Post-Extraction Concerns: Bleeding and Discomfort After Wisdom Tooth Removal

Unerupted upper wisdom tooth?

1.
Four days ago, I had my upper wisdom teeth (non-horizontal) extracted.
After the procedure, I didn't experience much pain and have been using alcohol-free mouthwash.
However, I've noticed that every morning when I wake up, my tongue has blood stains, and after brushing my teeth lightly, I also spit out blood.
Is this normal?
2.
Additionally, I feel that the teeth near the wisdom tooth are sticky and rough (this sensation returns shortly after brushing).
Is there something wrong with my wound? Thank you.

Irene, 30~39 year old female. Ask Date: 2020/09/30

Dr. Huang Tingfang reply Dentistry

Dear Miss Irene,
Hello! If you don't bite down tightly after having your wisdom teeth extracted, there may be slight bleeding.
This can occur in the first few days but will gradually improve.
Rinse your mouth with salt water frequently! Take care of yourself! Wishing you all the best and a smooth recovery!
Sincerely,
Dr.
Huang Ting-Fang, Dentistry

Reply Date: 2020/09/30

More Info

After wisdom tooth extraction, it's not uncommon to experience some bleeding and discomfort, but it's essential to monitor these symptoms closely to ensure proper healing. Let's address your concerns one by one.

1. Bleeding After Extraction: It's normal to have some bleeding for the first few days following the extraction. However, if you are noticing blood on your tongue every morning and after brushing your teeth, it could indicate that the extraction site is not healing properly or that there is a clot that has dislodged. Typically, the bleeding should diminish significantly after the first 24 to 48 hours. If you continue to see blood after four days, especially if it is more than just a small amount, it is advisable to contact your dentist or oral surgeon. They may want to evaluate the extraction site to ensure there are no complications, such as dry socket (a condition where the blood clot fails to form or is dislodged, exposing the bone and nerves).

2. Feeling of Stickiness Around the Extraction Site: The sensation of stickiness or roughness near the extraction site can be attributed to several factors. It could be due to food particles getting trapped in the area, which is common after dental procedures. Additionally, the healing tissue may feel different than the surrounding gums, leading to a perception of roughness. If you are experiencing this sensation consistently, it may be worth discussing with your dentist. They can check for any signs of infection or improper healing.

Additional Considerations:
- Oral Hygiene: Maintaining good oral hygiene is crucial after an extraction. While you should avoid vigorous rinsing or spitting for the first 24 hours, gentle rinsing with warm salt water can help keep the area clean after that period. Be cautious when brushing near the extraction site to avoid disturbing the healing tissue.

- Signs of Infection: Be on the lookout for signs of infection, which may include increased swelling, persistent pain, fever, or a bad taste in your mouth. If you experience any of these symptoms, seek medical attention promptly.

- Follow-Up Care: It’s important to attend any follow-up appointments with your dentist. They can assess the healing process and provide guidance on when you can resume normal activities, including more vigorous oral hygiene practices.

- Dietary Adjustments: Stick to soft foods and avoid anything that could irritate the extraction site, such as crunchy or spicy foods, until you feel comfortable.

In summary, while some bleeding and discomfort can be expected after wisdom tooth extraction, persistent bleeding and unusual sensations should be evaluated by a dental professional. Early intervention can prevent complications and promote a smoother recovery. If you have any further questions or concerns, don’t hesitate to reach out to your dentist for personalized advice.

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