Tooth extraction is a complete surgical intervention. Such a manipulation has a postoperative period, during which the development of dangerous consequences can be observed. In most cases, stopping the blood after tooth extraction is obtained in half an hour or even earlier. Sometimes during or after manipulation, an unforeseen situation may occur. In this case, the blood will be much more difficult to stop.
Blood clot
Wisdom teeth are considered the most difficult to remove. First, they are located in inconvenient places that are not easy for the dentist to reach. Secondly, figure eights have strong roots, often grow at an angle, are hidden under the gums or are outside the dentition. All this creates certain difficulties during the operation.
Removal is always accompanied by anesthesia. All modern anestheticsadditionally contain vasoconstrictor substances. This ensures that blood stops more quickly after tooth extraction.
The period of overgrowth of the hole can be two weeks or a month. The cavities left after multi-rooted teeth grow longer. Large wounds are often sutured. This is especially true of the lower jaw.
A blood clot forms within minutes. It plays a huge role in the healing process. It provides tissue regeneration, protects against infection and allows the patient not to worry about how to stop the bleeding after the removal of a wisdom tooth.
After two days, the wound does not look the most attractive. Gray and white spots form on the clot. This is not pus, as some patients think. The spots are fibrin, which helps the wound heal. There may even be a slight unpleasant odor coming from the hole, which is considered normal.
It is strictly forbidden to remove the clot. This can lead to bleeding and infection. I'll have to go to the doctor immediately. The doctor will need to look for a way to help stop the bleeding after the removal of the wisdom tooth.
If there was no damage to the clot, most likely, healing will occur normally. By the end of the week, granulation tissue is formed. Gradually, it will begin to displace the clot and by the end of the month it will be completely replaced by the epithelium.
About 60 days, the damage will be overgrown with osteoid tissue. After the formation of new bone is completed, the wound will completely resolve. This process can take up to a year.
The blood does not stop immediately after removal
During tooth extraction, nearby tissues and their blood vessels are injured. Even if the doctor was forced to cut the gum and take out the roots in parts, a clot should form within 30 minutes. The reasons why, after the removal of a wisdom tooth, the blood does not stop and a blood clot does not form, may be as follows:
- Hypertension. Stress and deterioration of well-being can provoke an increase in pressure. Vessels dilate, and it will not be easy to stop the blood.
- Termination of anesthesia. Vasodilation may occur after the drug wears off.
- Alcoholism. Negatively affects the process of tissue regeneration.
- Pathologies of the vascular system. It is difficult to stop bleeding after tooth extraction if the patient suffers from acute leukemia.
- Anemia.
- The unprofessionalism of the doctor, which led to damage to large vessels or bones.
A patient who has had a tooth removed for the first time may mistake an ichorus for bleeding. It is not worth worrying and calling a doctor in such a case. To help the patient avoid unnecessary stress, the dentist should explain in detail how much blood stops after tooth extraction. The appearance of a whitish or yellowish liquid may last for up to six hours. Sometimes this phenomenon can be observed for most of the day.
Urgently apply forassistance is needed in such cases:
- The temperature has risen.
- The swelling started to increase instead of gradually subsiding.
- Having to spit blood every two to three seconds.
- Pain begins to spread from the wound area over most of the face or head.
- Weakness and dizziness appeared.
Causes of secondary bleeding
It often happens that the operation goes without complications, a clot forms in the hole and the blood stops quickly. The patient is on his way home. And after a few hours, problems begin.
In order to quickly stop the bleeding after tooth extraction, it is necessary to understand the reasons for the development of this phenomenon. The following factors can cause complications:
- Some drugs. In the event that the patient used aspirin or anticoagulants a few days before or after removal, bleeding may develop. In women, this situation can provoke the use of contraceptives. In addition, during menstruation, the concentration of cortisol increases, which can also cause the bleeding to not stop after the removal of a wisdom tooth.
- Violation of dentist instructions. Physical activity, hot baths, intense rinsing and picking at the wound can cause bleeding.
- Local factors. If the bone was damaged during removal, bleeding may recur. And also the development of purulentinfections.
Tamponade
In the event that bleeding began after returning home, first of all it is worth measuring the pressure. Hypertension can cause vasodilation. If the pressure is really high, you need to urgently take a drug that can normalize it. For example, Captopril.
Panic in case of complications is not worth it. The first thing to do is find something to stop the bleeding after a tooth extraction. It is desirable that it be gauze or a bandage. With these materials, tamponade can be performed, which is the most effective way to stop bleeding.
From the bandage you need to cut off a small piece and twist it. Place the resulting tampon on the wound and squeeze the jaws, but without excessive pressure. Due to this, mechanical compression of the vessels occurs. They stick together and stop bleeding. Most often, after this, the wound heals.
In some cases, the use of a simple swab is not enough to stop the bleeding after a tooth extraction. Hydrogen peroxide will help to quickly solve this problem. The antiseptic has a clotting effect on the blood. Therefore, it is additionally recommended to soak the swab with peroxide.
Instead of a bandage, you can use a hemostatic sponge. It is made from donated blood plasma. The sponge contains thrombin and fibrin. Thanks to these substances, parenchymal and capillary bleeding is quickly stopped.
A small piece of sponge is placed in the wound immediately after being removed from the vial. From above it is covered with a piece of gauzeor cotton. In the event that the sponge immediately gets wet, it must be replaced quickly.
Cold vasoconstriction
Ice compress can be used if there is bleeding after tooth extraction. The doctor should tell you in detail how to stop it, since severe hypothermia can slow down healing and increase pain.
