Dealing with Bleeding After Wisdom Tooth Surgery: What to Do?

Bleeding occurred accidentally before the stitches from the wisdom tooth extraction were removed?

I accidentally brushed against the wound where my wisdom tooth stitches are.
Is it correct to apply gauze to stop the bleeding for half an hour in the area where the stitches are still intact? After half an hour, I checked the wound and I can no longer see the stitches; instead, I see a dark clot that resembles a blood clot covering the area around the stitches.
Does this mean the wound has opened? Should it be re-stitched? What should I do?

Annie, 10~19 year old female. Ask Date: 2015/06/25

Dr. Cui Chongji reply Dentistry

This involves issues related to tissue wound healing, requiring clinical diagnosis and management.
Please advise the user to return to their original physician as soon as possible to complete the wound treatment.

Reply Date: 2015/06/25

More Info

Dealing with bleeding after wisdom tooth extraction can be a concerning experience, especially when it involves the healing process and the integrity of the surgical site. Based on your description, it seems you have encountered a situation where you accidentally disturbed the area around the stitches, leading to bleeding and the appearance of what looks like a blood clot.

First and foremost, it is important to understand that some bleeding after wisdom tooth extraction is normal, especially in the first few days following the procedure. The body is in the process of healing, and the formation of blood clots is a natural part of this process. However, if you notice excessive bleeding or if the bleeding persists beyond a few hours, it is crucial to take appropriate measures.

In your case, using gauze to apply pressure to the area for about 30 minutes is a standard practice to help control bleeding. If the bleeding continues after this period, it may be necessary to repeat the process or seek further medical attention. The fact that you observed what appears to be a black blood clot around the stitches is not uncommon; this can be a sign of dried blood, which is part of the healing process. However, if you are unable to see the stitches or if the area looks significantly different from what you were expecting, it is advisable to consult your dentist or oral surgeon.

Regarding your concern about whether the wound has reopened or if it requires re-stitching, this is a matter that needs clinical evaluation. If you are experiencing significant pain, swelling, or if the bleeding does not subside, it is essential to return to your healthcare provider for a thorough examination. They will be able to assess the situation and determine if any further intervention is necessary.

In terms of care after wisdom tooth extraction, here are some general guidelines to follow:
1. Avoid Disturbing the Area: Be cautious when brushing your teeth and avoid direct contact with the extraction site. Use a soft-bristled toothbrush and gentle motions to clean your teeth without aggravating the area.

2. Manage Bleeding: If bleeding occurs, bite down on a piece of gauze for 30 minutes. If bleeding continues, you may need to apply a fresh piece of gauze and repeat the process.

3. Monitor for Signs of Infection: Keep an eye out for increased swelling, pus, or a fever, which could indicate an infection. If you notice any of these symptoms, contact your dentist immediately.

4. Dietary Considerations: Stick to soft foods and avoid anything that could irritate the extraction site. This includes hot, spicy, or crunchy foods.

5. Follow-Up Appointments: Attend any scheduled follow-up appointments to ensure proper healing and to have your stitches removed if necessary.

6. Pain Management: Use over-the-counter pain relievers as directed by your dentist to manage discomfort.

In conclusion, while some bleeding and discomfort are normal after wisdom tooth extraction, persistent bleeding or changes in the appearance of the wound should not be ignored. It is always better to err on the side of caution and consult your dentist if you have any concerns about your healing process. They can provide the best guidance tailored to your specific situation and ensure that you are on the right path to recovery.

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