Post-Operative
Implant Instructions

We are a dental practice devoted to restoring and enhancing the natural beauty of your smile using conservative, state-of-the-art procedures that will result in beautiful, long lasting smiles!

GENERAL INFORMATION

You may expect some swelling after dental surgery. Swelling is a part of the natural healing process and may last several weeks. This is dependent on the nature and the extent of your surgery. Individuals with fair skin or who bruise easily may anticipate some discoloration of the skin in the are surrounding the surgical procedure(s). Any discomfort you may have should be controlled with proper medication and not be severe. Please refer to the corresponding pages for further information concerning your Post Operative Care.

WHEN SHOULD YOU NOTIFY A DOCTOR

  1. If profuse bleeding continues after 3-4 hours of applied pressure.
  2. If you are unable to maintain a nutritious diet after 48 hours.
  3. If the pain or swelling increases after the third day.
  4. If the sutures (stitches) become loose or dislodged prior to the third day.
  5. If an oral bandage or dressing that was placed becomes dislodged prior to the third day.
  6. If you have any symptoms which may indicate a reaction or allergy to the medications such as:
    • Skin rash/Itching
    • Hives
    • Elevated temperature
    • Increased and/or erratic heart rate
    • Nausea/vomiting
    • Dizziness/fainting
    • Blurred vision
  7. If wires or splints were placed and become dislodged or loose.
  8. If your body temperature remains higher than 100 degrees F. taken orally after the third day.

Please notify the office if you have ANY questions. Usually a single explanation can resolve the situation and free you of worry.

YOUR HOME CARE INSTRUCTIONS

BLEEDING

To slow and prevent bleeding, bite with light pressure on the gauze pack that has been placed over the surgical area. Pressure should be applied in 15 minute intervals and repeated until the bleeding is controlled. Pressure will assist the body’s natural blood clotting process.

If the bleeding persists without slowing for several hours, apply a moist tea bag wrapped in gauze and repeat the steps above. The tannic acid in the tea will assist in controlling the bleeding.

If profuse bleeding is still occurring after 3-4 hours, and the above measures have been taken, call our office immediately.

After 24 hours, gently rinse with warm salt water. DO NOT use vigorous, mouth washing action. This action may dislodge the body’s natural cloning process and reopen the area to bleeding.

DO NOT exercise, use physical force, or enter stressful situations for the first 72 hours or until the medication and natural healing process allows. This will increase your heart rate and thereby blood pressure. This too, has an adverse action on the body’s natural healing process.

DO NOT operate heavy or hazardous equipment for the first 24 hours or until the medication and natural healing process allow.

Follow the additional instructions provided those are pertinent to the particular medications the doctor has prescribed for you.

SWELLING

Apply ice packs at 15 minute intervals to reduce the swelling. After 72 hours heat will relieve the swelling. Swelling is a part of the healing process and can be expected for 3 days to several weeks depending on the nature and extent of the surgery.

Please notify the office if you have ANY questions. Usually a single explanation can resolve the situation and free you of worry.

YOUR DIETARY NEEDS

DO NOT try to eat solid foods until the local anesthetic wears off. You will have no feeling in the surrounding area, including your tongue, and may unknowingly bite yourself.

DO NOT use a straw when taking in liquids. The sucking action will cause a vacuum in the mouth and may dislodge the body’s natural clotting process.

LIQUIDS

Do take in liquids immediately and prior to taking any pain medication. This will help prevent nausea, and upset stomach, and expedite the medication’s effects.

VITAMIN THERAPY

  • Vitamin C
    • 1500 mg per day
    • Begin taking five days prior to your surgery and continue until your treatment has been completed. Take 500 mg three times daily, or use time release pills.
  • Antibiotics
    • As Prescribed
    • It is important that all antibiotics be taken to completion.

AFTER SURGERY

A nutritious diet throughout your healing stage is most important to your comfort, temperament, and healing. Hungry people become irritable and less able to deal with discomfort which can follow surgery. Since you will be taking medication, it is important that you are aware that eating can prevent nausea sometimes associated with certain medications.

Milk, along with cooked cereals, scrambled eggs, cottage cheese, and milk toast are recommended for the initial day following surgery.

Soups, broiled fish, stewed chicken, mashed potatoes and cooked vegetables can be added to your diet as your comfort indicates.

Nutriment, Ensure, Sego, and/or yogurt supply excellent added nutrition. These are especially indicated if other soft foods are not taken in.

Please avoid acidic foods such as tomatoes, orange juice and citrus foods, as they may cause discomfort.

ABOVE ALL, EAT A NUTRITIOUS DIET, WITH SOFT FOODS.