Moderate application of the compress can reduce or completely stop bleeding. To protect the skin, ice should be wrapped in a clean cloth. The patient should lie down and apply a compress to the cheek on the affected side.
The use of cold should not exceed five to seven minutes. After that, you need to take a break. Then the procedure is repeated. Do not apply ice directly to the gum.
Antihemorrhagic drugs
Dentist may prescribe antihemorrhagic medication if bleeding occurs after tooth extraction. How to stop it, the doctor must tell the patient in detail to prevent an overdose of the drug.
The drug "Dicinon" is trusted by dentists and their patients. It is available in tablet and injection form. After intramuscular injection, it begins to act within five to ten minutes. But for the convenience of the patient, Dicinon is more often prescribed in tablets. In this case, the effect of the reception begins to appear after half an hour.
Adult patients should not take more than two tablets at a time. It is contraindicated for children under six years of age. "Dicinon" can not be assignedpeople with increased blood clotting and prone to thrombosis.
Other drugs may be prescribed to stop the bleeding. Many dentists prefer Etamzilat tablets or Octanate injections.
Rinses
Regular rinsing helps well if blood flows after tooth extraction. What to do and what composition is better to choose, the doctor should advise immediately after the procedure. The most commonly recommended drugs are:
- Chlorhexidine. This antiseptic is often used in dentistry and ENT practice. A 0.05% solution is suitable for rinsing, it does not need to be diluted with water. The drug has a unique property - it forms a thin, indelible film on the surface of the mucosa. Due to this, its antiseptic effect is preserved after application. After the procedure, chlorhexidine can be used three times a day. Each time you need to keep the solution in your mouth for at least a minute. The tool is cheap, its price is only 30 rubles.
- "Miramistin". This drug can also be used in its pure form, it is not necessary to dilute it with water. The severity of its antiseptic action is lower than that of the previous drug. The price is 200 rubles. The advantage of "Miramistin" can be considered the fact that it is effective in the fight against the herpes virus. But this is more important in the treatment of stomatitis. In addition, the drug does not have a bitter aftertaste, which is a privilege in the event that it is necessary to apply it to a child.
- Soda-s alt rinses. The solution is effective inin the event that an infection has entered the hole. Soda-s alt rinses relieve tissue swelling and draw pus out of the wound.
- Natural antiseptics. For rinsing, you can use medicinal plants that have an anti-inflammatory effect. It is recommended to use a decoction of chamomile and calendula, an infusion of oak bark.
Intensive rinsing of the mouth is not allowed. This can do a lot of damage. The blood clot is rather loosely attached to the margins of the socket and may fall out. Food debris and bacteria in the mouth will get into the open wound. Even cold or hot water will cause pain.
Quite quickly, this can lead to the development of alveolitis. Pain will increase. The gums will swell and bad breath will appear. Only a dentist can help in this case.
Folk recipes
Folk recipes help stop blood after tooth extraction. These methods have been used for decades. They managed to prove themselves well:
- Tamponade with aloe juice. Cut off the fleshy leaf from the plant. Remove the skin, chop the pulp. Squeeze out the liquid with gauze. Soak a swab with fresh juice and apply to the hole. You can use a decoction of echinacea and calendula.
- Black tea. For treatment, you will need a drink of the highest quality. The bag must be brewed in boiling water and cool. Apply it to the problem area. The tea contains tannins that stimulate vasoconstriction. This will help stop bleeding after removal.tooth.
- Chamomile compress. Cotton wool must be soaked in decoction and applied to the affected area.
- Wax mixture. To prepare this product, you will need 70 g of natural wax, 20 g of peach oil and 10 g of salicylic acid. All ingredients are heated over low heat. After boiling, the mixture must be thoroughly mixed and cooled. A small piece is placed in the wound. The well is closed with a sterile swab. This quickly stops the bleeding. After that, the tampon can be removed. The wax may remain in the hole for several hours.
Dangerous symptoms
In rare cases, complications may develop. Their appearance can provoke the following reasons:
- no clot;
- purulent formations on the roots of adjacent teeth;
- eating too hot food;
- poor immunity;
- getting into the hole of the fragments of the tooth;
- improper brushing of teeth;
- poorly machined tools;
- doctor's incompetence.
Any of the above items can cause the development of purulent alveolitis or other pathologies. Therefore, in the event of the appearance of dangerous symptoms, the patient should immediately contact the doctor. Alarming phenomena include:
- Temperature above 38 degrees.
- Swelling up.
- Pain when swallowing.
- Shortness of breath and tachycardia.
- No pain at the site of removal, against the background of increasing swelling and redness.
- Very pungent smell of rot from the mouth.
Dental Bleeding Prevention Tips
A professional dentist always takes a thorough history before an extraction procedure. In the event that the doctor suspects that the patient has a bleeding tendency, he prescribes an analysis for a coagulogram. If deviations are detected, the patient is sent for a consultation with a hematologist or therapist.
During and after the completion of the manipulation, the doctor takes all necessary measures to prevent bleeding. In addition, a lot depends on the patient. The dentist should warn about the rules that must be followed after removal in order to avoid complications:
- It is important to control your blood pressure.
- It is forbidden to take a hot bath. Especially to visit the bathhouse.
- Exclude loads.
- Refuse to eat hard and hot food.
- Don't chew gum.
- Completely eliminate alcohol and do not smoke.
- Avoid active facial movements.
- Do not brush teeth in the area of the wound.
- Avoid active rinsing.
