When a patient has been diagnosed by the dentist that he needs Full Mouth Extractions and no other alternative left then top most anxiety in the patient’s mind is that how the full mouth extractions will be carried out by the dentist or oral surgeon, how much pain and suffering, pain he/she has to undergo after full mouth extraction procedure and what will be healing time after this procedure. The operating dentist though explains everything in detail to the patient but sometimes due to fear or anxiety mind goes blank and every thing told by dentist goes out of mind. Though full mouth extractions are major in dentistry but there is nothing to worry as full mouth extraction can be carried out in a single appointment or it can be carried out in a number of visits.  

One visit Procedure For Full Mouth Extractions

If all the remaining teeth have to be extracted in a single visit as full mouth extraction then anesthesia is given in all regions of mouth and teeth are extracted in a particular order. If many teeth are remaining in the mouth, patient has to be placed on iv infusion drip so as to prevent dehydration. If multiple teeth are present in a single quadrant, sutures are given which are removed after about one week.

 
Advantages of full mouth extractions in single visit are 
  1. Number of appointments is reduced
  2. Local anesthesia has to be given lesser number of times which has its own complications that are avoided in this procedure. 
A disadvantage of full mouth extractions in single visit is that 
  1. Patient has to face esthetic and functional problems associated with period of complete edentulism. 

Multiple Visit Procedure For Full Mouth Extractions 

If patient does not want to get full mouth extraction of in a single visit then two or three teeth are extracted in a one visit from same side of the mouth so that person can chew from the opposite side. In this procedure firstly posterior teeth are extracted and then anterior teeth in the later appointments so as to maintain the esthetics. This procedure is advantageous when immediate denture is to be inserted.

 

Advantages of Full Mouth Extractions in Multiple Visits  

  1. Period of complete edentulism can be avoided by inserting an immediate denture after full mouth extraction.
  2.  Full mouth extractions in multiple visit is less traumatic procedure 

Disadvantages of Full Mouth Extractions in Multiple Visits  

  1. More number of appointments for full mouth extraction.
  2. At each appointment for full mouth extraction local anesthesia has to be given.

Precautions to Be Taken after Full Mouth Extraction of Teeth

  1. Leave the gauze placed by the dentist at the extraction site undisturbed for 30 minutes after that remove and discard it. If the bleeding still continues place another piece of gauze at place and bite on it for another 30 minutes.
  2. Do not have hot beverages and alcohol for at least 24 hours after full mouth extraction procedure as it may induce more bleeding.
  3. Eat soft meal from the opposite side of mouth where extraction has been done during the full mouth extraction procedure.
  4. Do not spit vigorously after extraction for 24 hours as it may lead to dislodgement of clot.
  5. To prevent excessive swelling, put an ice pack from outside of your face on the extraction area of teeth during the first 12 to 24 hours of full mouth extraction. Apply this pack alternately with 10-20 minutes on then 10-20 minutes off.
  6. Do not smoke for at least 48 hours after full mouth extraction procedure.
  7. Do not brush the area of surgery for at least 1 day after extraction, after that use a soft brush to clean the area.
  8. After 24 hours, rinse your mouth with warm saline after every meal for about a week. This will prevent any infection in the mouth. Warm saline rinses help a lot in healing after full mouth extraction
  9. Take the medication as directed by your dentist to avoid any discomfort after full mouth extraction.
  10. Drink lots of fluids to aid in faster healing of wound after full mouth extractions.

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Comments

  • missy

    missy 23 - April - 2014, at 15:34 PM

  • Hi everyone I am Missy and have a few concerns. I just had a full mouth extraction (28) teeth and my dentist just numbed my mouth really well any way my concern is how long after the extraction can you put your gums together i know this is odd but I have tryed to see if I could do it but I cant is this normal? also I had a sever gum desease and she recommends waithing at least 2 months before getting dentures how ever I did not have any impersions or anything yet so I am wondering how the procsess works.. thank you all and good luck to everyone

  • anthony

    anthony 10 - March - 2014, at 22:52 PM

  • i just had 29 teeth extracted in one visit... i am in major pain. any other ideas on how to deal with it besides pain killers or ice bags??

  • Dr.Ritz

    Dr.Ritz 25 - September - 2012, at 23:55 PM

  • Hi SPARKLE,You are right,lower dentures are mostly loose as they have lesser surface area as compared to upper dentures.Also,our muscular tongue tends to push against the lower denture,causing it to slide out of the mouth.However,this is not true for all the patients.Eating with dentures can be difficult at first.A soft diet is advised at first to keep pain to a minimum.Patients should cut food into small pieces and eat slowly,chew on both sides of the mouth,bite using the front teeth when possible,chew up and down rather than side to side,and avoid bringing the lower teeth forward against the upper teeth to cut foods.

  • Sparkle

    Sparkle 25 - September - 2012, at 12:55 PM

  • I am 39 years old and I had full mouth extration 3 months ago today. My teeth were a HOT mess, I really had no other choice..I was awake for the entire 3 hour process, that only gave me local anestetic...which is what i wanted..They placed the upper and lowers in my mouth right after surgery..you will have swelling and your lip will look like it is sticking out sum, but after 2 weeks, they start to fit in place alot better, and more so in time...I am waiting to go back in 9 months to a year for bottom implants...the top is comfortable no issues, but the bottoms they do warn you they rock and their not the most comfortable to wear...Your eating habits will change..one of your new friends for a while will be soup!! hope this helps a few going through the same experience..

  • jeff

    jeff 16 - August - 2012, at 09:34 AM

  • Hi all i just had a full upper extraction done 3 days ago and so far im ok, the pain is still there but it has decreased 10 fold i am using tylenal T3's as painkillers and Amoxicillen as the antbiotic and they are working good so far.I had a bad experiance with a dentice when i was very young and i am still affraid to this day but now that all my teeth are gone im looking forward to getting my dentures, it has be a day long comming. It can be expensive to continue getting work done. I do recommend getting a full extraction because i have never had staight teeth ever so i think this is the best way to go for me.

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