POST OPERATIVE INSTRUCTIONS

The following is a list of GENERAL INSTRUCTIONS following surgery. A more complete set of instructions specific to the procedure(s) performed for you will be provided.

These general instructions are designed to minimize your post operative discomfort and inform you of situations which can and may arise.

DO rinse, only lightly, for at least 48 hours.

DO NOT rinse aggressively for 7 days following a bone graft surgery.

DO NOT over exercise.

The hear rate will increase and thus bleeding will increase.

DO NOT SMOKE OR USE ORAL TOBACCO FOR 72 HRS.!

PIER
P Pressure LIGHT PRESSURE ON THE AREA IF BLEEDING
I ICE COLD COMPRESS ON THE AREA
E ELEVATION ELEVATE YOUR HEAD WHEN YOU LIE DOWN. 2 TO 3 PILLOWS IS SUFFICIENT.
R REST AND PLENTY OF IT!

Please notify the office if you have ANY questions. Usually a single explanation can resolve the situation and free you of worry.

POST OPERATIVE MEDICATION

  1. If an antibiotic is prescribed during treatment, you should take the medication exactly as directed on the prescription to completion.
  2. If you were sedated for surgery:
    • DO NOT drive or operate heavy equipment…
    • DO NOT work around machinery…
    • DO NOT climb ladders or work at unprotected heights for 24 hours or until the effects of sedation have gone.
  3. DO NOT consume alcoholic beverages:
    • Until the healing process is complete
  4. While you are under medication
    • DO NOT exceed the prescribed and recommended dosage.
    • Take only the medication as directed on the prescription.
    • DO NOT give any of your medication to ANY other individual.
    • DO NOT leave your medication exposed and available to children.
  5. Notify the doctor if you have any symptoms which may be related to an allergic reaction.

Please notify the office if you have ANY questions. Usually a single explanation can resolve the situation and free you of worry.

INSTRUCTIONS FOR IV SEDATION

  1. Please plan to have someone with you for 24 hours after surgery.
  2. DO NOT eat or drink for 8 hours before your surgery. Do use a small amount of water to take your prescribed medication.
  3. DO NOT wear tight fitting clothing. Wear comfortable and loose clothing, preferably short sleeved, NO tight T-shirts.
    • Bring a light weight jacket of sweater and remove ALL jewelry around the neck and ears. Please do not wear a one-piece suit or dress.
  4. DO NOT wear high heels or elevated platforms as your reflexes may be slowed and walking in them may be hazardous.
  5. DO NOT wear makeup. Cosmetics can contaminate the surgical site.
  6. ALL patients who are taking prescribed medication regularly must:
    • Know the name of the medicines they use.
    • Bring the medicines within the prescribed containers on the scheduled day of their appointment.
  7. ALL diabetics taking Insulin, should take ½ the dosage of their Insulin the morning of the dental appointment.
    • Diabetic patients taking Insulin will have early schedule priority.
  8. Patients scheduled for IV Sedation should plan to spend a minimum of two hours in the office. A portion of the time, ½ hour to 1 hour will be spent recovering from the medication.

YOU MAY NOT

  1. Leave alone. You must be accompanied by an adult.
  2. Drive or operate a vehicle or heavy equipment.
    • A blanket and pillow in the car is advisable for comfort on your return trip home.

Please notify the office if you have ANY questions. Usually a single explanation can resolve the situation and free you of worry.

POST-OP INSTRUCTIONS FOR TEMPORARY CROWNS OR BRIDGES

  1. Avoid STICKY foods, such as taffy, caramel, doughy breads, etc.
  2. Avoid chewing on that side if at all possible, especially heavy chewing as in peanuts, hard candy, popcorn kernels, etc.
  3. DO NOT FLOSS THE AREA! Pulling on the floss could remove or loosen the temporary.
  4. DO BRUSH THE AREA TO KEEP IT CLEAN IN YOUR USUAL MANNER! This is to keep the area clean and care for the natural teeth and gums. Your teeth may be more sensitive to cold and brushing, but still require proper care.
  5. IF THE TEMPORARY LOOSENS, rinse it off and return it to the prepared teeth or store in a safe place and contact the office for an appointment to have it recemented.
    • A temporary is just as seated- it does not in any way resemble the final restoration in color, shape or fit. It is only temporary.
    • If your gums become tender while in a temporary, use extra to brush (massage) the gums and rinse with warm water.

Please notify the office if you have ANY questions. Usually a single explanation can resolve the situation and free you of worry.

BONE GRAFT

DO NOT rinse or spit aggressively for 7 days.

DO NOT apply pressure with your tongue or fingers.

The material is movable during the initial healing.

DO NOT lift or pull on lip to look at sutures (stitches).

