What to expect after tooth removal
Some bleeding is normal after you get a tooth pulled, but if it’s excessive or lasts longer than a few hours, you’ll want to take action. In most cases, post-extraction bleeding stops within the first few hours.
This article walks you through what level of bleeding after teeth removal is considered normal, what might cause prolonged bleeding, and what you can do to manage it.
It’s important to know the difference between typical post-extraction bleeding and a potential dental emergency. Spotting the warning signs can help you get the right care quickly and prevent complications.
We’ll give you practical advice, the steps you should take to stop bleeding after tooth extraction, and when to go to the dentist.
What to expect after a tooth extraction
It’s normal to bleed a little after having a tooth removed. You might notice some minor oozing for the first few hours. Your body has natural mechanisms to stop the bleeding.
After an extraction, a blood clot will form in the empty socket. The clot is important. It protects the bone and tissues underneath. If the clot gets dislodged, it can lead to a painful condition called dry socket, which will require a trip back to the dentist.
You should see the bleeding slow down and stop within a few hours after the extraction. Biting down gently on a gauze pad will help the clot form. It’s also important to avoid doing anything that could dislodge the clot.
What causes prolonged or excessive bleeding?
A little bleeding after a tooth extraction is normal, but if it goes on too long or seems excessive, something’s amiss. Here are some of the things that might be going on.
Local factors
Sometimes the issue is localized at the extraction site itself.
Clot disruption
That blood clot that forms is your friend! It’s a natural bandage, and if you dislodge it by rinsing too vigorously or spitting, you’re likely to start bleeding again. Messing with the extraction site with your fingers or tongue is also a bad idea.
Trauma to the extraction site
Accidentally bumping the area or biting your cheek can cause more bleeding.
Systemic factors
Sometimes, bleeding is prolonged because of something going on within your body.
Coagulation disorders
Conditions like hemophilia, which impair your blood’s ability to clot, can certainly cause prolonged bleeding after a tooth extraction.
Medications
If you’re taking anticoagulants or blood thinners, you’re at increased risk of bleeding.
Underlying health conditions
Liver disease and vitamin deficiencies can also affect your blood’s ability to clot properly.
Immediate actions to control bleeding at home
Some bleeding after a tooth extraction is normal. Here’s what you can do at home to keep it under control:
Applying pressure with gauze
Using clean gauze pads, apply firm and steady pressure to the extraction site. Place the gauze directly over the socket and bite down firmly without interruption for at least 30 minutes. Don’t keep checking to see if the bleeding has stopped, or you will interrupt the clotting process.
If you’re still bleeding after 30 minutes, replace the gauze with a fresh pad and apply steady pressure for another 30 minutes, making sure the gauze adequately covers the extraction site.
Elevating your head
Keep your head propped up above your heart. When you’re resting or sleeping, use pillows to keep your head elevated. This helps reduce blood flow to the area.
Cold compress application
Apply a cold compress to the outside of your cheek, near the extraction site. The cold will constrict blood vessels, which can help reduce swelling and stem the flow of blood. Apply the compress for 15 to 20 minutes at a time, then take a break before reapplying.
Other home remedies
Some people swear by using a moistened black tea bag to stop the bleeding. Black tea contains tannins, which promote blood clotting. Steep a tea bag, let it cool a little, and then apply it to the extraction site, just like you would a gauze pad.
When to See a Dentist
A little bleeding after a tooth extraction is normal, but if it continues for more than a day, you need to call your dentist. If you can’t get the bleeding to stop with gauze and pressure, that’s also a reason to call.
Some signs that you need immediate care include:
- Losing a lot of blood
- Severe pain
- Swelling
- Redness around the extraction site
- Pus coming from the extraction site
Certain medical conditions or medications can also increase your risk of bleeding. Be sure to talk to your dentist about any health issues you have or medications you take. They may need to adjust your aftercare plan or provide additional treatment.
Finally, if you feel dizzy or weak because of blood loss, seek medical attention right away.
Key Takeaways
Knowing what’s normal after a tooth extraction and what isn’t is the key to a smooth recovery. If you follow your dentist’s instructions and take quick action, you can manage most bleeding at home.
It’s also important to know when it’s time to call your dentist. If the bleeding is excessive or doesn’t stop with home care, seek professional help immediately.
The best way to ensure a quick and healthy recovery is to follow all of your dentist’s post-operative instructions. This will help you heal properly and lower your risk of complications like prolonged bleeding.