Bleeding After Extraction: What’s Normal vs Emergency

Bleeding After Extraction: What’s Normal vs Emergency

TL;DR

  • Mild oozing for 24 hours can be normal; heavy, persistent bleeding is not
  • Use firm pressure with gauze or a moistened tea bag for 20–30 minutes
  • Avoid spitting, rinsing, or using straws for 24 hours to protect the clot
  • Seek urgent help if bleeding soaks multiple gauze pads or doesn’t slow

Some bleeding or pink saliva after a tooth extraction is common. The key is forming and protecting a stable blood clot. Here’s how to manage normal bleeding—and when to get help.

1. What’s Normal

  • Oozing or light bleeding (pink saliva) for up to 24 hours.
  • Slight taste of blood is common.
  • Minor spotting on your pillow the first night.

2. Reduce Bleeding at Home

  • Fold clean gauze, place over the site, and bite down firmly for 20–30 minutes without peeking.
  • Alternatively, use a moistened black tea bag (contains tannins that support clotting).
  • Keep your head elevated; avoid heavy exercise.

3. Protect the Clot (First 24 Hours)

  • No spitting, rinsing, or straws (suction can dislodge the clot).
  • Avoid smoking or vaping.
  • Eat soft, cool foods and chew on the opposite side.

4. When to Call the Dentist or Seek Urgent Care

  • Bleeding heavily enough to soak multiple gauze pads after repeated pressure.
  • Bleeding that doesn’t slow after 1–2 cycles of 30-minute pressure.
  • Signs of dizziness, weakness, or uncontrolled pain.

If you take blood thinners or have a bleeding disorder, follow your dentist’s specific instructions and call if bleeding seems excessive.

5. After 24 Hours

  • You may begin gentle saltwater rinses (1/2 tsp salt in a glass of lukewarm water) after meals.
  • Continue soft foods for 24–48 hours.

Conclusion

Firm pressure and clot protection resolve most post-extraction bleeding. If bleeding persists or is heavy, contact your dentist or seek urgent care promptly.