Post-operative issues after wisdom tooth extraction?
I would like to ask the doctor, I had my wisdom tooth extracted last Wednesday, and last night while eating, I accidentally bit the wound and it started bleeding.
I bit down on the gauze for two hours before the bleeding stopped, and this morning there was a little oozing of blood.
Do I need to return for a follow-up appointment, or is it sufficient to just monitor the situation as long as it doesn't bleed again?
C, 20~29 year old female. Ask Date: 2023/08/30
Dr. Lin Jiayong reply Dentistry
Hello: In cases of persistent bleeding from oral wounds, it is advisable to investigate whether there are any underlying systemic issues.
Injuries from bites or routine tooth extractions typically do not directly damage small arteries or veins; rather, damage to capillaries or soft tissue mucosa can result in continuous mild oozing.
Applying pressure or using hemostatic agents usually stops the bleeding within half an hour.
Systemic issues to consider include the use of anticoagulants or cardiovascular medications, as well as the possibility of hemophilia or other immune-related disorders.
Reply Date: 2023/08/30
More Info
After a wisdom tooth extraction, it's common to experience some bleeding, especially if you inadvertently disturb the surgical site by eating or biting down on the area. In your case, since you mentioned that you bit down on the gauze for two hours to stop the bleeding and that there was some slight oozing in the morning, it is important to monitor the situation closely.
Generally, if the bleeding is minimal and stops after applying pressure with gauze, it may not be a cause for immediate concern. However, there are several factors to consider when deciding whether to seek dental care:
1. Duration and Amount of Bleeding: If the bleeding persists for more than a few hours or becomes heavy, you should definitely contact your dentist. Continuous bleeding could indicate that a blood clot has been dislodged or that there is an issue with the healing process.
2. Signs of Infection: Keep an eye out for any signs of infection, such as increased pain, swelling, or pus coming from the extraction site. If you experience fever or chills, these could also be indicators of an infection, and you should seek dental care immediately.
3. Pain Management: If you are experiencing significant pain that is not alleviated by over-the-counter pain medications, this could be a sign of complications, and you should consult your dentist.
4. Follow-Up Care: Most dentists recommend a follow-up appointment within a week after the extraction to ensure proper healing. If you have any concerns or if the bleeding does not resolve, it’s wise to reach out to your dentist for advice.
5. Post-Operative Instructions: Review any post-operative care instructions provided by your dentist. They often include guidelines on what to do if bleeding occurs, how to manage pain, and when to seek further care.
In summary, while minor bleeding that stops with pressure may not require a return visit, any persistent or heavy bleeding, signs of infection, or significant pain should prompt you to contact your dentist. It's always better to err on the side of caution when it comes to your health, especially after a surgical procedure. If in doubt, don’t hesitate to reach out to your dental care provider for guidance. They can provide the best advice tailored to your specific situation and ensure that your recovery is on track.
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