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 or plastic 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 the bleeding 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, a plastic bag, or a towel filled with ice on the cheek in the area of surgery. Apply the ice 20 minutes on/20 minutes off as much as possible for the first 24 hours.
  • Drink plenty of fluids. Soft food and liquids should be eaten on the day of surgery. Avoid hot liquids or food. 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, 1-2 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 3-4 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.
  • Be sure to take the prescribed antibiotics as directed to help prevent infection. Simply follow the instructions on the label.
  • Good oral hygiene is essential to good healing. You should use the prescribed Peridex oral rinse before bed on the day of surgery. 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 before spitting 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. Just be gentle initially with brushing the surgical areas.
  • Keep physical activities to a minimum immediately following surgery. If you exercise, throbbing or bleeding may occur. If this occurs, you should stop exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.
  • Partial dentures, flippers, or full dentures may be worn immediately after surgery according to the instructions of the doctor. If the appliance causes significant discomfort in the surgical area, it may be placing excess pressure on the surgical site and should not be worn until you talk with the doctor to advise him of the problem.