After Placement of Dental Implants
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 titanium healing abutment protruding through the gingival (gum) tissue, which is normal in some instances.
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 moistened gauze pad placed directly on the bleeding wound for 60 minutes. If bleeding continues profusely, please call for further instructions.
Swelling is a normal occurrence after surgery and will peak 72 hours after surgery. To minimize swelling apply an ice bag, or a plastic bag or towel filled with ice, on the cheek in the area of surgery. Apply the ice 15 minutes on and 15 minutes off, as tolerated for the first 3-4 hours after surgery. Continuous ice has little benefit and may cause thermal injury to the skin. You should also rest or sleep with your head elevated to avoid blood rushing to the surgical site and causing additional bleeding and/or swelling.
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 as soon as you feel the local anesthetic wearing off. For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours (to avoid serious liver injury you should never exceed a maximum daily Tylenol dosage of 3500mg per day for an adult patient). Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken four times daily, not to exceed 3200mg daily for an adult. Consult our practice for individuals under 18. Do not take the two medications at the same time.
For severe pain, the prescribed medication should be taken as directed. 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. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, 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 rinse for at least 30 seconds then spit it out. Warm salt water rinses (one teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day as well, especially after meals. Brush your teeth and the healing abutments. Be gentle initially while brushing the surgical areas.
Keep vigorous physical activities to a minimum immediately following surgery to avoid throbbing or bleeding. Keep in mind that for the first three days following surgery 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 unless otherwise instructed by your surgeon, to prevent injury to the surgical sites.