After a tooth extraction, some bleeding from the gum is a normal and expected part of the body’s healing process. The site where the tooth was removed forms a blood clot, which is a natural bandage that helps stop bleeding and begins the repair of the tissues.
Typical Bleeding Timeline
Initial bleeding after a tooth extraction can be moderate, often appearing as a slow ooze rather than a rapid flow. This more noticeable bleeding subsides within three to four hours following the procedure. During this period, the body actively works to establish a stable blood clot within the empty socket.
After the initial hours, it is common to experience light oozing or notice pink-tinged saliva, which can persist for up to 24 to 48 hours. This discoloration of saliva is often due to residual blood mixing with saliva and does not indicate active, heavy bleeding. The presence of a faint pink or red color is a normal part of the healing progression as the clot continues to mature.
Controlling Bleeding and Aiding Recovery
Immediately following the extraction, biting gently on a sterile gauze pad placed over the extraction site helps apply pressure, which encourages blood clot formation. This gauze pad should be changed periodically, every 30 to 45 minutes, until the bleeding lessens. Keeping the head elevated, especially when resting, can also help reduce blood flow to the area and minimize swelling.
To prevent dislodging the newly formed blood clot, avoid vigorous rinsing, spitting, or using a straw for at least 24 hours after the extraction. Refrain from consuming hot liquids, alcohol, and carbonated beverages during this time. Smoking should also be avoided, as the sucking motion and chemicals can disrupt the clot and impede healing.
When to Contact Your Dentist
Contact your dentist if you experience persistent heavy bleeding that quickly saturates multiple gauze pads after the initial three to four hours. Uncontrolled bleeding that does not slow down with continued pressure may indicate a complication. Contact your dentist if you develop severe pain that is not managed by prescribed pain medication.
Other concerning symptoms include signs of infection, such as a fever, increased swelling around the extraction site, or the presence of pus. Any unusual or worsening symptoms beyond the expected mild discomfort and light oozing should also prompt a call to your dentist.