Excessive Blood Clots After Wisdom Tooth Extraction: What to Do? - Dentistry

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The day after tooth extraction, there is a large blood clot and persistent bleeding?


Hello, Doctor.
I had my lower left wisdom tooth extracted yesterday, August 2nd, and around 11 PM, I started noticing blood clots in my mouth.
Throughout the night, fresh blood kept flowing out, soaking my pillow and blanket multiple times.
I have been taking pain relief and anti-inflammatory medication, and my diet has consisted mainly of cold foods.
I have not used straws or spit.
However, the blood clots are extremely large, almost occupying the entire area of my lower left teeth, not just a single spot.
I am unsure if the bleeding is from the wound or if the blood is flowing out due to the rupture of the blood clot.
The smell of blood is quite unbearable.
I would like to ask if it is possible for me to remove the clots myself, or how long it might take for them to disappear.
Thank you for your response, Doctor!

Niming, 20~29 year old female. Ask Date: 2023/08/03

Dr. Zeng Guanghui reply Dentistry


Dear Ms.
Anonymous: If there is persistent bleeding after tooth extraction, you should return to the dentist immediately for treatment.
Do not attempt to remove the blood clot on your own, as this may lead to more significant bleeding.
Dr.
Tseng Guang-Hui, Department of Dentistry, Nantou Hospital.

Reply Date: 2023/08/03

More Info


After wisdom tooth extraction, experiencing excessive blood clots can be concerning, and it’s essential to understand the underlying reasons and appropriate actions to take. Based on your description, it seems that you are dealing with significant bleeding and large blood clots in your mouth, which can be distressing.

Firstly, it’s important to recognize that some bleeding is normal after a tooth extraction, especially within the first 24 hours. However, if the bleeding is continuous and heavy, as you described, it may indicate that the blood clot has either not formed properly or has been dislodged. This can happen due to various reasons, including excessive movement in the mouth, sucking through straws, or even vigorous rinsing.

Given your situation, here are some steps you can take:
1. Avoid Disturbing the Area: Do not attempt to remove the blood clots yourself. Trying to clear the area can disrupt the healing process and lead to further bleeding. Instead, allow the blood clot to stabilize naturally.

2. Bite on Gauze: If you haven’t already, place a clean piece of gauze over the extraction site and bite down firmly for about 30 minutes. This pressure can help promote clot formation and stop the bleeding.

3. Cold Compress: Applying a cold compress to the outside of your cheek can help reduce swelling and constrict blood vessels, which may help control bleeding.

4. Stay Upright: Keeping your head elevated can help reduce blood flow to the area and minimize bleeding.

5. Avoid Certain Activities: Refrain from strenuous activities, bending over, or any actions that may increase blood pressure in your head.

6. Monitor for Signs of Infection: If you notice an increase in pain, swelling, or a foul taste in your mouth, these could be signs of infection, and you should seek medical attention promptly.

7. Follow Up with Your Dentist: Since you are experiencing excessive bleeding and large clots, it is crucial to contact your dentist or oral surgeon as soon as possible. They can evaluate your situation, check for any complications, and provide appropriate treatment.

8. Medication Review: If you are on any medications that affect blood clotting (such as anticoagulants or certain antidepressants), inform your dentist. They may need to adjust your medications or provide additional guidance.

In terms of how long the blood clots will last, it varies from person to person. Typically, blood clots should stabilize within the first 24 hours, but if you continue to experience heavy bleeding or if the clots are unusually large, it is essential to seek professional help.
In summary, while some bleeding is expected after wisdom tooth extraction, excessive bleeding and large blood clots warrant immediate attention. Avoid self-remedying the situation, and consult your dentist for a thorough evaluation and appropriate care. Your health and safety are paramount, and professional guidance is crucial in managing post-operative complications effectively.

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