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

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On the fourth day after wisdom tooth extraction, there is still some oozing of blood?


It has been four days since my wisdom tooth extraction (on August 1), and there is still a small amount of bleeding.
Should I return to the dentist for an examination? I'm not sure if this is due to my menstrual period suddenly starting the day after the extraction (on July 30) or if it's related to my aftercare.
My cleaning routine in the morning and evening involves brushing my teeth (only on the side that did not have the extraction), then using a syringe filled with saline solution to clean the wound, and finally rinsing with 5cc of non-alcoholic mouthwash, allowing it to flow out naturally from the side where the tooth was extracted.
For meals, I've only been eating yogurt, fish soup (only the broth), soy milk, juice, and ice cream.
I have been consistently applying ice packs and taking antibiotics and pain relievers on schedule.

He, 20~29 year old female. Ask Date: 2022/08/01

Dr. Lin Jiayong reply Dentistry


Hello: What you described is a normal course of action, and mild bleeding does not require excessive concern.
If you are still worried, it is advisable to return for a follow-up.
If there is no more bleeding, you can come back for suture removal in a week!

Reply Date: 2022/08/01

More Info


After wisdom tooth extraction, it is not uncommon to experience some bleeding, especially within the first few days. However, if you are still noticing bleeding four days post-extraction, it is important to assess the situation carefully.
Bleeding after dental surgery can occur for several reasons. The most common causes include the disruption of the blood clot that forms in the extraction site, irritation from food or oral hygiene practices, or even hormonal changes due to menstruation. In your case, since you mentioned that your menstrual period started the day after the extraction, it is possible that hormonal fluctuations could be contributing to the bleeding. Hormones can affect blood vessel dilation and clotting factors, potentially leading to increased bleeding.

Your oral hygiene routine seems to be well thought out, as you are avoiding the extraction site while brushing and using saline solution to rinse. However, it is crucial to ensure that you are not using too much force when rinsing or cleaning the area, as this could dislodge the blood clot and lead to further bleeding. Additionally, using a straw or consuming hot liquids can also disturb the clot, so it’s good that you are avoiding those practices.

In terms of diet, consuming soft foods like yogurt and soups is advisable post-extraction, as they are less likely to irritate the site. However, make sure that the food is not too hot, as heat can also affect the healing process.

If the bleeding is minimal and does not worsen, it may not be an immediate cause for concern. However, if you notice an increase in bleeding, or if it is accompanied by other symptoms such as severe pain, swelling, or a foul taste in your mouth, it would be wise to return to your dentist for a follow-up. They can assess whether the bleeding is due to a dislodged clot (a condition known as dry socket) or if there are other complications that need to be addressed.

In summary, while some bleeding can be normal after wisdom tooth extraction, persistent bleeding four days later warrants a check-up with your dentist. It’s always better to err on the side of caution when it comes to your health, especially after a surgical procedure. Your dentist can provide the best guidance based on a physical examination and your specific circumstances.

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