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Post-Operative Care Instructions

Post-Operative Care for Implant Care Surgery

A dental implant has just been placed in your mouth.  The implant is located in the bone, under the tissue & usually cannot be seen.  The implant will remain submerged for a period of 4 to 6 months, depending upon your body’s healing properties & the type of implant placed.  NEVER USE A WATER PICK NEAR YOUR IMPLANT, EVEN AFTER WORK IS FINISHED.  IT CAN CAUSE THE IMPLANT TO FAIL.

  • IF I.V. medication has been given to you, you are not allowed to drive a vehicle or operate heavy machinery for 24 hours following. It is advised to have someone with you during that time period, or until your sedation completely wears off
  • 2 weeks following your surgery, you will need to have your sutures out and be examined by the doctor.
  • If you wear a partial, denture, flipper or essay retainer – you may take it out to brush, eat, use the surgical red brush or use salt water rinse.  Keep the appliance as clean as possible at all times, you may soak it in Efferent cleaner, brush it lightly and rinse it regularly.  However, you will need to wear it during the night while you’re sleeping on the very first night of the day you had surgery.  After the very first night of wearing your appliance, you should take it every night after that, it will help the tissue to heal (unless you have been directed otherwise).
    1. No smoking at all!  You can’t be around anyone who does for 3 days. Smoke, nicotine & heat slow down your healing time and can cause the implant(s) to fail.
    2. No alcohol to drink for 30 hours after your surgery.  We also advise not to use rinses with alcohol in it, as it will dry out the tissues and prevent healing.
    3. Salt water – you will do salt water rinses 3 to 4 times daily for two weeks after surgery – 1/2 teaspoon to a 6 ounce glass of warm water (be very gentle when doing so – holdout the side of your mouth and tilt your head side to side vs. rinsing.  Lean over the sink and let the water fall out. Do not spit.
    4. Red Brush – use the red brush on the sutures within 24 hours of the surgery, 3 to 4 times a day for two weeks.  You need to keep sutures clean (no white stuff on sutures). Doing this properly will help stimulate the tissue, promoting tissue to heal.  It will not harm the sutures in any way.  You can also dip the brush into salt water.
    5. Antibiotics: I.V. sedated patients have received an antibiotic through the I.V. line.  You may be given a follow up antibiotic to take.  You will start that antibiotic the day after surgery in the morning.
    6. Antibiotics: If an antibiotic has been prescribed for you today, it is extremely important that it is taken until gone.  Should you develop hives, rash, itching or difficulty breathing, PLEASE STOP THE MEDICATION AND CALL OUR OFFICE, YOUR DOCTOR, AND GO TO THE NEAREST EMERGENCY ROOM.
    7. Please follow prescriptions given to you prior and after your surgery.
    8. Pain: A certain amount of pain is to be expected with all types of surgery.  A pain medication has been prescribed to you, take it as directed.  It is advised that you do not drive or operate heavy machinery while taking the medication.
    9. Motrin/Ibuprofen/Advil: These are all the same type of medication.  Please take 600mg every 4 to 6 hours following your surgery for 3 days. This type of medication is not only for pain but is an anti-inflammatory as well, which will help with swelling.  If you are not able to take this type of medication, take Tylenol Extra Strength 400mg every 4 to 6 hours for 3 days.
    10. Swelling:  Some swelling is to be expected and possible bruising may occur and is not unusual. In most cases swelling can be prevented or controlled.  Please use an ICE PACK – applied to the outside of your face on the side of the surgery for 20 MINUTES ON AND 20 MINUTES OFF FOLLOWING YOUR PROCEDURE.  It is best to use the ice pack for 24 to 48 hours, following your surgery.  If after 3 days you still have swelling or pain, please call our office. IF URGENT and it is after hours, call our office and a doctor will provide you with help. If not, please leave a message and we will return your call promptly.
    11. Bleeding:  You will experience a small amount of bleeding and this is normal.  If it is excessive (blood filling your entire mouth within seconds) please call our office.
    13. Diet: Soft cold things are ok right away such as: Jello, pudding, yogurt, milk shake, ice cream, frosty, carnation breakfast or Ensure. Nothing hot the day of surgery, but you may have warm and soft food such as, mashed potatoes, eggs, soup, broth or soft noodles.  Avoid chewing on the implant site until the doctor or staff informs you that it is ok to do so.  You may have other foods days following that are normal, although it is up to you personally can tolerate, just no chips, nuts or anything sharp or chewy lie gum or hard bread.
Post-Operative Care for Sinus Elevation & Bone Grafting

