Wisdom teeth removal is a common dental procedure that naturally involves some bleeding. Understanding expected bleeding patterns helps patients reduce apprehension and promotes a smoother recovery.
Typical Bleeding Timeline After Wisdom Teeth Removal
After wisdom teeth removal, initial bleeding is most noticeable within the first few hours, often for up to 24 hours. This occurs as the body forms a blood clot within the empty tooth socket, a natural part of healing. During this phase, bright red blood is common.
As healing progresses, bleeding should gradually diminish. Within 24 to 48 hours, active blood flow slows significantly, transitioning into a lighter oozing or pinkish saliva. This stained saliva can persist for several days, up to 3-4 days, especially with physical activity or when first irrigating the area. It is important to distinguish this light oozing or blood-tinged saliva from active, heavy bleeding, as the former is a normal sign of ongoing healing.
Effective Strategies for Managing Bleeding
To manage bleeding after wisdom teeth removal, apply firm, continuous pressure to the surgical site. This is achieved by biting down on clean gauze pads placed directly over the extraction site. Hold the gauze in place with consistent pressure for 30 to 60 minutes, replacing it every 30 to 45 minutes if bleeding continues. A moistened black tea bag can also be effective, as its tannic acid helps constrict blood vessels and promote clot formation.
Avoid certain actions to prevent dislodging the newly formed blood clot and restarting bleeding. Refrain from vigorous spitting or rinsing, as the suction created can disrupt the clot, and avoid using straws for drinking for the same reason. Limit consuming hot liquids, as heat can increase blood flow. Keep the head elevated, especially when resting or sleeping, to reduce blood pressure and minimize bleeding. Avoid strenuous physical activities for at least 3-4 days post-surgery to prevent increased bleeding and swelling.
Recognizing When to Contact Your Dentist
While some bleeding is expected, certain signs indicate that the bleeding is not normal and requires professional attention. If heavy bleeding persists, soaking through gauze pads quickly and failing to subside after applying consistent pressure for 30 to 60 minutes, it is a cause for concern. The presence of large, continuous blood clots that do not diminish, or if bleeding restarts heavily after having previously stopped for a significant period, warrants contacting your dentist.
Other accompanying symptoms can also signal a complication. These include severe pain that is not alleviated by prescribed or over-the-counter pain medication, or pain that worsens beyond the third day after surgery. Increasing or spreading swelling, a high temperature, or the presence of pus or a bad taste from the surgical site may also suggest an infection or another issue requiring immediate dental evaluation.