After Placement of Dental Implants
Do not disturb the wound. Avoid forcefully rinsing, spitting or touching the wound on the day of surgery. There could be a metal healing cap protruding through the gingival (gum) tissue. Other times they are completely under the gum tissue.
Some bleeding or redness in the saliva is normal for the first 24 hours. Keep your head elevated slightly rather than lying flat. Vigorous rinsing and forceful spitting tend to prolong or increase bleeding. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call our office during working hours or after working hours call Dr. Greenberg’s emergency number provided to you for further instruction.
You will have a schedule provided by us on how to take your medications. This is an important part of your recovery process. Take medications with a full glass of water at room temperature. For most medications it is preferable to have food before taking. Let us know if any of the medications disagree with you in any way. Pain peaks at 48 hours, it is important to follow the pain management schedule precisely to minimize discomfort.
You should begin taking your prescribed pain medication within an hour following surgery. Dr. Greenberg usually recommends an alternating schedule between two analgesics (pain controlling) medications. You have a customized schedule on how to take your medications. Do not take any medication if you are allergic or if you have been instructed by your doctor not to take it.
Be sure to take any prescribed antibiotics as directed. Do not take any medication if you are allergic or have been instructed by your doctor not to take it. If you are childbearing age and are on birth control pills, know that antibiotics may interfere with their effectiveness. Please take additional birth control precautions if this is the case.
Good oral hygiene is essential to good healing. The night of the surgery, use the prescribed mouth rinse before bedtime. The day after surgery, the rinse should be used twice a day, after breakfast and before bed. Be sure to rinse for at least 30 seconds then expectorate. Warm salt water rinses (teaspoon of salt in a cup of warm water) can be used 4-5 times a day best after meals. This usually speeds up the healing and provides a comfortable feeling to your tissues. Brushing your teeth and the healing caps is not a problem with an utra soft hand toothbrush. Be gentle with brushing the surgical areas. Do not use your electric toothbrush until healing has progressed enough and you are advised at our office to do so.
Sutures are expected to remain in place until you return to the office for your post-op visit. It is normal for dissolvable sutures to begin to melt before your first post-op visit and we will remove the remaining sutures as soon as they are ready to come out during your post op visits. If they begin to melt, do not be concerned, you can use a cotton swab dipped in the prescribed mouth rinse to clean them gently. Be sure to gently clean food from between the teeth after meals. Let us know if you have any discomfort.
Swelling and bruising is common but comes with varying degrees depending on your procedure and post-operative care. The use of ice packs (on the day of surgery) will help diminish the swelling you would otherwise experience in the next 48-72 hours. Applying ice for 15-20 minutes followed by resting the same amount of time works very well. If you have 2 surgical sites alternate between them. Bruising may occur and is not unusual.
Drink plenty of fluids. Start with clear fluids and advance as you can tolerate them. Products like Gatorade, Boost, and Ensure are good for most patients. Advance promptly to food that is warm not hot. Stay away from spicy foods. Also avoid sharp and crunchy foods like tacos, chips, and nuts. Having food frequently and good nutrition after surgery will help your healing process.
If you had sedation for your procedure, do not plan on driving or using any type of machinery for at least 24 hours. 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 your usual nourishment. This may weaken you further and limit your ability to exercise.
Wearing your prosthesis
Paritial dentures, flippers, or full dentures can harm the surgical site if they are not fitting properly. Please let us know if that is the case and we will work with you for adjustments. In the interim do not wear them until they are fitting properly.
Tobacco and Alcohol
Tobacco and alcohol should not be used. Smoking is an irritant and will decrease the benefits to you from surgery. It also will slow down the healing process. Alcohol should not be used in combination with pain medications and it also can inhibit the effectiveness of any antibiotics prescribed. Success rate with dental implants are diminished on patients that smoke. We require patients to be smoke free before we consider placing dental implants, as the success rate greatly diminishes in smoking patients.