After wisdom teeth removal, managing the surgical site is an important part of the healing process. Gauze plays an important role in post-operative care. Its primary function is to control bleeding from the extraction site and encourage the formation of a stable blood clot. This clot acts as a protective barrier over the exposed bone and tissues, crucial for healing.
Preparing the Gauze
Before handling gauze, wash your hands with soap and water to prevent infection. Take two to three pieces of sterile gauze and fold them into a firm pad for effective pressure. Moistening the gauze slightly with water before placement can prevent it from sticking to the blood clot and dislodging it upon removal.
Proper Placement and Biting
Accurate gauze placement is essential for controlling bleeding. Position the folded gauze pad directly over the extraction site. For wisdom tooth sites, this typically means placing the gauze behind the last teeth, oriented towards the cheek rather than the tongue. This precise positioning ensures that direct pressure is applied to the healing tissue.
Once the gauze is in place, bite down firmly and consistently. This sustained pressure helps to compress the blood vessels at the extraction site, promoting the natural clotting process. Maintain this biting pressure without frequently adjusting or removing the gauze, as disturbing the site can dislodge the blood clot.
When to Change and Remove Gauze
The initial gauze pad placed by your surgeon should typically remain in place for about 30 to 60 minutes after the procedure. After this time, you can gently remove it. If bleeding or significant oozing continues, replace the saturated gauze with a fresh, clean pad and apply firm pressure again for another 30 to 45 minutes. The amount of blood on the gauze should progressively lessen with each change, indicating that a stable blood clot is forming. Gauze is generally needed on and off for the first 24 hours post-operatively, but if the gauze remains relatively clean with minimal blood stains, it may be time to discontinue its use.
Important Considerations While Using Gauze
During the initial healing phase, it is important to avoid actions that could disrupt the delicate blood clot. Refrain from frequently checking the gauze or spitting, as the suction created can dislodge the clot and restart bleeding. Swallowing some blood mixed with saliva is normal; however, if bleeding is heavy or persistent, gently rinse your mouth to remove old clots before placing a new gauze pad or consider biting on a moistened black tea bag for 30 minutes, as the tannic acid can help with clotting.
Should bleeding continue heavily after following these steps, or if you experience severe pain, increased swelling, or signs of infection like fever or pus, it is important to contact your dentist or oral surgeon. Furthermore, avoid using straws, consuming hot liquids, or engaging in strenuous physical activity for at least 24 to 48 hours, as these can also dislodge the blood clot and impede healing.