Oral Surgery · single question
A patient calls the day after a tooth extraction reporting that the area is 'still oozing.' What is the most appropriate immediate next step?
Show answer and explanation
Correct answer: A. Schedule the patient for a re-evaluation appointment
When a patient reports continued oozing the day after extraction, the appropriate next step is to schedule a re-evaluation appointment to clinically assess the socket. Some oozing can be normal, but the dentist cannot determine whether it represents normal seepage, active hemorrhage, or dry socket formation without examining the patient. Prescribing antibiotics without assessment is inappropriate. Gauze pressure is a home measure that may be advised concurrently but does not replace evaluation.
- A. CORRECT. Scheduling a re-evaluation appointment is the appropriate next step. The dentist must clinically assess whether the oozing is within normal limits or represents a complication requiring intervention.
- B. Advising gauze pressure is a reasonable home measure, but it should accompany scheduling for evaluation — not replace it. The patient needs to be seen to rule out abnormal bleeding or dry socket.
- C. Prescribing antibiotics without examining the patient is inappropriate — there is no indication for antibiotics for simple post-extraction oozing without signs of infection.
- D. Blanket reassurance without evaluation is inappropriate — post-extraction oozing the next day should be evaluated to ensure it is not active hemorrhage or early dry socket development.