around a tooth that has recently been removed fester because the wound has become infected. But how could pathogens end up in the hole? In some cases, the hole could already be primarily infected. This often happens when extraction is performed against the background of an inflammatory process caused by deep caries, pulpitis, periodontitis, as well as cysts and granulomas.

But the wound can also become infected a second time, that is, the problem develops due to external factors. Let's list them:

• the blood clot did not form initially or fell out of the wound after some time: then the hole remains defenseless against bacteria living in the mouth, as well as against saliva and small pieces of food. There are many reasons why a clot did not form or did not survive: traumatic removal, chronic diseases, non-compliance with recommendations after extraction,
• During the procedure, the doctor did not perform asepsis of the wound well enough and did not remove small fragments from it: for example, remnants of a root. Or fragments of hard carious tissues, tartar and plaque that have fallen into the hole from neighboring units. This often happens if the extraction is carried out urgently, without proper preparation and sanitation of the oral cavity,
• during the rehabilitation period, the patient did not take good care of the wound and performed unacceptable actions: for example, chewed on the sore area or cleaned it with a brush, actively rinsed the mouth or touched the intervention area with fingers/tongue,
• Inflammation of the gums is sometimes provoked by internal diseases of the body: in particular, the stomach and intestines, as well as the nasopharynx.

“There are situations when the blood clot in the socket is completely intact, but acute inflammation of the gums still develops. This happens because fragments of the extracted tooth remain inside the wound. But it should be noted that in good clinics and with experienced doctors this situation is simply excluded, since an X-ray examination is carried out at each stage of extraction,” says dental surgeon D.V. Kolikov.

Why does pain occur after tooth extraction and how long does it last if there are no complications?

Tooth extraction is a relatively easy operation if it is not an impacted, dystopic wisdom tooth. It is performed by a dental surgeon. Such an intervention is in any case accompanied by damage to soft tissues, which require time to recover. Slight swelling, redness, pain - all these are natural reactions of living tissues to injury. In the thickness of the oral mucosa there is a huge number of nerve endings. After the administration of anesthesia, they are temporarily blocked, and the patient ceases to experience discomfort. But as soon as the freezing effect wears off, the pain returns, sometimes with even greater severity than it was before the procedure.

Tooth extraction is a full-fledged operation, during which it is impossible to do without injuring the soft tissues that hold the tooth in the socket. This is most often the cause of pain during the first few days or weeks after the procedure.

As for how many days the pain goes away, everything is individual. If all is well and the healing process is proceeding normally, a person may experience moderate aching pain that gradually subsides for no more than 3 days. If after 5 days the symptom has not disappeared, and its intensity has only increased, you need to see a doctor as soon as possible. The development of complications may be indicated by accompanying symptoms, but first things first.

When removing which teeth complications most often arise?

In clinical practice, there are common cases when the gums fester after the removal of a wisdom tooth. After all, the “eights” are massive and have many winding roots. They often have an incorrect position in the bone or do not erupt completely. Their extraction is always complex, multi-stage and traumatic. After manipulation, a large wound remains in the oral cavity, which is the entrance gate for any infection.

The problem is very common when removing teeth from the lower jaw, since the bone here is very massive. To extract the roots from it, the doctor has to make significant efforts, and the infection that gets into the wound quickly spreads deep into the tissue and covers large areas.

As noted above, a complication in the form of inflammation of the gums often occurs when removing teeth that have been severely damaged by trauma or dental disease, as well as those with a cyst or granuloma at the root.

