The patient may be discharged immediately after the procedure, or after the local anesthetic has worn off. Nonsteroidal anti-inflammatory drugs are usually adequate to provide analgesia. Narcotic analgesics are not needed nor required. Arrange follow-up as soon as possible with the Dentist or Oral Surgeon who performed the extraction procedure. The dressing must be replaced daily, or as needed, until the patient is pain free. Instruct the patient to begin a soft diet, to not ingest extremely hot or cold substances, and to not play with the packing with their tongue. Instruct the patient to also not suck anything, use a straw, gargle, spit, or smoke. All these activities will produce negative pressure within the oral cavity and remove the clot from the extraction site.