Experiencing some bleeding after wisdom tooth extraction is normal. This bleeding is a natural part of the body’s initial healing response and typically subsides as recovery progresses.
Normal Bleeding Expectations
After wisdom tooth removal, a small amount of bleeding is expected as the body works to form a blood clot in the empty socket. This clot protects the extraction site and initiates healing. You might observe a slow oozing of blood from the extraction site, or your saliva may appear pink-tinged due to mixing with blood.
This minor bleeding or pink discoloration of saliva can persist for up to 48 hours following the procedure, and is usually not a concern. The heaviest bleeding typically occurs within the first few hours, gradually lessening over the first 24 hours. Some blood on gauze is also normal, as the gauze can pick up residual blood from the clot.
Managing Post-Extraction Bleeding
To manage bleeding after wisdom tooth extraction, apply steady pressure to the surgical site. This involves biting gently but firmly on a clean, folded piece of gauze placed directly over the extraction area. Maintain this pressure for 30 to 60 minutes without frequently removing the gauze, as disturbing the area can hinder blood clot formation. If the gauze becomes saturated, replace it with a fresh piece and continue applying pressure.
Keeping your head elevated can help reduce swelling and bleeding. Avoid activities that could dislodge the forming blood clot, such as vigorous rinsing or spitting, using straws, or smoking. These actions create suction in the mouth that can disrupt the clot, potentially leading to increased bleeding or a dry socket. Stick to a soft diet for the initial 3 to 5 days, and avoid hot liquids, which can prematurely dissolve the blood clot. Strenuous physical activities should be avoided for the first 24 to 48 hours as they can increase blood pressure and bleeding.
When to Seek Professional Guidance
While some bleeding is normal, certain signs indicate professional medical attention is needed. If you experience heavy bleeding that does not subside after applying firm pressure with gauze for 30 to 60 minutes, or if bleeding appears as a gush or pooling of bright red blood, contact your oral surgeon or dentist immediately. Bleeding that continues for several hours despite pressure application is also a sign to seek guidance.
Additional symptoms warranting professional consultation include increasing pain, swelling that worsens after 3 days, or a fever. Pus or a foul odor around the extraction site can indicate an infection. Persistent numbness beyond the expected duration of anesthesia, or intense throbbing pain accompanied by a foul odor, could signal a dry socket, a condition where the blood clot fails to form or becomes dislodged.