Immediate Postoperative Care

Care should be taken in the immediate postoperative period to minimize contact with the implant. Aside 
from normal hygiene, it is best to completely leave the implant alone for the first 2 weeks after placement. You may want to limit foods to softer items and chew in an area away from the implant during the 10 to 12 weeks integration stage. 

Bleeding 

Minimal bleeding is expected after implant surgery. Bleeding after surgery may continue for several hours. The best way to stop bleeding is to fold 2 pieces of damp gauze over the extraction site and gently bite for 30-60 minutes making sure pressure is being applied to the extraction site. Rest quietly with your head elevated. If bleeding continues, use gauze for an additional 30 minutes. Bleeding should always be evaluated by looking directly at the surgical site. Pink or blood-tinged saliva may be seen for 2-3 days following the surgery and does not indicate a problem. 

Swelling 

Swelling is the body’s normal reaction to surgery and healing. The swelling will not become apparent until 24 hours after surgery and will not reach its peak for 2-3 days. After this time, the swelling should decrease but may persist for 7-10 days. Swelling may be minimized by the immediate use of ice packs. Apply the ice packs to the outside of the face 20 minutes on and then 20 minutes off while awake for the first 24 hours. After 48 hours, begin use of a warm, moist compress to the cheek. 

Medication / Pain

Unfortunately, most oral surgery is accompanied by some degree of discomfort. If you do not have an allergy to non-steroidal anti-inflammatory medications like Ibuprofen (Motrin, Advil) we recommend taking this prior to the local anesthetic wearing off. More severe pain may require a narcotic pain medication. Take the narcotic medication and 400mg (2 tablets / 200mg each) of Ibuprofen together every 4-6 hours as needed for pain. While taking a narcotic pain medication you may not drive or operate mechanical machinery. The prescribed pain medication will make you drowsy. Once you feel like you can stop the narcotic, use Ibuprofen and Tylenol together as needed. All medication should NOT exceed the recommended dosage. Discomfort should subside daily. If not, please call our office. 

*NOTE: If you are taking PLAVIX or COUMADIN, do NOT take Ibuprofen or Aspirin products. 

Diet 

After General anesthetic or I.V. sedation, start with liquids. While numb, patients should avoid hot liquids or foods. Patients may have applesauce, pudding, or jello. Once numbness wears off patients can progress to solid foods, chewing away from the surgical sites. 

Oral Hygiene

The best way to prevent infection and ensure healing is to keep your mouth clean. Clean your mouth thoroughly after each meal beginning the day after surgery. Use a soft bristle toothbrush and toothpaste after meals and at bedtime. Should bleeding resume after brushing, repeat the use of gauze as described above. Do not rinse your mouth the day of surgery. 

Activity 

For the first 48 hours you should rest and relax with no physical activity. After 48 hours, you may resume activity as tolerated. Healing Bad breath is common and will disappear as healing occurs. Two to three days following surgery, white, possible hard tissue may be seen in the surgical site. This signifies normal, healing tissue. It’s not unusual to see the silver healing cap appear through gum tissue following procedure.

Antibiotics

 If an antibiotic is prescribed, take the tablets or liquid as directed. Take the entire prescription until gone. Antibiotics can be given to help prevent infection. Make sure to call the office if a rash or other unfavorable reaction occurs. 

Foods to Drink and Eat While Numb AVOID carbonated beverages and hot liquids for 48 hours.

Drink: 

Water 

Juice

Ice Chips

Milkshake (no straw)

Eat:

Applesauce
Jell-O
Pudding
Popsicles Yogurt
Add Soft Foods When Numbness is Gone
Mashed Potatoes
Pasta
Eggs
Pancakes
Creamed Cereals
Soups (be careful-not too hot)
Increase Diet as Tolerated 

Other Considerations Your dentist will notify when your implant is ready for restoration; typically 15 weeks following implant placement.