Post-operative bleeding after wisdom tooth extraction?
Hello Doctor,
I had my upper left wisdom tooth extracted this past Monday evening.
After the extraction, I bit down on gauze from 8:30 PM until 11:30 PM, and the bleeding started to subside.
However, from Tuesday until now, Thursday, I still notice some blood in my saliva, although it's not a large amount.
Is this normal? Additionally, if I want to use mouthwash, are there any precautions I should take? Thank you.
Niming, 20~29 year old female. Ask Date: 2016/05/19
Dr. Huang Zhicheng reply Dentistry
Hello: It is normal to have slight bleeding from the extraction site for up to a week after the procedure, and it's common for saliva to have traces of blood.
When using mouthwash, please rinse gently to avoid disrupting the wound or dislodging any blood clots, which could affect healing.
Wishing you safety and good health.
Sincerely, Dr.
Huang Chih-Cheng, Chief of Dentistry, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2016/05/19
More Info
Bleeding after wisdom tooth extraction can be a common occurrence, especially in the first few days following the procedure. It is important to understand that some bleeding is normal as your body begins the healing process. However, if the bleeding persists or is excessive, it may indicate a complication that requires medical attention.
In your case, experiencing bleeding for several hours after the extraction and noticing blood in your saliva for a couple of days is not unusual. The initial bleeding can last for a few hours, and it is typically managed by biting down on gauze pads to help promote clotting. The fact that you noticed a reduction in bleeding after a few hours is a positive sign. However, if you continue to see blood in your saliva days after the extraction, it is advisable to monitor the situation closely.
Here are some tips for post-operative care after wisdom tooth extraction:
1. Gauze Use: After the extraction, it is essential to bite down on gauze pads for at least 30-45 minutes to help form a clot. If bleeding continues, you can replace the gauze and bite down again. Avoid excessive spitting or rinsing, as this can dislodge the clot.
2. Rest and Avoid Strenuous Activities: Rest is crucial in the first 24-48 hours after surgery. Avoid any strenuous physical activities that could increase blood pressure and potentially lead to more bleeding.
3. Diet: Stick to soft foods and avoid hot, spicy, or crunchy foods that could irritate the extraction site. Foods like yogurt, applesauce, and smoothies are good options. Avoid using straws, as the suction can dislodge the clot.
4. Oral Hygiene: You should avoid brushing the extraction site for the first 24 hours. After that, you can gently brush your teeth, but be careful around the extraction area. It is generally recommended to wait at least 72 hours before using mouthwash, especially if it contains alcohol, as it can irritate the healing tissue.
5. Rinsing: If you want to rinse your mouth, do so gently with warm salt water starting 24 hours after the extraction. This can help keep the area clean and promote healing. Avoid vigorous rinsing.
6. Pain Management: Over-the-counter pain relievers can help manage discomfort. If you were prescribed medication, take it as directed. Be cautious with non-steroidal anti-inflammatory drugs (NSAIDs) if you have any bleeding issues, as they can affect clotting.
7. Monitor for Complications: Keep an eye out for signs of complications, such as increased swelling, severe pain, or persistent bleeding. If you experience any of these symptoms, contact your dentist or oral surgeon immediately.
8. Follow-Up: If you have concerns about the bleeding or the healing process, do not hesitate to reach out to your dentist for a follow-up appointment. They can assess the extraction site and ensure that everything is healing properly.
In summary, while some bleeding after wisdom tooth extraction is normal, it is essential to monitor your symptoms and follow proper care guidelines. If you have any doubts or if the bleeding persists, consulting your dentist is the best course of action. Your oral health and comfort are paramount, and professional guidance will ensure a smooth recovery.
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