Types of inflammation

The most common types of inflammation that occur after tooth extraction are:

• Alveolitis is an inflammation of the walls of the empty socket of an extracted tooth. The patient suffers from swelling, redness, and “tugging” pain. Weakness, malaise appear, and body temperature rises.
• Gingivitis is inflammation caused by tooth extraction. The tissues turn red, begin to swell and bleed.
• Periostitis is an inflammation of the jaw bone (periosteum). The disease is characterized by severe toothache, swelling of the gums, gumboil, and distortion of the facial contour. Pathological mobility of the tooth appears, lymph nodes are palpated in the face and neck.
• Periodontitis is inflammation of the periodontium, the area around the root of the tooth. The disease is characterized by aching or sharp pain in the tooth, which intensifies when biting. Without treatment, the pain gradually turns into throbbing, tearing pain. The patient complains of severe weakness, fever, and sleep disturbances.
• Trauma to the gums from dental fragments. With mechanical damage to tissues, swelling, redness appear, and spontaneous pain begins, intensifying when touched. If the injury persists for a long time, a dark pressure ulcer with purulent and serous discharge may form at the site of injury.

Extraction complications: types, features

If after tooth extraction the hole, as well as the gums around it, soft and bone tissues fester, this may indicate various complications of extraction. Let's look at the most common of them in more detail.

Alveolitis

This is the disease that usually starts it all. Actually, alveolitis is a purulent inflammation of the socket of an extracted tooth, resulting from tissue infection. The pathology most often develops because the patient damages the protective clot, or the clot does not form at all.

There are several forms of alveolitis: serous, purulent and chronic. The first form manifests itself already 2–3 days after extraction and is characterized by moderate pain and the absence of any noticeable symptoms. But if you do not start treatment, then already on days 4–7 the patient is faced with a purulent form of the disease, accompanied by acute pain and a sharp deterioration in well-being. If you do not consult a doctor during this period, the inflammatory process becomes chronic, when all the symptoms weaken, but tissue damage continues.

Cyst

Many patients think that a cyst can only form above a tooth or under a tooth that is located in the oral cavity. However, swelling can also occur where the root has recently been removed. The pathology may be primary or secondary. Primary develops when an element with a cyst was removed, but the doctor did not completely clean it and remove it.

A secondary tumor appears in cases where the specialist did not do a good job of curettage and cleaning the hole from small fragments. Then small fragments of the root or walls of the extracted tooth are covered with a protective shell, that is, a cyst is formed. This form of pathology may not manifest itself for a long time, but if a person’s immunity drops, the cyst breaks through, causing sharp pain and an acute inflammatory process. Fistula tracts may also form, through which pus will leak out or into the internal tissues.

Gingivitis

Interestingly, gingivitis can also develop not only where teeth are present, but also where they are not. Usually, after removal, traumatic gingivitis occurs, which occurs due to excessive pressure on the tissue and severe damage to it. With this disease, the gums become inflamed, red and swollen; they can itch, hurt, and bleed from eating solid foods and when brushing.

Traumatic gingivitis appears locally, but if it is not treated in a timely manner, the inflammation will begin to spread to neighboring areas and after some time will become generalized, that is, it will affect the entire row. Additional factors can contribute to the rapid development of this disease: poor oral hygiene, accumulation of soft and hard bacterial plaque, consumption of sweet and soft foods, weak immunity.

Suppuration of hematoma

Some patients develop a hematoma, which is a large bruise, after extraction. The problem arises due to traumatic root extraction, damage to blood vessels and capillaries during the procedure, and also due to poor blood clotting. Typically, the hematoma gradually resolves on its own or under the influence of medications prescribed by the dentist. But it also happens that it can fester, then the patient’s cheek swells and severe pain appears. Cases of hematoma suppuration often occur in people with diabetes, since their tissue regeneration processes are impaired and healing occurs very slowly.

Flux or periostitis

If alveolitis is an infection of the socket of an extracted tooth, then flux is an infection of its periosteum. That is, bacteria penetrate into deeper layers in the absence of timely treatment of superficial inflammation.

The symptoms of the pathology are characteristic: acute pain, swelling of the gums and face, facial asymmetry, inability to open the mouth, general and local increase in body temperature. The cheek of people who have gumboil “burns.”

Osteomyelitis

If the gums fester after tooth extraction, and a person starts the process and does not know what to do, then the infection penetrates into the deeper layers of the tissue and can affect the bone. Often osteomyelitis is a complication of flux or cyst.

