Wisdom teeth extraction is a common dental procedure many individuals undergo to address issues such as impaction, pain, or overcrowding. Following this oral surgery, immediate post-operative care plays a significant role in a smooth recovery. A standard part of this initial care involves the placement of gauze pads over the extraction sites.
The Role of Gauze in Healing
Gauze is placed in the mouth after wisdom teeth removal to manage bleeding and encourage a stable blood clot. Applying firm, consistent pressure to the extraction site helps compress blood vessels, slowing and stopping the bleeding.
The formation of a blood clot is a key step in healing. This clot acts as a protective barrier, covering exposed bone and nerve endings. It shields the wound from bacteria, food particles, and other irritants that could lead to complications. Without a stable clot, healing can be delayed, increasing the risk of dry socket.
Knowing When to Remove Gauze
After wisdom teeth extraction, the initial gauze pad placed by the dentist should remain in place for 30 to 60 minutes. During this time, bite down with firm, continuous pressure to ensure effective blood clotting. After this period, gently remove the gauze to check bleeding.
Stop using gauze when active bleeding has significantly reduced or stopped. You might notice only a slight pinkish tinge in your saliva or minimal blood stains on the gauze. If the gauze appears relatively clean or only lightly stained, a stable blood clot has formed, and further gauze use may not be necessary.
If bleeding persists or appears heavy after removing the initial gauze, replace it with a fresh, clean pad. Fold the gauze into a thick square and position it directly over the extraction site, biting down firmly for another 30 to 45 minutes. Repeat this process as needed, ensuring continuous, firm pressure. If heavy bleeding continues for several hours or beyond 24 hours, contact your oral surgeon or dentist. Applying a moistened black tea bag to the site for 30 minutes, bitten down with firm pressure, can also help due to the tannic acid which assists in clotting.
Ensuring Continued Healing
After gauze removal and bleeding has ceased, follow post-operative instructions to promote healing and prevent complications. Avoid activities that could dislodge the newly formed blood clot, such as vigorous rinsing, spitting, or using straws, especially for the first 24 to 48 hours. These actions create suction or pressure that can disrupt the delicate clot, potentially leading to a dry socket.
Maintain a soft diet for several days following surgery. Initially, consume liquids and very soft foods like yogurt, mashed potatoes, or blended soups, avoiding hot, spicy, or crunchy items. Gradually reintroduce semi-soft foods as comfort improves. For pain, take prescribed medications and apply ice packs to your face for the first 24 hours to reduce swelling.
After 24 to 48 hours, moist heat can help with stiffness and swelling. Elevating your head with extra pillows while resting can also minimize swelling. Starting the day after surgery, gently rinse with warm salt water several times daily to keep the area clean.