Common Concerns After Wisdom Tooth Extraction: Bleeding and Swelling

Questions related to wisdom tooth extraction?

Hello, Doctor.
Three days ago, I had my wisdom tooth extracted.
My wisdom tooth was horizontally impacted, so I had surgery and stitches.
After the extraction, I bit down on the gauze for an hour.
I'm not sure if I bit down tightly enough, but after removing it, I continued to bleed.
This bleeding persisted until I went to bed that night.
The next morning, the bleeding had stopped, but my face was swollen.
On the second day, I started eating (bread, steamed buns, etc.), but shortly after eating, the bleeding started again, so I decided to stop eating for a while.
On the third day, I woke up with even more swelling, and I still experienced bleeding when I ate.
Is it normal for the bleeding to continue like this? Why is the swelling increasing? Should I apply ice or heat? I am running out of antibiotics; do I need to buy more?

Sh, 20~29 year old female. Ask Date: 2015/09/28

Dr. Zhang Xiangyuan reply Dentistry

Dear user, based on your description, you underwent surgery to extract your impacted wisdom teeth and noticed swelling and bleeding in your cheek 2-3 days post-operation.
Generally, it is common to experience localized swelling for several days to a week after tooth extraction.
Ice packs are recommended on the day of the surgery to help reduce pain and swelling.
The degree of swelling and pain can vary depending on the position of the teeth and individual health conditions.
In your case, if the swelling and bleeding persist or if there are signs of infection at the surgical site, it is advisable to return to your dentist for an examination, medication, and any necessary follow-up treatment.
Thank you for your inquiry.

Reply Date: 2015/09/28

More Info

After wisdom tooth extraction, it is common to experience concerns such as bleeding and swelling. Your situation, where you have had continuous bleeding for several days and increasing swelling, requires careful consideration and possibly further medical evaluation.

Firstly, it is important to understand that some bleeding after a tooth extraction is normal, especially within the first 24 hours. However, if you are experiencing prolonged bleeding beyond this period, it may indicate a complication. Factors such as the complexity of the extraction (in your case, a horizontal wisdom tooth), the presence of underlying medical conditions, or the use of certain medications (like anticoagulants or some antidepressants) can contribute to excessive bleeding. If the bleeding persists for more than 24 hours or if it is heavy, it is advisable to contact your dentist or oral surgeon immediately for further evaluation.

Regarding the swelling, it is also a common response after surgery. Swelling typically peaks around the second or third day post-extraction and can be exacerbated by activities such as eating or drinking. The swelling is a part of the body's natural healing process, but if it continues to worsen or is accompanied by severe pain, fever, or pus, it may indicate an infection or other complications. In such cases, it is crucial to seek medical attention.

For managing swelling, ice packs are generally recommended during the first 24 to 48 hours post-surgery. Applying ice can help reduce swelling and numb the area, providing some relief. After the initial 48 hours, switching to warm compresses may help promote blood flow and healing. However, if you notice that the swelling is not improving or is worsening, it is essential to consult your healthcare provider.

As for the antibiotics, if your dentist prescribed them, it is important to complete the full course as directed, even if you feel better. If you have run out of antibiotics and are still experiencing symptoms such as persistent swelling or signs of infection (like fever or increased pain), you should contact your dentist for advice on whether you need a refill or a different treatment.

In summary, while some bleeding and swelling are expected after wisdom tooth extraction, prolonged bleeding and increasing swelling warrant prompt medical attention. It is essential to follow up with your dentist or oral surgeon to ensure proper healing and to address any potential complications. Always prioritize your health and do not hesitate to seek professional help when in doubt.

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