This is a very dangerous disease that needs to be treated in a hospital setting. If the treatment technique is incorrect or there is no treatment, there is a very high probability of pus from the affected tissues entering the bloodstream, damage to internal organs, pulmonary failure and the development of sepsis. Also, complications of osteomyelitis often include a fracture of the lower jaw, destruction of the mandibular joint, atrophy and severe thinning of bone tissue, and destruction of teeth located adjacent to the lost one.

Phlegmon

Gum suppuration can lead to phlegmon, when the inflammatory process spreads to the soft tissues of the face. This is an extremely unfavorable complication1 of extraction. Inflammation has no defined boundaries and therefore very quickly affects more and more new areas. The pathology is fraught with severe intoxication of the body, changes in shape and disruption of facial aesthetics. It is better not to let it develop; the patient will need long-term rehabilitation and more than one cosmetic surgery to tidy up his appearance.

Read about the signs and consequences of phlegmon in the feature article on the website.

Causes

Alveolitis is a fairly common disease, occurring in 40% of dental patients. In other cases, healing occurs within a few days.

Most often, alveolitis occurs for certain reasons:

1. Presence of carious lesions of teeth. Aggressive pathogenic bacteria, penetrating the wound, actively multiply, leading to purulent infection. It is very difficult to relieve alveolitis in this case, since antiseptic drugs have only a small effect.
2. Trauma to the walls of the alveolar socket: fractures, mother-in-law, partial breaking out of the bone from the general mass. Particles of bone tissue falling on the wound surface lead to infection.
3. Blood clotting indicator does not correspond to the norm. The main aspect of successful wound healing is the formation of a blood clot in the socket, which protects against infection.
4. Some general diseases: diabetes mellitus, thyroid pathologies leading to hormonal imbalance. The risk of developing alveolitis especially increases during exacerbations.
5. Reduced immunity is also a common cause of this complication. A weakened body is not able to resist pyogenic microbes that firmly establish themselves in the hole. This is why tooth extraction is not recommended during infectious diseases of the respiratory system.
6. Failure to follow the dentist's recommendations. All doctor’s advice is aimed at minimizing the risk of alveolitis. You should not constantly check the injured socket, try to separate the clot, or use products not recommended by the doctor.
7. If the blood clotting time is too long, a blood clot does not form and the surface of the wound is attacked by pathogens, causing inflammation. For the same reason, it is not recommended to remove teeth after taking medications that thin the blood: Warfarin, Aspirin, etc.

The blood clot is considered the main protective barrier of the alveolar socket after tooth extraction. It is the partial or complete destruction of this clot that is the most common cause of inflammation.

Is it possible to treat gums at home?

In a situation where the gums are festering, it is important to understand how to treat the pathology. Naturally, any doctor will tell you that you need to immediately seek professional medical help, and this will be the only right decision. Making an appointment with your doctor is very important! But if it is impossible to visit a specialist right now, before visiting the clinic, you can carry out antiseptic treatment of the oral cavity with herbal decoctions (chamomile, sage), Chlorhexidine or Miramistin. Do not rinse vigorously or intensively. Just put some liquid in your mouth, hold it for 2-3 minutes, then spit it out. Repeat as often as possible, up to 10–12 times a day.

For pain, you can take pills from your home medicine cabinet. Read about the best and most effective of them here. But remember that at home you can only suppress the symptoms of the pathology for a short time, but you will not be able to cure it on your own.

What to do to relieve pain

There are various ways to reduce pain, but before using any of them, you must first obtain the consent of the treating dentist. Remember that intensive mouth rinsing after tooth extraction, including infusions of medicinal herbs, is strictly prohibited in the first few days - this can accidentally damage the protective blood clot. Let's see what experts recommend in this regard.

