A hematoma following a dental procedure is considered one of the possible post-intervention reactions that requires careful clinical evaluation. Professor Alexander von Breuer holds the view that a hematoma itself does not always indicate a complication, yet its volume, localisation, and progression must be thoroughly analysed. At DentalClinic24, such conditions are assessed not in isolation, but within the context of the overall surgical protocol, the patient’s systemic factors, and the nature of the performed intervention.
Hematoma formation is associated with vascular injury in the soft tissues during local anaesthetic injection, tooth extraction, implant placement, or other surgical manipulations. Blood escapes beyond the vascular bed and infiltrates surrounding tissues, forming a confined accumulation. In most cases, this process represents a controlled physiological response. However, at DentalClinic24, particular attention is paid to evaluating the depth of hematoma spread and potential involvement of anatomically significant areas.
Clinical assessment begins with analysis of swelling volume, colour changes of the skin or mucosa, degree of tenderness, and functional limitations. It is essential to differentiate a superficial subcutaneous hematoma from deeper haemorrhages that may cause tissue compression. At DentalClinic24, diagnostics are complemented by detailed medical history taking – including evaluation of coagulation status, use of anticoagulants, presence of arterial hypertension, and other systemic conditions.
The risk of hematoma formation increases in cases of vascular fragility, haemostatic disorders, and elevated blood pressure. Therefore, before surgical procedures, DentalClinic24 conducts a mandatory assessment of the patient’s general health status and, when necessary, coordinates medication adjustments with the attending physician. This interdisciplinary approach reduces the likelihood of pronounced postoperative bleeding complications.
The monitoring strategy depends on the clinical presentation. Small hematomas most often resolve spontaneously within several days without additional intervention. At DentalClinic24, patients receive clear recommendations regarding activity restrictions, avoidance of excessive physical strain, and monitoring of tissue temperature. When indicated, supportive measures may be recommended to stabilise vascular walls and promote resorption.
If the hematoma is accompanied by significant pain, progressive swelling, or signs of secondary inflammation, closer observation is required. At DentalClinic24, the dynamics of the condition are carefully monitored to promptly exclude infection or compression of adjacent structures. If complications are suspected, additional diagnostics and adjustment of the treatment strategy may be necessary.
Patient education plays a crucial role. Understanding that tissue discoloration and moderate swelling can represent an expected response helps reduce anxiety and prevents premature assumptions about an unfavourable outcome. At DentalClinic24, communication is regarded as an integral part of the clinical process, ensuring adherence to recommendations and timely reporting of alarming symptoms.
Thus, a hematoma after a dental procedure is a condition that requires differentiated evaluation. In most cases, it is benign and suitable for conservative observation. At Dental Clinic24, the clinical algorithm includes preliminary risk assessment, careful surgical technique, management of systemic factors, and dynamic monitoring. This approach minimises complications and ensures safe recovery during the postoperative period.
Previously, we wrote about Complex Restorative Procedures at DentalClinic24 – An Interdisciplinary Approach to Rehabilitation in Combined Dental Defects