After wisdom teeth extraction, understanding the recovery process is important for smooth healing. Following post-operative instructions, especially regarding bleeding and gauze use, helps minimize complications.
First Hours and Initial Gauze Changes
Immediately following wisdom teeth extraction, a gauze pad is placed over the surgical site to apply pressure and help a blood clot form. This initial gauze should be kept in place for 30 to 60 minutes, with firm biting pressure directly over the extraction area. The pressure helps control bleeding by promoting clot formation.
After the initial period, gently remove the gauze to check bleeding. If bleeding has significantly reduced or stopped, and the gauze has little blood, replacement may not be necessary. However, if active bleeding persists or the gauze appears heavily saturated, replace it with a fresh, clean piece. Fold the new gauze into a firm pad and position it directly over the extraction site, biting down firmly for another 30 to 60 minutes. This helps ensure a stable blood clot develops.
Handling Continued Bleeding
Light oozing or a reddish tint in your saliva for up to 24 to 48 hours after surgery is typically not a cause for concern. If more significant or persistent bleeding occurs, prepare a fresh gauze pad by folding it into a firm pad. Place it directly over the bleeding extraction site and apply constant, firm biting pressure for another 30 to 60 minutes.
Avoid frequently checking the gauze, as this can dislodge the blood clot and restart bleeding. Continue replacing the gauze every 30 to 45 minutes if bleeding remains active. Discontinue using gauze once bleeding has significantly slowed or stopped, usually within a few hours post-surgery or when the gauze remains relatively clean. For persistent bleeding, moistening a black tea bag and biting on it for 30 minutes can be effective, as tannic acid helps constrict blood vessels and promote clotting.
Beyond Gauze and Urgent Concerns
Once the bleeding has subsided and gauze is no longer needed, focus shifts to general aftercare to protect the blood clot and promote healing. For the first 24 hours, avoid activities that could dislodge the clot, such as vigorous rinsing, spitting, or using a straw, as suction can be detrimental. After the first day, gentle saltwater rinses can begin to help keep the area clean and reduce bacteria.
While some pain, swelling, and bruising are normal during recovery, certain signs indicate a potential complication and warrant contacting your dentist or oral surgeon. These include heavy, uncontrolled bleeding that does not stop with pressure, severe pain that worsens or is not managed by medication, and swelling that significantly increases after the first 2-3 days. Other indicators for concern include fever, pus or a foul odor from the extraction site, or difficulty opening your mouth. Prompt communication with your dental professional about any unusual symptoms can help ensure appropriate care.