After Placement of Dental Implants
The proper care of surgical sites by the patient will hasten recovery and possibly prevent complications.
Please review the following recommendations.
Diet: Fluids are encouraged as soon as tolerated, but avoid hot liquids, such as coffee, until the numbness has resolved. Soft and solid foods are permitted as tolerated.
Hygiene: Avoid rinsing the mouth the first day. On day two brush unaffected areas as usual and rinse the surgical site with either prescribed mouthwash (Peridex twice daily) or warm water every 4 hours. If your surgeon placed a healing abutment at the time of surgery then you may brush it as you would a tooth. Your customary mouthwash is acceptable, but may cause pain if it contains alcohol. This can be diluted with water to reduce discomfort.
Pain: Pain is expected after surgery and usually reaches its peak in the first 1-2 days after surgery. Pain can be quite severe following surgery. Take your first dose of pain medications before the local anesthetic wears off. It is recommended to take the prescribed pain medication on schedule at least for the first four days, even if you feel you may not need it. It is easier to control pain by treating it before it becomes severe, rather than trying to “catch up” with the medication after it becomes severe. Begin by taking Acetaminophen which is then repeated every six hours. Three hours after your dose of Acetaminophen, take Ibuprofen which is repeated every six hours. With this routine you should be taking a pain medication every three hours. Use your opioid medication (Oxycodone, Vicodin) only if you absolutely must. Many pain medications will cause nausea or vomiting as side effect, especially if taken on an empty stomach, thus always take your medication with a meal. Post operative pain usually starts to improve on the 3rd or 4th day after surgery. If your pain persists at a severe level on the 4th or 5th day after surgery, then you may have a complication called “dry socket”. This is easy to treat, but you must make your doctor aware of the problem. Please call the office for assistance.
Antibiotics: Antibiotics are usually prescribed after implant surgery and should be taken as directed. Do take your antibiotics as directed with a meal. Take your antibiotics for the full duration as prescribed. If you experience side effects from your antibiotics such as diarrhea, rash, itchiness, hives then call the office immediately for assistance.
If you had a sinus lift procedure as part of your implant surgery then it is recommended to avoid vigorous nose blowing for 2-3 weeks following surgery. The use of straws during this time is also discouraged.
Swelling: After surgery, swelling is normal and expected. Peak swelling normally occurs 48-72 hours after surgery and then gradually subsides. To minimize swelling, apply ice to the face, as much as possible during the first 48 hours, after which application of heat will enhance resolution of swelling. Staying upright also helps with swelling, so when lying in bed use an extra pillow under your head to elevate it.
Bleeding: The surgical site may continue to bleed or ooze slightly for a day or two. This is generally no cause for alarm. If severe bleeding occurs, the place a folded gauze directly on the site and apply firm pressure for 30 minutes. If this is unsuccessful, then apply a moistened tea bag in the same manner for 30 minutes. If this fails then call the office for assistance. Avoid frequent gauze changes as this may actually encourage bleeding. Limit vigorous physical activity for the first 48 hours after surgery as this may encourage bleeding.
Nausea: Occasionally patient will experience nausea. This is usually due to prescription pain medication. Taking your pain medication with meals can reduce the chance of this. If nausea persists, then eating a bland diet (toast, bananas, rice, and applesauce) can help. Drinking ginger ale is also helpful. If you are able to reduce the amount of pain medication you are taking this may also help. If your nausea persists in spite of these measures then you should call the office for assistance.
Activity: Avoid vigorous physical activity during the first 48 hours as this will be uncomfortable and may cause bleeding. Rest is encouraged at first. After the first 48 hours activity may be pursued as tolerated.
Sutures: Sutures may or may not be used for your surgery. Resorbable sutures which fall out in 5-7 days are normally employed for your procedure. In some cases non resorbable sutured are placed and do need to be removed, usually two weeks after the procedure. If they come loose early, it is usually not a problem as a redundant amount is usually placed. If a suture comes loose and is dangling in the mouth causing discomfort, then please call the office for assistance.
Opioid medication refills are rarely required and generally discouraged. Any refill requests for controlled substances must be made during office hours.