Bleeding after periodontal / gum surgery.

[Jack Wasserstein, DDSMember]

[Jack Wasserstein, DDSMember]

Post operative bleeding is one of the four most common post operative sequelae. These are bleeding, pain, swelling and infection.

Some bleeding / oozing is normal following oral surgery, This may be noticed by pink saliva. However, active bleeding should be dealt with immediately. The first course of action is continuous pressure for 20 minutes. Ideally dampened gauze should be used but tissue paper or a paper towel will work. Be sure to identify where the bleeding is coming from. Have someone help you if they are available. If you are still having bleeding while you are applying pressure you are probably not in the right spot, or there could be more than one bleeding area.

If you cannot stop the bleeding while holding pressure, seek emergency medical attention. Contact your doctor / Periodontist or call 911.

If you are able to get the bleeding to stop while holding pressure, proceed as follows:

Once the bleeding subsides with the pressure it is important to continue to apply the pressure for 20 minutes. Resist the temptation to see if the bleeding has stopped prior to 20 minutes by relieving the pressure. if the gauze becomes saturated add another piece on top of the previous piece, within reason.

After 20 minutes if the bleeding has stopped, continue to monitor the area. Avoid exercise for 48 hours and stick with a soft food diet.

If the bleeding persists after 20 minutes, repeat the procedure. Consider using a wet tea bag, or an ice cube wrapped in paper to apply the pressure with. A paper product dampened with red wine can also be tried.

If the bleeding is diminishing, but still persist continue to apply pressure in 20 min intervals. After 3 rounds of 20 minute pressure if the bleeding has not been stopped you should contact your doctor for further advice.

Medications such as Aspirin or Ibuprofen can contribute to excess bleeding, but consult with your prescribing doctor before discontinuing their use.

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