How Long to Keep Gauze in After Tooth Extraction: What to Expect in the First 24 Hours

How Long to Keep Gauze in After Tooth Extraction: What to Expect in the First 24 Hours

September 5, 2025

Facing a tooth extraction? You’re not alone. One common concern many patients have during the early healing stage is knowing how long to keep gauze in after tooth extraction to support proper clotting and avoid complications. The first 24 hours set the tone for recovery, and with the right steps, you can avoid setbacks and recover with confidence. Here’s what you need to know to stay on track.

How Long Should You Keep Gauze in Your Mouth?

Right after your tooth is removed, your dentist places a clean piece of gauze on the site to help a clot form. That clot is your body’s natural bandage; it protects the area and kickstarts healing. So the gauze? It’s more than just padding.

Here’s how long you should keep it in:

  • Keep the first gauze in place for 30 to 45 minutes after your procedure.
  • If bleeding continues, substitute it with a fresh, folded piece and bite down with firm pressure.
  • Change it every 30–60 minutes until the bleeding slows or stops.
  • Most people find that 2 to 3 hours of gauze use is enough, but some may need a little more time.

Once the bleeding eases, stop using gauze. Leaving it in too long can irritate the area or disrupt clot formation. It’s all about balance, enough pressure to stop the bleeding, but not so much that it slows healing.

If you’ve had tooth extractions in Calgary, AB, your dentist will give you gauze and clear steps before you leave the office. Follow them closely, and you’ll be off to a good start.

What to Expect in the First 24 Hours After Extraction

The first day sets the tone for your entire recovery. While everyone heals at a little different pace, most patients experience a few common things.

Here’s what you might notice:

1. Bleeding

  • It’s normal to see some oozing for the first few hours.
  • If bleeding picks up after it has stopped, apply new gauze and bite down again.
  • Avoid spitting, using straws, or rinsing hard. These can dislodge the clot.

2. Swelling

  • Expect swelling to start within 3–4 hours.
  • It often peaks by the second day.
  • To reduce it, apply a cold compress (15 minutes on, 15 minutes off).

3. Numbness

  • Numb lips, tongue, or cheeks? That’s just the local anesthetic wearing off.
  • It usually fades within a few hours.

4. Mild discomfort

  • Soreness or pressure is common.
  • Over-the-counter pain relief usually helps. Stick to what your dentist recommends.

5. Tiredness

  • Your body is working hard to heal. Rest, take it easy, and don’t rush into heavy activity.

Avoid hot drinks, smoking, or alcohol during the first day. These interfere with healing and can lead to dry socket, a painful condition that you certainly like to avoid.

Tips for Proper Gauze Use and Aftercare

It’s not just about how long you use gauze, but how you use it. Done right, it protects your extraction site and speeds up recovery.

Using Gauze the Right Way

  • Fold a clean gauze pad to fit the extraction area.
  • Place it directly over the spot and bite down firmly but gently.
  • Don’t keep talking while it’s in place; stay still and relaxed.
  • Avoid checking it too often. Wait at least 30 minutes before peeking.

Once the bleeding stops, resist the urge to put more gauze in “just in case.” That’s your body doing what it’s supposed to, no extra help needed.

Helpful Aftercare Tips

Let’s break this down into simple dos and don’ts:

Do:

  • Rest with your head slightly raised
  • Drink cool or room-temperature water
  • Eat soft food items like mashed potatoes, yogurt, or applesauce
  • Take medication as prescribed
  • Keep fingers and tongue away from the site

Don’t:

  • Use straws or spit forcefully
  • Smoke or vape for at least 72 hours
  • Eat crunchy or hot foods
  • Drink carbonated beverages
  • Brush directly over the area the first day

Proper care in the first 24 hours prevents infection, protects the clot, and keeps healing on track. Your dentist will also let you know when to return for a follow-up.

If you need a dentist in Calgary, choose someone who communicates clearly and walks you through every step from the extraction to the last bit of healing.

Final Thoughts

Tooth removal doesn’t have to feel overwhelming. Just stay informed, follow the aftercare steps, and listen to your body. The first day matters most, so take it slow and protect your healing site. For professional care and trusted advice, East Hills Dental Clinic is here for you. Book your visit today and experience truly supportive dental care from start to finish.

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