A bone grafting procedure(s) has just been completed for you. Sutures have been placed to hold the tissues together during healing. Two weeks after surgery the sutures will be removed and you will be examined by the doctor.

If I.V. medication has been given, you cannot drive a car for the remainder of the day. It is advised that you have someone remain with you until your sedated condition wears off.

Usually you are able to continue wearing your present partial or flipper. Sometimes it is necessary to leave it in the night of surgery. It is important to keep the appliance as clean as possible during the healing period. You may need to use denture adhesive to hold your partial or denture in place during healing. Avoid placing adhesive directly on the suture line.

Every consideration must be given to keep the surgical site clean and free of food particles. The following are instructions for you mouth care after surgery:

  1. NO SMOKING. Smoking is to be avoided for the time specified by our dentists since it increases the heat in the surgical area and significantly lowers the body’s ability to heal the site.
  2. Avoid alcohol, commercial mouth rinses and very hot fluids and foods for 30 hours after your surgery. Room temperature to cold is adequate. Anything that is cooked must be allowed to cool down.
  3. Rinsing: Gentle rinsing of the mouth should be started the day of surgery.  Frequent gentle rinsing with lukewarm saltwater will aid the healing process and maintain cleanliness. Add 1/2 teaspoon of salt to a 6 ounce glass of water. Avoid use of a Water Pik.
  4. Ultra-Soft Brush: Please begin using the red brush 24 hours after your surgery to cleanse and stimulate the tissue. It will not harm the sutures. Dip the brush into the saltwater rinse and brush directly on the surgical site. Sutures should be brushed at least twice daily.
  5. Antibiotics:
    • I.V. sedated patients have received an appropriate antibiotic through their I.V. line. You may be given a follow-up antibiotic prescription. Please take as directed.
    • Patients who have not had I.V. sedation should follow the directions on the prescription given to them prior to surgery.
    • If an appropriate antibiotic has been prescribed for you today, it is very important that the prescription is filed and taken as directed. PLEASE TAKE THE TABLETS/CAPSULES UNTIL ALL ARE USED. Should you develop hives, itching, skin rash or difficulty breathing, stop the medication and call the doctor immediately or proceed to your nearest hospital emergency room.
  6. Pain: A certain amount of pain must be expected with all types of surgery. An appropriate pain medication has been prescribed for you. Please take it according to the instructions. It is advised that you do not drive while taking the pain prescription. However, if only Motrin is needed, most people are able to drive without any problem.
  7. Use the Neo-Synephrine nose spray as directed. 2-3 sprays per nostril every 12 hours for the next 4 days.
  8. Swelling: Some swelling and possible minimal bruising is to be expected and is not unusual. In most instances, swelling can be prevented or controlled.  Apply the ice pack that has been given to you for a period of 20 minutes on and 20 minutes off during the day for the next two days. The application of the ice to the outside of the face over the surgical area will minimize swelling. If after three days you still have inordinate swelling or pain, please call the office.
  9. Bleeding: A small amount of bleeding following surgery should not alarm you.  If the bleeding is excessive or continuous, please call us at once. Vigorous rinsing of the mouth prolongs bleeding by removing the clotting blood, so when rinsing your mouth, do it gentle. Nose bleeding for 1-2 days following sinus elevation can be expected. Nose bleeding for longer than 2 days would be out of the ordinary and you should call Dr. Heller.
  10. Blowing nose: DO NOT blow your nose, just wipe. If necessary, blow very gently with both nostrils open. If you need to sneeze, do not hold it in, but sneeze with your mouth open.
  11. DO NOT spit, gargle or suck on a straw for 24 hours following your surgery.  This tends to loosen the sutures/blood clots.

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