Implant Bone Grafting Post Operative Instructions
Implant/Bone Grafting Post Operative Instructions
It is imperative to the success of your implant integration that you follow all instructions as they have been discussed with you.
HEALING Typically the first day following surgery is the most uncomfortable. Swelling and discomfort in the implant area are not uncommon. Apply pressure to the area by biting on moist gauze. Extra gauze has been provided for you to use at home. Any sutures that were placed will resorb on their own. Refrain from pulling on lips and cheeks in an attempt to examine the surgical site, as this could lead to excess bleeding or a delay in healing. Discomfort should become less noticeable after day 3 but please keep in mind that it generally takes 4 to 6 weeks for adequate healing to take place. FOR BONE GRAFT PATIENTS. You may notice some small particles in your mouth for the first few days following the bone placement. This is common. DO NOT SPIT THE PARTICLES OUT. Doing so may interrupt the integration and healing process. Use your finger and gauze to wipe away an excess grafting material.
During the first 24 hours following the surgery it is recommended that you apply a cold compress to the outside of the face for 20 minutes “on” and 20 minutes “off”.
NO EXERCISE Heavy physical activity could elevate the blood pressure and pulse, causing an increase in bleeding. No exercising, strenuous activity or heavy lifting for 48 hours following surgery.
NO SMOKING, ALCOHOL OR CARBONATED BEVERAGES. IT IS A SCIENTIFIC FACT THAT SMOKING CAUSES DELAY IN HEALING, AS WELL AS AN INCREASED RISK OF INFECTION DEVELOPMENT. FOR THAT REASON, YOU SHOULD STOP SMOKING FOR AT LEAST 2 WEEKS FOLLOWING THE SURGERY. WE RECOMMEND THAT FOR YOUR OVERALL HEALTH, YOU QUIT SMOKING ENTIRELY. Alcohol and carbonated drinks have been known to dry out the surgical site causing pain.
NO RINSING, SPITTING OR DRINKING THROUGH A STRAW. This is most important during the first 48 hours following the implant placement. A blood clot is forming at the surgical site and any type of “suction” could dislodge it and cause bleeding. Oral hygiene is extremely important for successful healing. As the patient, you play the most important role in assuring proper healing. After the initial 48 hrs adequate rinsing can accelerate the healing process. 1 tablespoon of salt should be mixed with 8oz. of lukewarm water. Rinse gently. DO NOT swish vigorously. Rinsing should be done in the morning when you wake, after every meal, and at night before going to bed, and as often as you feel necessary. You should also use the prescribed mouth rinse (Peridex) as directed. Please continue to do so until you have been seen by the doctor for a post operative visit. Brush your teeth gingerly, particularly in the areas closest to the surgical site use a extra soft toothbrush DO NOT USE AN ELECTRIC TOOTHBRUSH UNTIL YOU ARE TOLD IT IS OKAY TO DO SO BY THE DOCTOR.
EATING AND DRINKING You should not eat or drink hot foods or beverages for at least 24 hours after surgery is completed. Hot foods and drinks can cause an increase in bleeding. Cold foods for the first day after treatment with help combat swelling as well as help control bleeding. Consuming ice cream and milkshakes in excess could result in stomach discomfort and nausea. Sorbet would be an ideal alternative. If you typically eat yogurt, then it is also an acceptable alternative (refrigerated or frozen). Warm soup, mashed potatoes and spaghetti are all also acceptable. Do not attempt to chew anything that is hard in consistency. This includes but is not limited to: tortilla chips, nuts, popcorn, granola or toasty or crusty bread. Spicy foods should also be avoided for the first week after surgery. Also try to avoid foods and beverages that are high in acidity (orange juice, grapefruits, etc). If you have any questions regarding what is appropriate to eat, please ask.
MEDICATIONS The affect of prescription medication varies greatly from person to person. Any medication in pill form takes 30 to 45 minutes to take effect. It is very important to take medicine as prescribed to ensure your comfort and prevent or treat any infection. All antibiotics should be taken as directed and until all gone, even if you start to feel better. It is very ineffective and in some instances, dangerous, to take less that directed, or to stop taking your medicine completely. Do not take aspirin or anything containing aspirin as this may cause increased bleeding. If any meds that have been prescribed are causing complications, please discontinue use and call our office immediately. Remember that the most severe pain is usually within six hours after the local anesthesia wears off. Taking the prescribed medicines before the anesthesia wears off will help combat discomfort. As time goes on, your need for medicine should decrease.
IF YOU FIND YOURSELF TAKING LARGE DOSES OF MEDICATION AT FREQUENT INTERVALS PLEASE CALL OUR OFFICE.
Important Note for Females: Antibiotics have seen shown to decrease the effectiveness of oral contraceptives. To avoid any unwanted pregnancies, it is highly recommended that you practice additional methods of birth control (i.e. condoms) until after you have taken all of the antibiotics AND have started your next menstrual cycle.
SINUS PRECAUTIONS Upper jaw oral surgery and implant placement occurs in and around the maxillary sinus cavity. To ensure the best possible scenario for optimal healing of your sinus and proper implant integration, please adhere to the following:
- No nose blowing. No closed mouth sneezing. For at least 2 weeks following the surgery, do not blow your nose or sneeze with your mouth closed or while covering your mouth. This will aid in preventing an increase in oral, nasal and sinus pressure which in turn could create an opening in the sinus or prevent an existing opening from healing properly.
- No Smoking. No smoking for at least 2 weeks. Even the smallest amount of smoking will dramatically reduce the chances of proper healing of the sinus and implant integration. It can also lead to infection, complications with the sinus and the need for additional surgery. It is imperative that you follow this rule.
- Take Medicine as Prescribed. It is crucial that you take ALL antibiotics as prescribed by the doctor. This will help prevent and/or treat any infection during the healing process.
It is our goal to make the recovery process as pleasant as possible for our patients. Following these instructions with help in assuring that the process goes as smooth as can be predicted. If you have any questions or concerns please feel free to contact our office
After Hours-please call # indicated on voicemail greeting
In the event of an emergency please call 911