After Placement of Dental Implants
Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.
Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on thebleeding wound for 30 minutes. If bleeding continues please call for further instructions.
Swelling is a normal occurrence 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 continuously, as much as possible, for the first 36 hours.
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.
It is normal for post-operative pain to increase in the first 1-2 days along with swelling which usually peaks at about 48 hours. It is also normal in the case where four third molars have been removed for some sites to hurt more than others. It is important to stay ahead of this pain and swelling by following the pain medication recommendations provided by your treating surgeon. In general, healthy teenagers or adults with no medical contraindications can manage pain by taking 600mg of ibuprofen every six hours and either one extra strength or two regular strength Tylenol every six hours. This will diminish the need to take narcotic pain prescription medication. If you pain is not managed with the above regimen, the prescription narcotic may be substituted in for the Tylenol – at no time should the prescription narcotic be taken with Tylenol. If you are taking the narcotic medication, it is important that you do not drive or operate heavy machinery. If pain or swelling persist without improvement, it may be necessary to call the office and be seen for evaluation.
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 (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem. Be gentle initially with brushing the surgical areas.
Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking 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 and for at least 10 days. This was discussed in the pre-operative consultation.
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