Wisdom teeth removal is a routine oral surgical procedure often performed to address issues like impaction, pain, or overcrowding. During this procedure, the third molars, located at the back of the mouth, are extracted. As with any surgical intervention, some bleeding is a natural and expected part of the healing process. This bleeding occurs because blood vessels are disrupted when the tooth is removed and the body immediately begins forming a blood clot to initiate recovery.
Expected Bleeding Timeline
Bleeding is heaviest immediately following wisdom teeth removal. For most individuals, the flow of blood slows within 2 to 4 hours after the procedure. During this initial period, you might need to change the gauze placed over the extraction site multiple times as it becomes saturated.
After the first few hours, the bleeding should subside, transitioning into a lighter oozing or pink-tinged saliva. This mild discoloration is normal and can persist for up to 24 to 48 hours. Minor oozing or blood-tinged saliva may persist for up to 1 to 2 weeks, which is usually not a cause for concern. The duration of bleeding can be influenced by factors such as the complexity of the extraction and the individual’s overall health.
Controlling Bleeding at Home
Managing bleeding effectively at home is important for a smooth recovery. Apply firm, continuous pressure to the surgical site using gauze pads. Bite down on a clean, damp gauze pad for 45 to 60 minutes, applying direct pressure to the extraction area. If the gauze becomes saturated, replace it with a fresh one and continue applying pressure.
Avoiding activities that could dislodge the newly formed blood clot is important. Avoid vigorous rinsing, forceful spitting, or drinking through a straw, as suction can disrupt the clot. Elevating your head, especially when resting or sleeping, can help reduce blood pressure at the wound site and minimize bleeding. Applying cold compresses externally to the cheek can help constrict blood vessels and reduce swelling, which indirectly aids in bleeding control.
When to Seek Professional Advice
While some bleeding is a normal part of the healing process, certain signs warrant contacting your oral surgeon or dentist. If bleeding remains heavy and continuous, saturating gauze quickly for several hours, it warrants professional attention. Bright red blood or the presence of large, frequent blood clots are concerning indicators.
Contact your surgeon if bleeding that had stopped suddenly restarts. Other warning signs include persistent bleeding after 24 hours, or any bleeding accompanied by severe pain, fever, or worsening swelling. These symptoms could suggest a complication, such as a dislodged blood clot or an infection, which requires medical evaluation.