How to relieve symptoms without medications

A cold compress will help relieve acute pain. This could be a piece of ice wrapped in gauze or a towel soaked in cold water. The compress cannot be kept on the cheek all the time - it is better to alternate with short breaks. Pharmacies also sell special cooling patches, but before using them it is better to consult a doctor.

Baths with decoctions of medicinal herbs (chamomile, sage, propolis) will help speed up the healing process. It is enough to take the liquid into your mouth and hold it there for a while, without intensive rinsing. This will help relieve inflammation and swelling, relieve acute symptoms. Again, it is best to consult your dentist first.

Effective painkillers

After the procedure, the doctor will give his recommendations on the preferred method of pain relief. Most often, specialists prescribe the painkillers listed in the table below. The estimated cost of medications is given here, but prices may vary depending on the pharmacy and the region where you live.

What actions are prohibited?

After extraction, the doctor usually gives recommendations on what can be done and what absolutely cannot be done. So, to avoid complications, you need to exclude hard, spicy and hot foods from your diet. Do not overheat or perform physical activity. It is not recommended to eat on the side of the jaw where the wound is located. If, however, the gums of an adult or a child become inflamed and fester, then some actions can cause even more harm:

• active mouth rinses,
• the use of hydrogen peroxide and soda: these drugs further irritate damaged tissues and dissolve the protective clot,
• applying garlic, lard and other products to the wound: this can cause a burn. Products can become a medium for the accelerated proliferation of pathogenic bacteria,
• attempts to remove pus, plaque, food debris from the wound using fingers, brushes, sticks and toothpicks, as well as various sharp objects,
• warming up the inflamed area: this will contribute to the spread of infection and damage to neighboring areas, increasing swelling,
• taking painkillers that thin the blood: for example, Aspirin,
• taking antibiotics and self-medication.

Symptoms for an urgent visit to the dentist

When such an unpleasant symptom as pain and bad breath intensifies, the temperature rises, the gums swell, and dental surgery may even be required. It is important to see a dentist on time.

1. The doctor will carefully examine the oral cavity and the surgical area.
2. A small spoon is used to diagnose the hole.
3. If alveolitis develops, special therapy is prescribed. First, anesthetics are introduced, then plaque and pathogenic microbes are removed.
4. Then the wound is treated with an antiseptic, and the necessary medications are applied.
5. Stitches may be needed.

You should contact the dentist when the gum tissue is swollen, you feel severe pain, your cheek and neck are swollen. In such a situation, pus collects in the wound area. The dentist prescribes rinsing, disinfection procedures, painkillers, and antibiotics. With severe tissue injury, an abscess may develop. At risk are those patients who do not follow the doctor’s recommendations. Remember that timely contact with a doctor is the key to quick treatment.

Treating Suppuration at the Dentist's Office: What to Expect

If you identify alarming symptoms, you need to consult a doctor as quickly as possible, because the treatment of alveolitis is faster and easier than phlegmon and osteomyelitis. And if alveolitis is treated in the dentist’s office and does not cause serious health complications, then purulent inflammation of soft and bone tissues is eliminated within the hospital, and after that the patient faces a long and often difficult rehabilitation.

So, if you find pus in your gums after tooth extraction, you should immediately go to the doctor. The specialist will conduct an examination, administer anesthesia and begin treatment. First, the dentist will curettage the hole, that is, remove the clot from it, clean it of necrotic masses and food debris, and remove fragments of roots and hard tissues. Then the wound is washed with antiseptics, after which the doctor can place a medicine in it and apply stitches.

The specialist will also prescribe you products that you will need to use at home until the tissues are completely healed: antibiotics (Sumamed, Azitral), antiseptics, gels and ointments (Metrogil Denta, Cholisal, Asepta). In some cases, an additional course of physiotherapy using laser or ultraviolet light may be prescribed.

To quickly eliminate discomfort, speed up tissue regeneration and prevent complications, at first it is better to eat mainly soft and liquid foods, give up smoking and bad habits, and carefully but carefully carry out oral hygiene.

