Wisdom teeth extraction is a common oral surgery. Proper post-operative care is important for a smooth recovery, minimizing discomfort and reducing complications.
The Purpose of Gauze
Gauze plays a crucial role in the initial healing phase after wisdom teeth removal. Its primary function is to apply direct pressure to the extraction site, which controls bleeding by encouraging blood vessel constriction and facilitating a stable blood clot.
The blood clot acts as a natural barrier, protecting the wound from bacteria and food particles that could lead to infection. A stable blood clot also helps prevent dry socket, a painful condition where the clot dislodges prematurely, exposing the underlying bone.
Gauze Application and Removal Timeline
Immediately after wisdom teeth extraction, a sterile gauze pad will be placed over the surgical site. You will be instructed to apply firm, continuous biting pressure on this gauze for 30 to 60 minutes. This sustained pressure is essential for initiating blood clotting. Avoid talking or chewing during this time to keep the gauze properly positioned.
After the initial period, remove the gauze and assess bleeding. If the gauze is saturated with bright red blood, replace it with a fresh, clean piece and continue applying firm pressure for another 30 to 45 minutes. The goal is to minimize active bleeding, not to wear gauze for a fixed duration regardless of the bleeding. Bleeding has subsided when the new gauze comes out with only light staining or is mostly clean. Significant bleeding should slow within three to four hours, with some light oozing possibly continuing for up to 24 hours.
Addressing Persistent Bleeding
If bleeding continues beyond the initial gauze applications, ensure you are using fresh, clean gauze pads and applying firm, consistent pressure directly over the extraction site. Bite down for a longer duration, such as 45 minutes to an hour, without frequently checking or changing the gauze, as this can disrupt clot formation.
An alternative method for persistent bleeding involves using a moistened tea bag. Black tea contains tannic acid, which helps constrict blood vessels and promote blood clotting. To use a tea bag, dampen it with warm water, squeeze out any excess liquid, and place it directly over the bleeding area, biting down firmly for 30 to 45 minutes.
During this time, avoid rinsing your mouth, spitting forcefully, or using straws, as these actions can dislodge the blood clot and worsen bleeding.
When to Contact Your Dentist
While some bleeding and discomfort are normal after wisdom teeth extraction, contact your dentist or oral surgeon if certain signs appear.
Contact your dentist if you experience heavy, uncontrolled bleeding that soaks through multiple gauze pads quickly for several hours, or if bleeding persists beyond 24 hours despite following home care instructions.
Other concerning symptoms include severe pain that does not improve with prescribed medication or worsens after three days. Additionally, contact your dental professional for a fever higher than 101 degrees Fahrenheit, increased swelling after the first three days, or the presence of pus or foul taste, which could indicate an infection.