After Placement of Dental Implants

**NOTICE**

These are general instructions for post-operative care. You may require more specific care instructions after your procedure. Sometimes the after-effects of oral surgery are quite minimal, so not all of the instructions may apply.  Common sense will often dictate what you should do.  Please call our office if you have any questions or concerns. We have 24/7 coverage.  Our number is: (404)252-5626. 

HOME CARE INFORMATION FOLLOWING ORAL IMPLANT SURGERY Robert M. Fryer, DDS, PC

(404)252-5626

We want your oral surgery experience to be as pleasant as possible. The following information is meant to assist you in having a comfortable post-operative course.

Diet:  Full Liquids to Soft Foods

We suggest you eat as soon as you arrive home. Examples of foods allowed include ice cream, yogurt, milkshakes, puddings, mashed potatoes, soups, pasta; foods that do not require chewing.

Caution: Check temperature of hot foods while numb to avoid burning your mouth.

Avoid:  Hard or spicy foods. Avoid: Drinking with strawsDO NOT CHEW OR PLACE PRESSURE OVER YOUR IMPLANT SITE(s) until cleared by Dr. Fryer. It is requested that you leave your prosthesis out unless cleared by Dr. Fryer.

Medications: You have been given prescriptions which may include pain medication, antibiotics, anti-swelling medication and other medication as may be indicated for you. It is important to start antibiotics immediately. Eat as soon as you arrive home and then take the first dose of medications. Antibiotics are given to prevent infection in most cases and need to be taken around the clock for maximum protection.  Set your alarm clock to take antibiotics at night.  We suggest you take the first dose of pain medication immediately after eating before the numbing medication wears off; then only as needed for pain.

Avoid: Drinking alcohol until cleared by Dr. Fryer while taking pain medication and antibiotics. Avoid: Driving while taking narcotic pain medications.

Antibiotics: May render birth control pills ineffective.

A mild laxative such as milk of magnesia may be necessary if pain medication causes constipation.

Bleeding: Bleeding should be minimal by the time you leave the office. You have received gauze from us. Bite on the gauze GENTLY for at least 1 hour following surgery. Remove gauze after this if not oozing. If you are oozing more than you think is normal, bite on gauze firmly or moisten a tea bag and bite on the tea bag for 30 minutes to assist clot formation.

Swelling: Swelling is common following oral surgery. Swelling peaks 48 hours after surgery and then decreases.  Keep your head elevated for 24-36 hours after surgery.  Use ice the first 2 days following surgery.  On the 3rd day, use moist heat (example:  warm wash cloth with hot water bottle to keep cloth warm).

Tightness of Jaw Muscles:  May cause difficulty in opening the mouth.  This should disappear within 7 days.  As soon as comfort level allows, you should try opening your mouth.  You will not harm the area of surgery.

Nausea: Nausea may occur after surgery. Frequently, nausea is caused by not enough food in your stomach before taking medications. We suggest you eat before each dose of pain medication. If nausea / vomiting occurs, stop medication and try sips of Coke or Sprite/7-Up until nausea subsides, then eat.  Wait 30-45 minutes then resume medication.  If nausea persists, please call the office.  Anti-nausea medication may be indicated.

Bruising: Bruising occurs occasionally. The discoloration occurs due to some bleeding into the tissues and will resolve by itself.

Stitches: Stitches may be the type that will come out on their own in 2 to 3 weeks. If they are bothersome, Dr. Fryer will remove at post-op visits.

Smoking: It is not recommended for patients with implants. Optimum success of implants depends on good oxygenation of gum tissues.

Oral Hygiene: Good oral hygiene is essential with implants. A prescription mouthwash will be prescribed if indicated and should be applied with a Q-tip 2-3 times daily. Starting the day after surgery, rinse your mouth with warm salt water (1 tsp. salt to 8 oz. water) after each meal. Do NOT swish vigorously.   You may brush your teeth, being careful in the surgical areas.  Some oozing may occur with brushing.  You may want to use a cotton-tipped applicator to clean the surgical area(s).  We have given you a syringe to rinse areas starting 48 hours after surgery.  Keep lips, corners of mouth moist with creams or lotions.  In the event you have an implant that shows through the gum, keep the implant(s) cleaned with Q-tip.  Uncovered implants properly cleaned will shine. 

Activity: We suggest no vigorous activity for five days. You may return to work/school when you feel like it.  For patients who have had intravenous sedation, weakness, faintness and or lightheadedness may occur.  It is best to position the sedated patient with a pillow under their head for 24 hours.  Assist the sedated patient when up and until fully alert.

We also advise that you not drive any machinery or automobile for 24 hours following surgery if taking narcotics or if sedated for the procedure.

When Should I Call The Office? Please call the office if you are experiencing any unusual discomfort,  swelling, persistent bleeding 12 hours after surgery,  elevated temperature, or if your prescribed medications are causing  any unusual side-effects (such as: rash,  nausea, vomiting, or diarrhea).

We are available for you on a 24 hour basis if you need us.