Post-Wisdom Tooth Extraction: Concerns About Blood Clots and Healing - Dentistry

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The bleeding inside the socket after wisdom tooth extraction has stopped after a week and a half?


Hello, Doctor.
I had my wisdom teeth removed on May 4th, and it was a complete extraction, not a horizontal one.
I had my stitches removed on May 11th, and the process went smoothly without any issues.
Earlier, while cleaning food debris from the extraction site, I may have disturbed the blood clot and didn’t pay much attention to it.
After a while, I noticed that the blood clot was gone, possibly swallowed, and only the pinkish base remains.
I would like to ask the doctor if I need to be concerned about the possibility of alveolar osteitis or inflammation.
Thank you.

Zhang, 20~29 year old female. Ask Date: 2023/05/15

Dr. Lin Jiayong reply Dentistry


Hello: It is recommended to allow the wound to complete its natural healing process and avoid intentionally creating a blood clot.
Whether or not there is alveolar osteitis can only be assessed based on subjective symptoms.
If you are concerned, you may return for weekly check-ups for a thorough examination by your physician.

Reply Date: 2023/05/15

More Info


After a wisdom tooth extraction, it's common to have concerns about the healing process, especially regarding blood clots and the potential for complications such as dry socket (alveolar osteitis) or infection. Your experience of having the extraction and subsequent suture removal without any issues is a positive sign, but it's understandable to be cautious about the healing process.

When a tooth is extracted, a blood clot forms in the socket as part of the natural healing process. This clot serves several important functions: it protects the underlying bone and nerve endings, provides a foundation for new tissue to grow, and is essential for the healing process. If this clot is disturbed or dislodged, it can lead to dry socket, which is characterized by severe pain and delayed healing.

In your case, if you accidentally disturbed the clot while cleaning the extraction site, it’s important to monitor the area for any signs of complications. Here are a few things to keep in mind:
1. Signs of Dry Socket: After a tooth extraction, if you experience a sudden increase in pain that radiates to your ear or jaw, or if you notice a foul taste or odor coming from the extraction site, these could be signs of dry socket. This condition typically occurs a few days after the extraction, usually around the third to fifth day, but can happen later as well.

2. Healing Process: The presence of a pinkish or flesh-colored base in the socket is generally a good sign, indicating that the tissue is healing. However, if you notice any excessive swelling, redness, or discharge, these could be signs of infection, and you should contact your dentist or oral surgeon.

3. Oral Hygiene: While it’s important to keep the extraction site clean, be cautious about how you clean it. Avoid using sharp objects or vigorous rinsing that could dislodge the clot. Instead, gentle rinsing with warm salt water can help keep the area clean without disturbing the healing tissue.

4. Follow-Up Care: If you have any concerns about the healing process or if you notice any unusual symptoms, it’s always best to follow up with your dentist. They can assess the site and provide guidance on how to care for it moving forward.

5. Preventing Complications: To minimize the risk of complications, continue to follow your dentist's post-operative instructions. This may include avoiding smoking, using straws, or engaging in strenuous activities that could dislodge the clot.

In summary, while it’s normal to have concerns about the healing process after a wisdom tooth extraction, being vigilant about signs of complications and maintaining good oral hygiene can help ensure a smooth recovery. If you have any doubts or experience concerning symptoms, don’t hesitate to reach out to your dental care provider for advice and reassurance.

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