Minor bleeding is common for a short time after a tooth extraction or dental surgery, but it should usually stop within a few hours as a clot forms. Uncontrolled dental bleeding occurs when the blood flow is heavy, continuous, or does not slow down despite following post-operative instructions. This can be caused by physical activity too soon after surgery, accidental trauma to the site, or underlying health conditions that affect how your blood clots in the mouth.
If you experience bleeding, the first step is to place a clean, damp piece of gauze or a clean cotton cloth directly over the site and bite down firmly for at least 20 to 30 minutes without stopping. Avoid rinsing your mouth, spitting, or using a straw, as the suction can dislodge a forming clot. Keep your head elevated and try to remain calm and still. If the bleeding continues heavily after two attempts of firm pressure, it is considered a dental emergency.
You must contact a registered dentist immediately or visit an emergency department if the bleeding does not stop. Professional intervention is required to identify the source and stop the loss of blood. The dentist may need to apply special haemostatic agents, place additional sutures, or clean the area to encourage a stable clot to form. They will also review your medical history to ensure there are no other factors contributing to the prolonged bleeding.
To prevent bleeding issues, always inform your dentist about any medications you are taking, especially blood thinners, or if you have a history of bleeding disorders. Following all post-treatment advice, such as avoiding hot liquids and strenuous exercise for 24 hours, is crucial. For those in India, it is particularly important to avoid using tobacco or areca nut products during the healing phase, as these can irritate the wound and significantly delay the natural clotting and healing process.