RT Book, Section A1 Reichman, Eric F. A2 Reichman, Eric F. SR Print(0) ID 1159809940 T1 Post-Extraction Bleeding Management T2 Reichman's Emergency Medicine Procedures, 3e YR 2018 FD 2018 PB McGraw-Hill Education PP New York, NY SN 9781259861925 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=1159809940 RD 2024/11/08 AB Post-extraction bleeding is a common problem after the removal or extraction of a tooth. It is often seen in the Emergency Department in the late evening or night when the patient is unable to contact their Dentist. Bleeding that occurs within a few hours of the extraction is often due to the wearing off of the vasoconstrictor effect of the local anesthetic solution used for anesthesia.1 The application of direct pressure over the bleeding site by having the patient bite down on a folded piece of moist gauze almost always controls post-extraction bleeding.1 Many patients, however, will report that they have been doing this prior to coming to the Emergency Department and require additional assistance. Post-extraction bleeding can be classified depending on when it occurs (Table 212-1).