Sleeping in an upright position is recommended to keep the bleeding under control. Also, keep your head elevated to reduce swelling and bleeding.
You can expect to have some oozing of blood from the extraction sites throughout the first 24 hours, but it should not be constant bright red bleeding. You cannot bite down while sleeping. If bleeding continues past first couple hours, stay awake to hold effective pressure.
Always sleep with your head elevated for the first few nights after the wisdom tooth extraction surgery. If you struggle to put yourself in that position, get support from a few pillows. Keeping your head elevated at a 45-deg angle while sleeping ensures faster recovery. It also minimizes swelling in the surgical area.
Bleeding should continue for up to 24 hours
It is normal for bleeding to exist for up to 24 hours after the tooth extraction. However, the bleeding should be minimal and tolerable, and excessive bleeding that causes a major distraction or that causes major discomfort that is not tolerable is a concern.
By sleeping with your head elevated, you can help to minimize the risk of developing a dry socket and promote faster healing after your wisdom tooth extraction.
How will I know if my blood clot fell out? If you develop dry sockets, the pain will let you know that your wound is no longer protected. Swelling is also an indication you have lost your blood clot, as is the taste of blood in your mouth.
Partial or total loss of the blood clot at the tooth extraction site, which you may notice as an empty-looking (dry) socket. Visible bone in the socket. Pain that radiates from the socket to your ear, eye, temple or neck on the same side of your face as the extraction. Bad breath or a foul odor coming from your mouth.
You should drink plenty of water after your tooth extraction to keep the extraction site clear and prevent infection. Remember to not drink through a straw, though, since the sucking motion can disturb the extraction site.
After an hour or so, once the blood clot is formed, it's vital for any recovery process that you keep hydrated, so drink plenty of water. Be careful not to swish it about too much in your mouth and avoid drinking through a straw – any sucking action will disturb the newly formed blood clot.
Symptoms of dry socket:
More bleeding than usual (if you get dry socket within the first 24 hours) Intense throbbing pain in the tooth socket that radiates to the bone or the face. Pain upon cold temperature.
Oral surgery, no matter if it is surgery for periodontal disease, tooth extractions, or dental implant placement, can leave you feeling uncomfortable for a few days. Getting plenty of rest and sleep is crucial for healing properly following surgery.
During the initial stages of healing, the tooth extraction site may ooze. Because of this, sleeping on your side is best, at least for the first night. Plus, if you lie flat on your back, you might experience more swelling. That could increase your pain and make resting an even greater challenge.
Do not remove the gauze before they are soaked with blood and saliva. Removing a somewhat dry gauze from over an extraction site can pull the developing clot out of the socket.
Within the first 24 hours after tooth removal surgery, you should avoid consuming anything that involves chewing. Try to limit yourself to liquids exclusively. If they don't fill you up and you want to consume solid food, go for soft meals that don't need much chewing, like pudding or oatmeal.
This clotting can occur for the next 24 hours to stop the bleeding and protect your nerves and bone from infection and irritation. Ideally, the clot stays in place and shrinks over the next 7-10 days as the natural healing process closes the wound with new tissue.
Dry socket happens when that blood clot dislodges (moves) or doesn't form at all. Without the clot, your bone and nerves are exposed to the oral environment. Dry socket can be painful and delays the healing of the surgical site.
However, using gauze for too long can prevent clotting. You should watch for signs to stop using gauze, or you could develop complications such as dry socket, infection, or gum pain.
Certain activities can easily dislodge the blood clot, causing what's known as a dry socket. If this blood clot is dislodged after a wisdom teeth extraction, it won't reform and your body will lose its ability to heal from your oral surgery on its own.
Dry sockets become increasingly painful in the days after a tooth extraction. They may also have exposed bone or tissue, or an unpleasant smell. By comparison, normal healing sockets get less painful over time and do not cause any other symptoms. A dry socket can be very painful, but it is not usually serious.
In non-smokers, dry socket is uncommon. It can still occur with negative pressure that occurs during drinking through a straw or vigorous spitting. It may also be more common in those who mouth breathe while sleeping because the mouth can dry out and the blood clot may break down.
Rinse Your Mouth With Salt Water
In a study published in Evidence-Based Dentistry, researchers discovered that patients who didn't rinse their mouth with salt water after their surgery were more likely to develop dry sockets as opposed to those that did. Doing this will also help speed up your recovery.