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. 2018 Mar 4;2018(3):CD011930. doi: 10.1002/14651858.CD011930.pub3

1. Types of bleeding after dental extractions.

Normal bleeding Post‐extraction bleeding
Primary Reactionary Secondary
  • Normally persists for up to half an hour

  • Oozing and blood tinged saliva for up to 8 hours

  • Controlled by pressure pack

  • Occurs during and immediately after extraction

  • Typically presents as blood filling up the mouth

  • Usually due to infection or trauma to blood vessels

  • Often controlled by local techniques like pressure packs, haemostatic agents, etc

  • Begins two to three hours post extraction, after the vasoconstrictor effect of local anaesthesia wears off

  • Usually due to underlying systemic conditions such as bleeding or clotting disorders

  • Not controlled by local measures and may require systemic interventions

  • Usually begins 7 to 10 days post extraction

  • Mainly due to secondary infection

  • Rare in dental extractions, compared to the other two types of post‐extraction bleeding