After a tooth extraction, managing initial bleeding and promoting healing are immediate concerns. Gauze is placed over the extraction site to apply gentle pressure, which helps form a blood clot. This clot is a natural barrier that protects the underlying bone and nerves.
Recommended Gauze Application Time
Keep the initial gauze pad in place for approximately 30 to 60 minutes after a tooth extraction. During this period, bite down firmly and consistently on the gauze to apply direct pressure to the extraction site. This pressure encourages blood vessels to constrict and allows a stable blood clot to form. If bleeding continues after the initial timeframe, replace the gauze with a fresh, clean piece and continue to apply gentle pressure for another 30 to 45 minutes.
Post-Gauze Removal Care
Once bleeding has subsided and the gauze appears clean, it can be removed. Avoid actions that could dislodge the newly formed blood clot, such as spitting, rinsing vigorously, or using straws, for at least 24 hours. The suction created by these actions can disrupt the clot, potentially leading to a painful condition called dry socket.
Some minor oozing or a pinkish tint to your saliva is normal for up to 24 hours after the extraction. However, if you notice heavy, continuous bleeding that soaks through gauze quickly, or if blood pools in your mouth, it is considered abnormal. For initial pain management, dentists may recommend over-the-counter pain relievers or prescribe medication. A soft diet is advisable for the first few days, and strenuous physical activity should be avoided for at least 24 to 48 hours to prevent increased blood pressure at the extraction site.
When to Seek Professional Advice
Contact your dentist or oral surgeon if you experience certain symptoms after a tooth extraction. Persistent, heavy bleeding that does not slow down after several hours of applying pressure warrants attention. Severe or worsening pain not managed by prescribed medication, especially if it intensifies after the first few days, is another sign.
Other concerning signs include a fever, excessive swelling that worsens after 48-72 hours, or the presence of pus or foul-smelling discharge from the extraction site. Lingering numbness in the lips, tongue, or chin, or difficulty breathing or swallowing, also indicates a need for immediate dental evaluation.