Wisdom teeth removal is a common dental procedure many individuals undergo, often to prevent future oral health issues or alleviate current discomfort. While the prospect of surgery can be unsettling, understanding what to expect during recovery can ease concerns. A common experience after this procedure is some degree of bleeding, which is a normal aspect of the body’s natural healing process.
The Normality of Post-Extraction Bleeding
Bleeding following wisdom teeth extraction is a normal occurrence because the mouth contains numerous blood vessels that are cut during the procedure, leading to an initial flow of blood. The body initiates healing by forming a blood clot within the empty tooth socket. This clot protects the underlying bone and nerves, facilitating proper healing.
Immediately after surgery, some oozing from the extraction site is common. Saliva may appear pink or slightly red, indicating a small amount of blood mixed with saliva. This light oozing is an expected part of recovery and generally does not indicate a problem.
Understanding Expected Bleeding and Signs of Concern
The pattern of bleeding after wisdom tooth removal changes over time. In the first few hours following the procedure, bleeding is heaviest, gradually slowing down within about four hours. Light oozing or pink-tinged saliva can persist for up to 24 to 48 hours. This is normal as the blood clot stabilizes in the socket.
Differentiate between expected oozing and active, bright red bleeding. Continuous heavy flow that quickly soaks through gauze, or large, rapidly forming blood clots, could indicate a concern. While blood mixed with saliva can appear significant, problematic bleeding involves a steady stream of bright red blood that does not slow down or stop with pressure. Bleeding persisting beyond 48 hours, especially if heavy, may suggest the blood clot is not forming properly or has become dislodged.
Home Care Strategies for Bleeding
Managing post-extraction bleeding at home involves several practical steps designed to promote clot formation and prevent its dislodgement. Immediately after surgery, your dentist will likely place gauze pads over the extraction sites. Bite down firmly and consistently on these pads for 30 to 45 minutes to apply pressure, which helps the blood clot form.
If bleeding continues, replace the gauze with fresh, clean pads and maintain firm pressure for another 30 to 60 minutes. Dampening the gauze with clean water can also be helpful. A moistened black tea bag can also be used, as the tannic acid helps constrict blood vessels and facilitate clotting.
To minimize bleeding and support healing, avoid activities that create suction in the mouth for at least 24 to 48 hours, such as vigorous rinsing, spitting, or drinking through a straw. These actions can dislodge the newly formed blood clot, leading to renewed bleeding. Elevate your head with pillows when resting to reduce blood pressure in the surgical area, which can help decrease bleeding. Stick to a soft or liquid diet and avoid hot beverages for the first few days to protect the clot and promote smoother recovery.
When to Contact Your Dentist
While some bleeding is normal after wisdom teeth extraction, certain signs indicate professional attention is needed. Contact your oral surgeon or dentist if you experience continuous heavy bleeding that does not subside after consistently applying pressure with gauze for several hours. This includes bright red blood that does not slow down, or the rapid formation of large blood clots.
Other concerning symptoms include severe pain not managed by prescribed medication or pain that worsens after the first two to three days. Signs of infection, such as fever, chills, pus or yellow/white discharge from the surgical site, or a persistent foul taste or odor, also warrant a call. If you experience swelling that increases or spreads after the third day, difficulty breathing or swallowing, or lasting numbness or tingling in your lips, tongue, or chin, seek immediate dental consultation.