How to treat alveolitis?

Effective treatment of such a disease can cause objective difficulties. The dentist must have extensive experience in the field of surgery in order to build a suitable plan for future treatment and implement it.

The treatment process for alveolitis consists of the following stages:

1. Anesthesia of the affected area using local or trunk anesthesia.
2. Washing out food particles, saliva and blood clot residues from the socket using a syringe and a blunt-tipped needle. To do this, use warm antiseptic solutions: furatsilin, hydrogen peroxide, manganese solution, chlorhexidine.
3. Particles of tissue decay, food, bone or tooth root fragments, granulations that remain after washing are removed using a sharp surgical spoon. Actions must be carried out with great care, since it is impossible to injure the walls of the hole.
4. Repeated rinsing of the extracted tooth socket with antiseptic solutions.
5. Drying with a sterile cotton swab.
6. Dust with anesthetic powder.
7. Applying a gauze bandage with iodoform impregnation or an anesthetic and antiseptic bandage "Alvogyl".

As a dressing, you can also use biological antiseptic tampons, a hemostatic sponge with kanamycin or gentamicin, and paste preparations with antibiotics. The bandage performs a protective function, preventing mechanical, biological, chemical irritants and pathogens from entering the inflamed hole.

Pain in the socket with serous alveolitis disappears forever after such treatment. After two to three days, the inflammatory process subsides. If treatment is carried out when the disease has already taken a purulent form and the pain has become more intense, a strip of gauze with an anesthetic and antiseptic solution is inserted into the hole: alcohol tincture of propolis, camphorophenol liquid. Blockades (impregnation of soft tissues at the site of inflammation) of an anesthetic in combination with lincomycin, as well as the Traumeel solution, administered according to the principle of a conventional injection, are quite effective.

Proteolytic enzymes are used to cleanse the socket of tissue that has undergone necrosis. To do this, a gauze strip moistened with a solution of crystalline chymotrypsin or trypsin is inserted into the well. Enzymes gradually break down dead tissue and clean the wound surface.

Physiotherapy must be present during the treatment process. Apply: microwave therapy, fluctuarization, infrared laser rays, ultraviolet irradiation. Baths with a solution of manganese or sodium bicarbonate have good antiseptic properties.

Among medications, the patient is prescribed complex vitamins, analgesics and sulfonamide drugs. If there is a threat of further development of the disease, antibiotic therapy is carried out. This is daily:

• Treating the hole with antiseptics;
• Carrying out a blockade;
• Changing the bandage.

The procedures continue until the pain stops completely. After a week, the walls of the socket begin to heal and become covered with young mucous tissue, but signs of inflammation may still be present in the clinical picture. After a couple of weeks, the swelling subsides, the mucous membrane takes on a normal, pink color.

General recommendations after removal

To protect yourself from unpleasant consequences, dental experts strongly advise you to take care of the healing wound and follow simple recommendations. Here are the main ones:

1. After the procedure, refrain from eating and drinking for at least several hours,
2. further during the day, do not eat solid foods, avoid sudden temperature changes in food, too salty or sour treats - anything that can cause irritation of the mucous membranes,
3. for the first few days, try not to touch the wound with your tongue, carefully rinse your mouth and chew on the opposite side,
4. do not use drinking straws and avoid anything that can cause a vacuum in the oral cavity - this can easily damage the blood clot in the socket,
5. for the first few days, refrain from smoking and alcohol, as well as visiting the sauna, steam baths and taking hot baths,
6. Do not use warm compresses - they will only make the pain worse.
7. don't drink through a straw

Tooth extraction always involves a certain degree of surgical intervention, which means tissue injury. It will take time and proper care of the hole for the tissue to fully heal and recover. Therefore, slight swelling and pain in the intervention area is quite normal. If the pain begins to increase and all the accompanying symptoms only intensify, you need to urgently see a dentist. A pathological process has probably begun, and the sooner you seek help, the faster and easier it will be to correct the situation.