Wisdom teeth extraction is a routine dental procedure. Understanding the post-operative healing process, particularly concerning bleeding, can reduce anxiety. Bleeding is a normal part of recovery, indicating the body’s natural healing mechanisms are at work.
Expected Bleeding Timeline
Following wisdom teeth removal, initial active bleeding occurs for a few hours, typically subsiding within 2 to 6 hours after the procedure. During this time, the body forms a blood clot in the extraction socket, which is essential for proper healing. This clot acts as a protective barrier over the exposed bone and nerves.
After the initial active bleeding, a slower ooze or pinkish tint in your saliva is common. This can persist for 24 to 48 hours. It is important to distinguish this light discoloration from active, heavy bleeding, as it is a normal part of the healing process. Light spotting may even occur when gently brushing teeth or eating during the first few days.
Managing Post-Extraction Bleeding
Effectively managing post-extraction bleeding at home involves several practical steps to promote clot formation and reduce blood flow. Immediately after surgery, a gauze pad is placed over the extraction site; bite down firmly on this gauze for 30 to 60 minutes to apply consistent pressure. If bleeding continues, replace the gauze with a fresh, clean pad, folding it into a thick pad to ensure direct pressure on the wound. This process may need to be repeated several times, changing the gauze every 30-45 minutes as needed.
Certain actions can dislodge the blood clot, potentially leading to prolonged bleeding or a painful condition known as dry socket. Avoid spitting, rinsing vigorously, or using straws for at least 24 to 48 hours after surgery. Smoking and consuming alcohol should also be avoided, as these activities can significantly impede healing and increase the risk of complications. Opting for soft foods and avoiding hot liquids for the first few days helps protect the healing site. Keeping your head elevated with pillows while resting also helps reduce blood pressure in the surgical area, which can aid in minimizing bleeding.
When to Contact Your Dentist
While some bleeding is expected, certain signs indicate it is not normal and requires professional attention. Contact your dentist or oral surgeon if you experience excessive or prolonged bleeding. This includes soaking multiple gauze pads quickly for several hours, or if the blood is bright red and does not slow down after applying pressure. Bleeding that continues beyond 24 hours, or restarts heavily after having stopped, requires contacting your dental professional.
Other concerning symptoms that might accompany bleeding and signal a complication include severe pain not managed by prescribed medication or worsening after a few days. A fever higher than 102 degrees Fahrenheit (38.8 degrees Celsius), pus draining from the surgical site, or significant swelling that increases or persists beyond two to three days also indicate a problem. Difficulty breathing or swallowing, or a persistent foul odor or taste in your mouth, should prompt immediate contact with your dental care provider. Do not delay seeking assistance if these symptoms appear, as timely intervention can prevent further complications.