After Placement of Dental Implants or Bone Graft
Home Instructions After Dental Implant Surgery
After dental implant surgery, do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There may be a metal healing abutment protruding through the gingival (gum) tissue.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues profusely, please call for further instructions.
Swelling is a normal occurrence after surgery. To minimize swelling you can keep your head elevated to a level above your heart. Applying an ice bag, or a plastic bag or towel filled with ice, on the cheek in the area of surgery for 20 mins on and 20 mins off for the first 36 hours may help.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.
You should begin taking pain medication before the local anesthetic wears off. For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours, not to exceed the daily maximum. Ibuprofen (Advil or Motrin) may be taken instead of, or in addition to Tylenol, alternating between drugs every 3 hours. Ibuprofen bought over the counter comes in 200 mg tablets: 2-4 tablets may be taken four times daily, not to exceed 3200mg daily for an adult. Consult our practice for individuals under 18.
For severe pain, the prescribed medication (often this is Etodolac) should be taken as directed instead of the Ibuprofen. You can alternate between Etodolac and Extra Strength Tylenol every 3 hours if you need greater pain relief. Do not take any of the above medication if you are allergic to them, or have been instructed by your doctor not to take it. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists or worsens, it may require attention and you should call the office.
Be sure to take the prescribed antibiotics as directed to help prevent infection.
Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice daily; after breakfast and before bed. Be sure to coat the mouth for at least 30 seconds then spit it out. Warm salt water rinses (one teaspoon of salt in a cup of warm water) can be gently used at least 4-5 times a day as well, especially after meals. Brush your teeth and the healing abutments. Be extremely gentle initially while brushing the surgical areas.
Keep physical activities to a minimum immediately following surgery. If you exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking in normal nourishment. This may weaken you and further limit your ability to exercise.
Wearing your Prosthesis
Partial dentures, flippers, or full dentures, should not be used immediately after surgery for at least 10 days, as discussed in the pre-operative consultation unless approved by Dr. Dohman.