It is common to experience some bleeding after wisdom tooth extraction, which can be a source of concern for many patients. This bleeding is a normal part of the body’s healing process as it works to form a blood clot in the empty socket.
Normal Bleeding After Extraction
Immediately following wisdom tooth extraction, active bleeding is expected. This initial bleeding is usually heaviest right after the procedure and should significantly slow down within the first 3 to 4 hours. You will likely be asked to bite down on gauze pads to help control this. After the initial period, it is common to experience light oozing or notice pink-tinged saliva for up to 24 to 48 hours. Occasional oozing may persist for up to one to two weeks, but it should be minimal and decreasing.
The appearance of blood mixed with saliva can often make the bleeding seem more significant than it actually is. A blood clot forms in the socket, which is important for protecting the underlying bone and nerves and promoting healing. This clot helps to stop the bleeding and initiates the repair process. Over the days following the extraction, the amount of visible blood should gradually reduce.
Tips for Bleeding Management
To control bleeding, you should bite down firmly on a clean gauze pad placed directly over the extraction site. This pressure helps to encourage the formation of a stable blood clot. Gauze pads may need to be replaced every 30 to 60 minutes as needed.
Avoid actions that could dislodge the blood clot, such as vigorous spitting, rinsing forcefully, or drinking through a straw. The suction created by these actions can disrupt the clot and lead to renewed bleeding or a painful condition called dry socket. Keeping your head elevated, especially when lying down, can also help minimize bleeding. Rest and avoiding strenuous physical activity for the first 24 to 48 hours support the healing process.
Signs of Excessive Bleeding
While some bleeding is normal, excessive bleeding requires professional dental attention. Contact your oral surgeon or dentist immediately if the bleeding is heavy, bright red, or fills your mouth quickly, especially if it doesn’t slow down after 4 hours of applying pressure. Large blood clots or bleeding that continuously soaks through gauze pads within 30 minutes indicate a problem.
Bleeding that continues for more than 24 hours, or restarts after stopping, warrants concern. Severe pain that does not improve with medication, increasing swelling, or signs of infection such as fever or pus, along with persistent excessive bleeding, signal a need for immediate evaluation by a dental professional.