Wisdom teeth extraction is a common dental procedure. Following the removal of these molars, managing immediate post-operative bleeding is a primary concern for patients. This initial bleeding is a normal part of the healing process after oral surgery.
The Purpose of Gauze
Gauze pads are applied directly to the extraction site to exert continuous pressure. This direct pressure helps compress the blood vessels, promoting the natural coagulation process and encouraging the formation of a stable blood clot within the socket.
A firm blood clot is required for proper healing of the extraction site. This clot acts as a protective barrier, sealing the exposed bone and nerve endings from the oral environment. It serves as a scaffold for new tissue growth, facilitating the repair of the gum and bone. Without a stable clot, complications such as a dry socket can occur, leading to significant discomfort and delayed recovery.
How to Use Gauze Correctly
Before placing the gauze, moisten it slightly with clean water. Next, fold the gauze pad into a compact size, creating a small, firm cushion. The goal is to create a pad that fits directly over the socket.
Carefully position the folded gauze directly over the extraction site. Once the gauze is in place, bite down firmly and consistently to apply steady pressure to the area. Maintain this pressure for approximately 30 to 60 minutes, which allows sufficient time for the initial blood clot to begin forming.
After this initial period, gently remove the gauze to assess the bleeding. If the bleeding has not significantly slowed or if the gauze is completely saturated with blood, replace it with a fresh, folded pad. Continue to apply firm pressure for another 30 to 60 minutes, repeating this process until the bleeding has subsided to a light ooze or staining.
When to Remove Gauze and What to Do Next
Gauze can be removed once the initial heavy bleeding has diminished to a manageable level. This means the gauze is only lightly stained with blood, or there is just a slight oozing from the extraction site. Persistent heavy bleeding, where the gauze becomes quickly saturated with bright red blood, indicates that more time with pressure is needed.
Normal post-operative oozing can continue for up to 24 hours after the procedure, appearing as a pinkish tint in saliva or light staining on a fresh gauze pad. If heavy bleeding persists despite extended and proper gauze application, it is advisable to contact the oral surgeon or dentist for further guidance.
Once the gauze is no longer needed, avoid actions that could dislodge the newly formed blood clot. Refrain from vigorous rinsing, spitting, or using straws for at least the first 24 hours. These actions can create suction or pressure within the mouth that might disrupt the delicate clot, potentially leading to complications.