Post-Wisdom Tooth Extraction: When to Seek Medical Attention? - Dentistry

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Post-operative issues after wisdom tooth extraction?


Hello doctor, my question is that I just had my wisdom teeth removed at 9:30 PM, a total of two teeth: one is a horizontally impacted tooth in the lower right jaw, and the other is a deeply positioned tooth in the upper right jaw.
It is now close to 5 AM, approximately 8 hours after the surgery.
I just took a small sip of water without using a straw and noticed my mouth is full of blood.
I am afraid to spit it out, so I have to use gauze to wipe the blood that is flowing out.
The blood is very red.
I am still swallowing saliva, but I can't tell if it's blood or saliva.
Should I return for a follow-up appointment tomorrow under these circumstances?

Andy, 30~39 year old female. Ask Date: 2022/07/08

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to return for a follow-up examination.
Additionally, please ensure to apply ice packs for the first 48 hours post-surgery, and you may also ask your physician to prescribe some hemostatic topical or oral medications.
Sincerely, Lin Chia-Yung, Department of Dentistry, Taichung Hospital, Ministry of Health and Welfare.

Reply Date: 2022/07/08

More Info


After having your wisdom teeth extracted, it's not uncommon to experience some bleeding, especially within the first few hours post-surgery. However, the amount and duration of bleeding can vary significantly from person to person. In your case, since you are experiencing a significant amount of bright red blood, it is important to assess the situation carefully.

Typically, after a wisdom tooth extraction, some bleeding is expected. The dentist usually provides instructions on how to manage this, such as biting down on gauze pads to help control the bleeding. If the bleeding is persistent and does not seem to diminish after applying pressure with gauze for about 30 minutes, it may indicate that further medical attention is necessary.

Here are some signs and symptoms that would warrant a return to your dentist or a visit to an emergency room:
1. Persistent Bleeding: If you continue to see bright red blood after applying pressure for 30 minutes, or if the bleeding seems to be increasing rather than decreasing, you should seek medical attention.

2. Difficulty Swallowing or Breathing: If you experience any difficulty in swallowing or breathing, this could indicate a more serious complication and requires immediate medical attention.

3. Severe Pain: While some discomfort is normal after the extraction, if you experience severe pain that is not alleviated by prescribed pain medications, it may be a sign of infection or other complications.

4. Signs of Infection: If you notice swelling that is worsening, fever, or a foul taste in your mouth, these could be signs of an infection that needs to be addressed.

5. Nausea or Vomiting: If you feel nauseous or are vomiting, especially if you are unsure whether you are swallowing blood or saliva, it is advisable to consult a medical professional.

In your specific situation, since you are experiencing a significant amount of blood and are unsure if it is blood or saliva, it is advisable to err on the side of caution. Contact your dentist's office as soon as possible to discuss your symptoms. They may recommend that you come in for an evaluation to ensure that everything is healing properly and that there are no complications.

In addition to seeking medical attention, here are some general tips for managing post-extraction care:
- Rest: Make sure to rest and avoid strenuous activities for the first few days after the extraction.

- Ice Packs: Applying ice packs to the outside of your face can help reduce swelling and discomfort.

- Hydration: While it’s important to stay hydrated, avoid using straws for the first few days, as the suction can dislodge the blood clot that forms in the extraction site.

- Diet: Stick to soft foods and avoid hot, spicy, or crunchy foods that could irritate the extraction site.

In conclusion, while some bleeding is normal after wisdom tooth extraction, significant or persistent bleeding should not be ignored. Given your symptoms, it is best to contact your dentist or seek medical attention to ensure that you are healing properly and to address any potential complications. Your health and recovery are the top priority, so do not hesitate to seek help if you feel it is necessary.

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