Wisdom teeth extraction is a routine dental procedure, and experiencing some bleeding afterward is a normal part of the healing process. This bleeding typically occurs during the first 24 hours following the removal. Understanding how to manage this expected bleeding is important for a smooth recovery, and this article provides practical steps to help control it.
Immediate Steps to Control Bleeding
Applying firm, continuous pressure to the extraction site is the primary method to control bleeding. Place a clean, sterile gauze pad directly over the socket and bite down gently but firmly for at least 30 to 45 minutes. This sustained pressure helps the blood clot form in the socket. After this time, remove the gauze and check the bleeding; if it persists, replace the gauze with a fresh pad and repeat the pressure for another 30 minutes.
A moistened black tea bag can serve as an alternative if gauze is unavailable or if bleeding continues after several gauze applications. Black tea contains tannic acid, which promotes blood clot formation by constricting blood vessels. Place the damp tea bag over the extraction site and maintain gentle pressure for 30 minutes. Keeping your head elevated also helps reduce blood flow to the head and minimize bleeding.
Actions to Avoid
Certain actions can disrupt the fragile blood clot forming in the socket. Vigorously rinsing the mouth or spitting frequently should be avoided for at least 24 hours after the procedure, as these actions can dislodge the clot. Drinking through a straw creates suction, which can also pull the blood clot out of place. This suction can significantly delay healing and increase bleeding.
Smoking or using any tobacco products is discouraged during the healing period. The chemicals in tobacco and the sucking motion involved in smoking can interfere with clot formation and increase the risk of complications. Consuming hot liquids or alcoholic beverages can also dilate blood vessels, increasing bleeding. Engaging in strenuous physical activity, such as heavy lifting or intense exercise, should also be avoided for several days as it can elevate blood pressure and disturb the healing site.
When to Contact Your Dentist
While some bleeding is normal, certain signs indicate you should contact your dentist. Contact your dentist if bleeding is heavy, persistent, or does not significantly slow down after several hours of consistent pressure application. Bleeding that saturates gauze quickly, or if you are constantly changing gauze pads, requires a call to your dentist.
The formation of very large blood clots, especially those larger than a quarter, also warrants a call to your dentist. Unmanageable severe pain not relieved by prescribed medication, or signs of infection such as fever, increasing swelling, or pus around the extraction site, also require immediate dental attention. These symptoms suggest a complication that needs prompt evaluation.