Implant Placement Post-Operative Instructions

  • Bleeding – Some oozing of blood from the implant placement site is normal during the first 24 hours, so do not be surprised if you notice pink in your saliva. Firm pressure held on the surgical area will aid in clotting. If you need to use the gauze provided in your post-op bag, slightly wet it before applying it over the wound. Keep firm pressure on the gauze for 20-30 minutes at each application. Don’t rinse your mouth for the first 24 hours as disruptions of the clotting may occur.  If continuous or excessive bleeding occurs for several hours after the operation, please call the office.
  • Pain Management and Medication – You may have moderate discomfort after the anesthesia wears off. Most discomfort can be controlled with over the counter anti-inflammatory medications. The combination of Advil (ibuprofen) 600mg and Extra Strength Tylenol (acetaminophen) 1,000mg can be taken every 6 hours as needed for pain management.  A prescription for a stronger narcotic may be written for you if necessary and should be used as directed only as long as your discomfort requires you to take it.
  • Antibiotics – If we have prescribed an antibiotic for you, please take the entire antibiotic per the directions. Antibiotics have to be in your system for a specified amount of time to be successful. If you don’t complete the prescription, resistant bacteria can potentially develop. Please supplement with a quality probiotic while taking systemic antibiotic prescriptions.
  • Swelling and Bruising – Swelling after implant placement is not uncommon. To minimize swelling, place an ice pack on the cheek of the area where the surgery was performed as soon as possible and keep it in place for 20 minutes on and 20 minutes off. Continue ice usage 2-3 times a day for the first 24 hours to keep swelling and bruising at a minimum. Swelling and discomfort tend to peak 48-72 hours after surgery. Some patients tend to bruise on the  cheek adjacent to the surgical area, this is not abnormal. If swelling or bruising persist and are concerning, please let us know.
  • Oral Hygiene – Meticulous oral hygiene should be continued in all areas of your mouth, though the use of dental products (brushes, Sonicare, Waterpik, etc) in the area/s where the surgery occurred should be avoided.  If a soft bristled tooth brush was provided in your post op material, use this to brush the teeth around the surgery site and avoid disturbing the surgical area itself until your post-op appointment. DO NOT PULL ON SUTURES, YOUR CHEEKS, OR LIPS AROUND THE SURGICAL AREA. Beginning the day after surgery, gently rinse twice a day for one week with warm salt water (1 tsp. salt to 8 oz. water). If we provided you a rinse product in your post-op material, you may use it in place of or in addition to warm salt water rinses. Rinsing helps flush out the debris which can collect around the surgical area and lowers the risk of complications after the procedure. If a bone graft was placed today, you may occasionally notice small, hard, white particles in your mouth for the next several days. This is normal and not concerning. A cover screw or healing cap was placed over the implant today; if it begins to feel loose or raised, please let us know.
  • Activity and Nutrition – Relax and take it easy. You just had surgery, be kind to yourself.  Vigorous exercise and heavy lifting are discouraged for the first 3 days after surgery. Maintaining a nutritious diet after surgery is very important for the healing process.
    DO NOT SMOKE – Smoking delays healing, increases discomfort, and may encourage bleeding and infection in the surgical site. Please refrain from smoking after your surgery for as long as possible.