After a dental procedure, gauze is commonly placed in your mouth. It applies gentle pressure to the surgical site, which is important for controlling initial bleeding and encouraging blood clot formation. This clot acts as a natural barrier, protecting underlying bone and nerves, and facilitating healing.
Timing for Gauze Removal
The primary guideline for removing the initial gauze is typically within 30 to 60 minutes following your dental procedure. Maintain continuous, gentle pressure on the gauze during this time, avoiding frequent checks that could disrupt the forming blood clot. When the recommended time has passed, carefully remove the gauze and observe the extraction site.
A successful outcome means bleeding has significantly reduced or stopped. You might notice some slight oozing or a pinkish tint to your saliva, which is normal and not a cause for concern. However, if the gauze is saturated with bright red blood or active bleeding persists, it indicates that further action is needed to manage the site.
Managing Persistent Bleeding
If bleeding continues after initial gauze removal, or if it restarts, apply fresh gauze. Fold a new piece of sterile gauze into a small, thick pad and place it directly over the extraction site. Bite down firmly and continuously on this new gauze for at least 30 to 45 minutes, ensuring consistent pressure is applied.
Elevating your head, even while resting or sleeping, can help minimize blood flow to the surgical site and reduce bleeding. If bleeding remains heavy or continues for several hours despite these efforts, or if you experience excessive blood loss, contact your dentist or seek professional dental attention.
Immediate Aftercare Steps
Once bleeding is controlled and gauze removed, focus on protecting the newly formed blood clot, which is fundamental for proper healing. Avoid activities that could dislodge this clot, such as spitting, using a straw, or vigorous rinsing for the first 24 hours. Suction from a straw can easily disturb the clot and lead to complications.
For the first 24 to 48 hours, consume only soft, cool, or lukewarm foods that require minimal chewing, such as yogurt, mashed potatoes, and lukewarm soups. Strenuous physical activity should be avoided for at least 24 to 72 hours, as increased blood pressure can provoke further bleeding. For pain management, over-the-counter pain relievers like ibuprofen or acetaminophen are recommended. Applying an ice pack to the outside of your cheek can help reduce swelling and discomfort.