Is It Normal to Have Bleeding Three Days After Wisdom Tooth Extraction? - Dentistry

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It is not uncommon to experience some bleeding and discomfort after wisdom tooth extraction, especially within the first few days post-surgery. However, the situation you are describing, particularly the persistent bleeding and swelling, raises some concerns that should be addressed.

After a wisdom tooth extraction, the healing process typically involves the formation of a blood clot at the extraction site, which is crucial for proper healing. The first 24 to 48 hours are critical, as this is when the majority of bleeding should subside. If bleeding continues beyond this period, it could indicate a few potential issues, such as:
1. Dry Socket (Alveolar Osteitis): This condition occurs when the blood clot that forms in the socket either dissolves or dislodges before the wound has fully healed. This can lead to intense pain and a foul taste in the mouth, as well as prolonged bleeding. Symptoms usually appear a few days after the extraction, often around the third to fifth day.

2. Infection: The presence of swelling, persistent bleeding, and a strong taste of blood could suggest an infection at the extraction site. Infections can occur if bacteria enter the wound, particularly if post-operative care instructions (like maintaining oral hygiene and avoiding certain foods) are not followed.

3. Improper Healing: Factors such as smoking, certain medications (like anticoagulants), or underlying health conditions can affect how well and how quickly the extraction site heals.

Given that you are experiencing significant swelling and ongoing bleeding, it is essential to follow up with your dentist or oral surgeon as soon as possible. They can assess the extraction site, determine if there is a dry socket or infection, and provide appropriate treatment. This may include cleaning the area, prescribing stronger antibiotics, or other interventions to promote healing.

In the meantime, here are some general recommendations to manage your symptoms and promote healing:
- Avoid Straws: Sucking through a straw can dislodge the blood clot and worsen bleeding.

- Stay Hydrated: Drink plenty of fluids, but avoid hot beverages that may irritate the extraction site.

- Pain Management: Over-the-counter pain relievers can help manage discomfort, but consult your dentist before taking any medication, especially if you are on other prescriptions.

- Diet: Stick to soft foods that do not require chewing and avoid spicy or acidic foods that may irritate the site.

- Oral Hygiene: Maintain gentle oral hygiene, but avoid brushing directly over the extraction site for the first few days. Rinsing with warm salt water can help keep the area clean.

In conclusion, while some bleeding can be normal after wisdom tooth extraction, persistent bleeding, especially accompanied by swelling and pain, is a sign that you should seek professional evaluation. Prompt attention can help prevent complications and ensure a smoother recovery.