It is normal for some bleeding to continue for several hours after periodontal surgery, typically up to 4 hours or even a day or so, with slight bleeding or blood-tinged saliva being common during this period

. If bleeding persists beyond this point or becomes excessive, the patient should take the following steps:

• Place a fresh, folded gauze pad or a moist tea bag over the surgical site and apply firm, continuous pressure for 15 to 20 minutes without interruption

. This pressure helps promote clot formation and stop the bleeding.

• If bleeding continues after the first application, replace the gauze or tea bag with a new one and repeat the pressure application for another 15 to 20 minutes

• Keep the head elevated and avoid vigorous rinsing, spitting, or using straws for at least 24 to 48 hours to prevent disturbing the clot

• Avoid strenuous activity and follow dietary recommendations such as consuming soft, non-irritating foods

• Do not pull back lips or cheeks to look at the surgical site, as this can disturb the healing area and increase bleeding risk

If bleeding remains persistent or heavy despite these measures, the patient should contact their dentist or periodontist promptly for further evaluation and management, as prolonged bleeding may indicate a complication or underlying issue requiring professional care

. In summary, slight bleeding for a few hours after periodontal surgery is normal. Persistent bleeding beyond that should be managed by applying firm pressure with gauze or a tea bag for 15-20 minutes, repeating if necessary, and seeking dental advice if bleeding does not stop