This can cause undue pressure and tear the sutures.

  • You may expect to find small granules in your mouth for the first several days.

NOTIFY THE OFFICE IF

  1. A suture falls out within the first three days.
  2. If a bandage that has been placed should loosen within the first three days.
  3. If a large amount of granules are lost from the surgical site.
  4. If your medications DO NOT relive your discomfort.

SINUS ELEVATION

  1. DO NOT below your nose, or “sniff” for 2 weeks following surgery.
  2. DO NOT smoke or use smokeless tobacco.
  3. DO NOT take in liquids through a straw.
  4. DO NOT lift or pull on lip to look at sutures (stitches).
  5. If you must sneeze, do so with your mouth OPEN to avoid ANY unnecessary pressure on the sinus area.
  6. Take your medication as directed, including the use of nasal spray.
  7. You may be aware of small granules in your mouth for the next few days. This is NOT unusual.

NOTIFY THE OFFICE IF

  • You feel granules in your nose.
  • Your medications DO NOT relieve your discomfort.

ENDOSTEAL IMPLANT

FOLLOW THE GENERAL INSTRUCTIONS

  • Sensitivity to cold on the natural teeth can occur, and will disappear gradually with time.
  • Avoid ice, ice cream, cold drinks, and solids, if they are causing this discomfort.
  • Swelling is to be expected.
  • Increased Vitamin C intake to 1000 – 2000 mg. per day to aid healing. Take 500 mg. 2-4 times daily.
  1. DO NOT apply pressure to the implant with your tongue or fingers.
  2. DO NOT eat sticky or hard foods.

NOTIFY THE OFFICE IF

  • Numbness persists after initial day of surgery.
  • Bleeding has NOT decreased after three days.
  • The temporary becomes loose or fractures.
  • Pain increases after several days.
  • The implant becomes loose.

MUCOSAL INSERTS

PATIENT POST-OPERATIVE CARE & INSTRUCTIONS

  1. Leave the upper denture in place until the next appointment: One to three weeks.
  2. Take the prescriptions as directed.
  3. Take 250 mg. Vitamin C four times daily.
  4. Rinse with 50% diluted mouthwash and cold water every hour the first day and every four hours the following day.
  5. Brush the denture while in your mouth with a soft toothbrush and mild toothpaste two times daily.
  6. Make sure the denture remains completely seated or in place until your next appointment.

NOTIFY THE OFFICE IF

  • The denture is loosened.
  • The medication DOES NOT relieve the discomfort.

AFTER THE FINAL HEALING

  1. Remove as directed.
  2. Brush the tissue surface of the denture with a toothbrush.
  3. Brush the gums and roof of your mouth with a toothbrush.
  4. If the denture remains in place for longer than one day, brush the denture in your mouth with a soft toothbrush and mild toothpaste two times daily.
  5. If ANY problems or questions develop, contact the office immediately.

SUBPERIOSTEAL IMPLANT

FIRST STAGE

  • DO NOT lift or pull on lip to look at sutures (stitches).
  • This can cause undue pressure and tear the sutures.

EXPECT

  1. Some swelling for up to several weeks.
  2. Tingling or numbness usually accompanies swelling.
  3. Tenderness especially around the chin area.

DIETARY

  1. Maintain a soft, high protein diet.
  2. Increased Vitamin C intake to 1000-2000mg. per day to aid healing. Take 500 mg. 2-4 times daily, or use timed release pills.

MAINTAIN

  1. Follow your General Instructions.
  2. Apply ointment to your lips as needed.

NOTIFY THE OFFICE IF

  • The sutures (stitches) become loose before the third day.
  • Your medication DOES NOT relieve your discomfort.
  • Bleeding increase after ALL measures have been taken to slow the bleeding.
  • ANYTHING unusual occurs.

INSERTION

DO NOT attempt to remove the temporary.

DO NOT lift or pull on lip to look at sutures (stitches).

This can cause undue pressure and tear the sutures.

EXPECT

  1. Some swelling for up to several weeks.
  2. Tingling or numbness usually accompanies the swelling.

DIETARY

  1. Maintain a soft, high protein diet.
  2. Increased Vitamin C intake to 1000-2000 mg. per day to aid healing. Take 500 mg. 2-4 times daily, or use time release pills.

MAINTAIN

  1. Follow your General Instructions.
  2. Brush and clean as soon as possible with a SOFT toothbrush.
  3. Apply ointment to your lips as needed.

NOTIFY THE OFFICE IF

  • The sutures (stitches) become loose before the third day.
  • You medication DOES NOT relieve your discomfort.
  • Bleeding increases after ALL measures have been taken to slow the bleeding.
  • ANYTHING unusual occurs.