By Family Dentistry of Forest Hill

Bleeding after tooth extraction can be concerning, but it’s completely normal in the first few hours. The key is knowing how to manage it effectively to promote healing and avoid complications. Let’s walk you through some tips to control bleeding and ensure a comfortable and speedy recovery.

Why Does Bleeding Happen?

Tooth extractions leave behind an open wound, so it’s natural for some blood to ooze from the site. Your body is hard at work, forming a blood clot over the extraction area, which is critical for healing. But how do you ensure the bleeding doesn’t get out of hand? Follow these tips to keep everything under control.

Essential Tips to Control Bleeding After Tooth Extraction

Bite Down on Gauze
Once your dentist removes your tooth, they’ll likely ask you to bite down on a piece of gauze. Keep the pressure on for 30-45 minutes. This helps compress the blood vessels and encourages clot formation. Swap the gauze for a fresh piece if bleeding continues, and repeat the process for another half hour.
Use a Cold Compress
Apply a cold pack on the cheek near the extraction site. This helps constrict the blood vessels, reducing blood flow to the area and minimizing swelling. You can use an ice pack or a bag of frozen peas wrapped in a towel. Keep it there for 10-15 minutes, then take a break before repeating.
Avoid Rinsing Too Early
While it may seem natural to want to rinse your mouth, avoid doing so for the first 24 hours. Swishing too soon can dislodge the blood clot and trigger more bleeding. After the first day, gently rinse with salt water to clean the area. Mix half a teaspoon of salt in a cup of warm water and swish softly, avoiding any vigorous motions.
Keep Your Head Elevated
Elevating your head can prevent excessive bleeding by keeping blood from pooling in the extraction area. When you lie down, prop your head up with pillows. Try to sleep with your head elevated for at least the first couple of nights to reduce the risk of prolonged bleeding.
Take It Easy
Physical activity increases your heart rate, which can pump more blood into the extraction site and cause the bleeding to start again. For the first 24-48 hours, avoid strenuous activities like exercise or heavy lifting. Give your body time to heal without unnecessary stress.
Stick to Soft Foods
Eating soft, cool foods can help prevent irritation to the extraction site. Avoid anything crunchy or hot for at least the first couple of days. Foods like yogurt, smoothies, and mashed potatoes are excellent choices. Be sure to chew on the opposite side of your mouth to avoid disturbing the clot.
Stay Away from Straws and Smoking
Suction from using a straw or smoking can dislodge the blood clot and lead to a painful condition called dry socket. This can significantly delay healing and cause the bleeding to worsen. Stay clear of straws and smoke for at least 72 hours after extraction.
Hydrate with Caution
Staying hydrated is essential, but be mindful of how you drink. Sipping directly from the glass and avoiding suction is critical to preventing further irritation. Water is the best choice, and you should avoid hot or caffeinated drinks for the first couple of days.
Monitor for Excessive Bleeding
Some bleeding after a tooth extraction is normal, but it should gradually taper off. If you find the bleeding isn’t slowing down or becomes heavy after several hours, it’s time to contact your dentist. Prolonged or excessive bleeding can be a sign of complications, and it’s better to address it sooner rather than later.
Consider Pain Relief
While managing bleeding is a priority, pain can also be a concern. Use over-the-counter pain relievers like ibuprofen to reduce both pain and swelling. However, avoid aspirin, which can thin your blood and worsen bleeding.

Signs of Healing: What to Expect

Once the initial bleeding is under control, your body will continue healing. You might notice swelling, mild discomfort, or minor oozing, which should improve with time. By the third or fourth day, you should see a significant reduction in swelling and bleeding.

Following all your dentist’s instructions is crucial for a smooth recovery. Don’t hesitate to seek professional care if you experience anything unusual, such as severe pain, excessive swelling, or signs of infection (fever, foul odor, or pus).

How Long Should the Bleeding Last?

Typically, bleeding slows down within 8-12 hours after your tooth extraction. But anything beyond that requires attention. As outlined above, proper care will help minimize bleeding and allow faster recovery.

Tooth extractions can be uncomfortable, but controlling the bleeding is manageable with the right steps. Remember to follow your dentist’s post-operative instructions, keep the pressure on with gauze, and take it easy during recovery. By doing so, you’ll be well on your way to a smooth and quick healing process.If you ever feel like the bleeding isn’t improving, it’s always best to contact your dentist. A little caution now will save you from more trouble down the road.