Some bleeding after wisdom teeth removal is common and a normal part of healing. This initial bleeding helps form a protective blood clot in the empty tooth socket. Understanding what to expect and how to manage the post-operative period can ease concerns.
Expected Bleeding Timeline
Immediately after wisdom teeth removal, active bleeding is typical and requires pressure from gauze pads. This bleeding should decrease significantly within the first few hours. You may need to change gauze pads a few times as they become saturated.
Over the first 24 hours, active bleeding should subside, transitioning into a persistent ooze or blood-tinged saliva. This pink or reddish saliva is normal, indicating a blood clot has formed and healing is underway. This oozing can continue for up to 48 hours.
By days two to three, any oozing should be minimal or stopped, though your saliva might still show a slight pink tinge. Differentiate between active bleeding (fresh red blood) and the lighter, pinkish ooze (saliva mixed with a small amount of blood). A stable blood clot in the extraction site protects the underlying bone and nerve endings, aiding healing.
Managing Post-Extraction Bleeding
To manage bleeding, apply firm, consistent pressure to the surgical site with gauze pads. Bite down on a folded gauze pad directly over the extraction site for 30 to 45 minutes, replacing it if saturated. This pressure helps control bleeding and promote clot formation.
If bleeding continues, use a moistened black tea bag as an alternative to gauze. Black tea contains tannic acid, which constricts blood vessels and encourages clotting. Dampen a tea bag, squeeze out excess water, and place it over the extraction site, biting down firmly for 20 to 30 minutes.
Keeping your head elevated, especially when resting, can also help reduce bleeding. Avoid activities that could dislodge the blood clot, such as spitting, sucking through a straw, vigorous rinsing, or smoking, especially for the first 24 to 72 hours. Consuming soft foods and avoiding hot liquids prevents irritation and promotes healing. Limiting strenuous physical activity for several days helps prevent increased blood pressure at the surgical site, which could lead to renewed bleeding.
When to Contact Your Dentist
While some bleeding is expected, abnormal bleeding requires professional attention. Contact your dentist if bleeding is heavy and continuous, soaking gauze pads quickly, especially after the first 24 hours. Large, frequent blood clots forming in your mouth can also indicate excessive bleeding.
Bleeding is also a concern if it does not slow down or stop after applying firm pressure with gauze or a tea bag for 30 to 60 minutes. Any bleeding that persists beyond 24 to 48 hours, particularly if bright red and heavy, warrants immediate contact with your oral surgeon or dentist. If in doubt about the amount or duration of bleeding, contact your dental professional for guidance.