After Implant/Bone Graft Placement

Post Operative Instructions

BLEEDING: Small amounts of blood in the saliva can make your saliva appear quite red. This is normal and maybe noticed the rest of the day after the procedure. You will be biting on the gauze after your procedure. We would like you to change the gauze every 30 minutes until the bleeding either turns a pink or brown color or completely stops. When this happens, you can leave the gauze out and you do not need it anymore.

SMOKING: Smoking should be stopped following surgery. Healing and success of the implant will be substantially reduced by the cigarette smoke chemicals in your body.

PAIN: Some discomfort is normal after surgery. To minimize pain, take Ibuprofen, Advil, or a similar non-aspirin pain reliever to maintain comfort. It is best to take pain relievers before the anesthesia wears off. If prescription pain medication is prescribed, take it as instructed on the label. Do not exceed the dose on the label. Taking with food or milk will help reduce upset stomach.

SWELLING: Apply ice to the face over the operated area on the outside of the face. This will minimize swelling. Apply for 20 minutes, then remove for 20 minutes. Continue for 48 hours to reduce swelling.

NUMBNESS: The local anesthetic will cause you to be numb for several hours after you leave the office. Be very careful not to bite, chew, pinch, or scratch the numb area. Sometimes the implant procedure causes residual numbness or tingling if you notice this the day after surgery please call the office.

BRUSHING: Do not brush your teeth for the first 24 hours after surgery. After this, you may brush your teeth gently, but avoid electronic toothbrushes in the area that the procedure was done.

RINSING: Avoid all rinsing or swishing for 24 hours after your procedure. After 24 hours you may begin gentle rinsing with a warm saltwater solution (1/2 teaspoon salt + 8 ounces warm water). Avoid commercial mouth rinses.

DIET: Eat soft foods for the first two days. Maintain a good, balanced diet. Return to normal regular meals as soon as you are able after the first two days. Drink plenty of water. Avoid alcohol for 48 hours or while taking prescription medications.

ACTIVITY: After leaving the office, rest and avoid strenuous activities for the remainder of the day. Avoid heavy activity for a week after the procedure.

ANTIBIOTICS: If you were given an antibiotic prescription, take as directed until they are gone. Women: some antibiotics can reduce the effectiveness of birth control pills. Use alternate birth control methods for two months.

SINUS: If your sinus was involved in the procedure additional instructions may be provided. Use of decongestant medications might be recommended.

REMOVABLE APPLIANCES, DENTURES:  Sometimes a temporary removable appliance is made for cosmetic purposes, to be worn during healing. You should not chew with this temporary appliance unless instructed to do so by your general dentist. Your dentist will give you specific instructions about your appliance. To avoid putting any pressure on the new implants before they have healed, your denture or appliance might be adjusted or significantly modified. In certain cases, you will need to go without your denture or appliance for a period (days or weeks) after the implants are placed.

FOLLOW-UP APPOINTMENTS: You will need to return to the office for a 1-week follow-up after your procedure. This is an important follow-up as we will be taking an x-ray to check the implant.

Please call our office if you have:

  • Numbness the day after surgery
  • Uncontrollable pain
  • Excessive or severe bleeding
  • Marked fever (Over 100.5)
  • Excessive warm swelling occurring a few days after the procedure
  • Any questions or concerns

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