Bleeding is a common part of recovery after wisdom teeth extraction. It indicates natural healing, as a blood clot forms in the empty socket. Understanding normal bleeding and its management can ease concerns during this post-operative period.
Normal Bleeding After Extraction
Some bleeding is normal after wisdom tooth removal as the body forms a stable blood clot. Bleeding is more noticeable within the first two to four hours. Applying pressure with gauze helps clot formation.
After initial hours, active bleeding slows. Light oozing or pink-tinged saliva may persist for 24 to 48 hours. Blood mixed with saliva can make bleeding seem heavier. Differentiate this from active, continuous bright red bleeding, which may indicate a problem.
Factors Influencing Bleeding Duration
Bleeding duration and intensity vary based on individual circumstances. Complex extractions, like impacted teeth or those needing bone removal, can prolong bleeding. The number of teeth extracted also influences bleeding.
Health conditions, such as clotting disorders or blood thinners, affect bleeding duration. Inform your dental professional about medical conditions or medications prior to the procedure. Following post-operative instructions is important; not following them can disrupt the blood clot and prolong bleeding.
When to Contact Your Dentist
While some bleeding is normal, excessive or abnormal bleeding warrants immediate contact with your dentist or oral surgeon. Bleeding that soaks gauze pads quickly (within 30 minutes) and continues for several hours is a red flag. This differs from light oozing or blood-tinged saliva.
Bright red, continuous blood flow, rather than dark clots or slow ooze, is a concern. If bleeding increases or restarts after 24 to 48 hours, seek professional attention. Also, call your dental provider if bleeding is accompanied by severe pain, worsening swelling after 48-72 hours, or signs of infection like fever or foul discharge.
Post-Extraction Care for Bleeding Control
Managing bleeding after wisdom teeth removal involves specific care steps to promote clotting. Immediately after the procedure, firmly bite on gauze pads for 30 to 45 minutes to apply pressure and encourage clot formation. If bleeding persists, replace gauze or use a moistened black tea bag, as tannic acid aids clotting.
Avoid activities that can dislodge the blood clot, such as forceful spitting, vigorous rinsing, or drinking through straws. Limit strenuous physical activity and keep your head elevated, even while sleeping, to reduce blood pressure at the surgical site and control bleeding. Avoid hot liquids and alcoholic beverages, as these interfere with clotting and healing. Maintain careful oral hygiene around the extraction site, without disturbing it, to prevent infection and support healing.