After Placement of Dental Implants
Do not disturb the wound. Avoid vigorous rinsing, spitting, or touching the wound on the day of surgery. Theremay 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. Additionally, tea bags can be moistened with cold water and utilized for direct pressure. There is tannic acid in tea which should aid in promoting clot formation. 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 for no longer that twenty (20) minutes continuously.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten post operatively on the day of surgery. Pasta, Macaroni and Cheese etc are ideas. Return to a normal diet as soon as possible unless otherwise directed.
You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 4-6 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it. NEVER drive or operate machinery after taking narcotic pain medicine.
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 Chlorhexadine / Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used at least twice daily, after breakfast and before bed. Be sure to gently rinse/soak the areafor at least 30 seconds then very gently spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water)may be used as an adjunct, as well, especially after meals. Brushing your teeth around 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 if possible. This was discussed in the pre-operative consultation. For specific questions or instances please contact Dr DeSantis.