Post-Wisdom Tooth Extraction: Dealing with Blood Streaks and Pain - Dentistry

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After having wisdom teeth removed, there may be blood streaks on the inside of the gums?


Hello Doctor, about two weeks ago I had my lower right wisdom tooth extracted (it was not horizontally impacted).
The wound currently still has a hole (more towards the outer side).
I usually don't feel much pain, but recently I've noticed some blood streaks on the inside of the gums at the back of my lower right tooth.
It's not active bleeding, but it feels similar to the blood vessels in the eye.
Occasionally, I experience a dull ache, especially after eating.
Could this be inflammation caused by the wound? How should I manage this? Would using mouthwash help improve the situation? Thank you!

Amber, 20~29 year old female. Ask Date: 2016/12/20

Dr. Huang Tingfang reply Dentistry


Dear Ms.
Amber,
Hello! As mentioned, it seems there is a blood clot dislodging.
You should use mouthwash, but do not rinse too vigorously.
If there is yellow pus coming out, you should seek medical attention promptly! Please communicate more with your physician.
Thank you! Wishing you safety!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2016/12/20

More Info


After a wisdom tooth extraction, it's not uncommon to experience some bleeding and discomfort, especially in the days and weeks following the procedure. In your case, it seems that you are noticing blood streaks in the gum area where the tooth was removed, along with occasional pain, particularly after eating. This situation can indeed be concerning, and it's important to understand the potential causes and appropriate management strategies.

Firstly, the presence of blood streaks in the gum tissue may indicate that there is still some healing occurring at the extraction site. After a tooth is removed, the body forms a blood clot in the socket to protect the underlying bone and nerves. If this clot becomes dislodged or if the tissue around the extraction site is irritated, it can lead to minor bleeding or the appearance of blood streaks. This is often referred to as "dry socket," a condition that can occur when the blood clot fails to form properly or is lost prematurely, exposing the bone and nerves beneath.

The occasional pain you are experiencing could be a sign of inflammation or irritation in the area. This can happen if food particles get trapped in the socket or if the gum tissue is not healing properly. It's also possible that you may be experiencing some degree of infection, especially if there is swelling, increased pain, or discharge of pus.

To manage your symptoms and promote healing, here are some recommendations:
1. Gentle Oral Hygiene: Maintain good oral hygiene, but be gentle around the extraction site. Avoid vigorous rinsing or using a straw, as these actions can dislodge the blood clot. Instead, rinse your mouth gently with warm salt water after meals to help keep the area clean.

2. Use of Mouthwash: While using mouthwash can help with oral hygiene, be cautious with alcohol-based mouthwashes, as they can irritate the healing tissue. Opt for a mild, alcohol-free mouthwash or a saline solution.

3. Dietary Adjustments: Stick to soft foods that are easy to chew and swallow. Avoid hard, crunchy, or spicy foods that could irritate the extraction site or get lodged in the socket.

4. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort. Always follow the dosage instructions on the label or those provided by your dentist.

5. Monitor Symptoms: Keep an eye on your symptoms. If the bleeding persists, increases, or if you develop significant swelling, fever, or worsening pain, it’s crucial to contact your dentist or oral surgeon promptly. They may need to evaluate the site for any complications, such as infection or dry socket.

6. Follow-Up Care: If you have not already done so, schedule a follow-up appointment with your dentist. They can assess the healing process and provide additional treatment if necessary.

In conclusion, while some bleeding and discomfort can be normal after a wisdom tooth extraction, persistent symptoms warrant further evaluation. Proper care and monitoring are essential to ensure a smooth recovery. If you have any concerns or if your symptoms worsen, do not hesitate to reach out to your dental care provider for guidance.

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