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Tooth extracted, little swelling. Bleeding after brushing, keeping gauze in mouth. How to stop bleeding?

hello. i recently had a tooth extraction and everything went fine. It stopped bleeding the first day and the second day was okay. A little soreness but nothing unusual. On the third day, today, i went to brush the opposite side and the extraction zone started bleeding. It started getting progressively worse and now it is bleeding a lot and won\ t stop. Also, i am keeping gauze in my mouth and i noticed that when I took it out to change it, there was a dark red chunk of what appeared to be a piece of my gum. What do I do for the bleeding? should I be worried? What is the chunk and should I be worried about that as well?
Asked On : Thu, 21 Feb 2013
Answers:  4 Views:  77
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Dentist 's  Response
hi and welcome ,
After extraction of the tooth normally it takes 7 to 10 days for the extraction socket to heal and close completely provided under normal conditions if there is no infection .

As you have mentioned it been only 3 days after extraction the wound is bleeding , it suggests that the healing is not completed and the chunk of the blood seen is nothing but the dislodgement of the blood clot from the socket.

This definitely not a good sign as the loss of blood clot from the socket may lead to a painful inflammatory condition called DRY Socket.

i suggest you to visit a dentist and get the examination done , the wound needs to be curretted to remove the irritants and debris if any and needs to be packed with gauze to initiate healing.
i hope this helps ,
take care
Answered: Fri, 22 Feb 2013
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Dentist Dr. Anshumala Singh's  Response
dear friend ,
don't worry about your bleeding gum , it will be fine in a day or two more .

you have mentioned that the first day after extraction, the bleeding stopped normally and you had little soreness and nothing unusual . that clearly shows that, you have no bleeding disorders like hemophilia, various anemias, vitamin k deficiency , vitamin C deficiency etc.

also your wound is healing well with little pitting odema.

now i think after you tried brushing your teeth on opposite side this could have led to CLOT DISLODGEMENT or DISINTEGRATION. some times repeated mouth rinsing or chewing disturb the clot and promotes bleeding .

you have seen a piece of gum on your gauge this could be that clot . nevertheless it could also be a granulation tissue .

this should worry you, a bit . also you have mentioned about progressive bleeding, these things could be evaluated exactly, after a clinical evaluation whether its a case of secondary hemorrhage or clot dislodgement .

clot dislodgment leads to dry socket , if neglected .

in this case please visit to your dentist for clinical evaluation of your healing socket .if required a gauge dipped in tannic acid can be placed on the bleeding area to arrest bleeding .
a case of dry socket has to be managed by analgesic and antibiotic along with medicated dressing in the extracted socket.
this should help
Answered: Sat, 23 Feb 2013
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Dentist Dr. Neha Gupta's  Response
Thanks for sharing your concern with us
Complete healing will take one to two weeks and swelling may last 48 hours. Simple pressure from a piece of gauze is usually all that is needed to control the bleeding and to help a blood clot to form in the socket. Sutures may need to be removed in 3-5 days. Keep your fingers and tongue away from this area. No positive or negative pressure like blowing up balloons. Blowing your nose or sneezing violently can dislodge the blood clot and impair healing.
Do not lie flat. This may prolong bleeding. Prop up your head with pillows.
Relax after surgery. Physical activity may increase bleeding.
Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.
Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing.
You can contact me again directly through my profile.
Dr Neha Gupta
Answered: Sat, 23 Feb 2013
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Dentist Dr. Abid Pasha's  Response
It might be granulation tissue which was not cleared out after removing the tooth. Don't worry, keep some ice on it and visit your dentist. He will take care of it.
take care.
Answered: Fri, 22 Feb 2013
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