Wisdom tooth removal is a common oral surgical procedure. Understanding the healing process, especially regarding bleeding, can alleviate concerns. Bleeding is a natural and expected part of recovery, as the body forms a blood clot and initiates healing at the extraction site.
Expected Bleeding Timeline
Bleeding after wisdom tooth removal follows a predictable pattern. It is usually heaviest immediately after the procedure, then significantly reduces within 3 to 4 hours for most individuals.
Light oozing or spotting, appearing as pink-tinged saliva, is common for up to 24 to 48 hours. This discoloration is normal, indicating blood clot formation and healing progression. Any continued bleeding beyond 48 hours should be mild and gradually taper off.
Managing Post-Extraction Bleeding
Proper management of the extraction site controls bleeding and promotes healing. After surgery, a gauze pad is typically placed over the site; firm, consistent pressure helps form a blood clot. Keep this initial gauze in place for 30 to 60 minutes. If bleeding continues, replace it with fresh gauze positioned directly over the surgical area.
Avoid activities that could dislodge the newly formed blood clot, such as vigorous rinsing, spitting, or sucking through a straw, for at least 24 to 72 hours. These actions create suction that can pull the clot away, leading to renewed bleeding and potentially dry socket. Apply ice packs to the outside of the face for 20-minute intervals (20 minutes on, 20 minutes off) during the first 24 hours to help reduce swelling and limit bleeding. Keeping your head elevated, especially when resting, also minimizes blood flow to the surgical area.
Factors Affecting Bleeding Duration
Several factors influence the duration and intensity of bleeding. The complexity of the extraction plays a role; removing impacted teeth, for instance, often involves more extensive surgery and can result in increased bleeding compared to a simple extraction. The number of teeth removed simultaneously also affects the total amount and duration of bleeding.
Pre-existing medical conditions, such as bleeding disorders, can prolong bleeding. Certain medications, particularly blood thinners, can increase the risk of extended bleeding. Adherence to post-operative instructions is also a significant factor, as failure to follow guidelines can disrupt the healing process and lead to prolonged bleeding.
When Bleeding Becomes a Concern
While some bleeding is expected, recognize signs indicating it is not normal and requires professional attention. Excessive bleeding is characterized by continuous heavy flow that soaks through multiple gauze pads within 30 to 60 minutes, or if bright red blood continues to flow actively after 24 hours. If bleeding resumes heavily after it had previously stopped, this is also a sign for concern.
If you experience uncontrollable bleeding or other symptoms like severe pain, fever, or swelling that worsens after two or three days, contact your oral surgeon or dentist immediately. These signs may indicate a complication needing prompt evaluation and intervention.