After Placement of Dental Implants
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 moist 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, or a plastic bag, or towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as much as possible, for the first 72 hours.
Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.
You should begin taking pain medication as soon as you can following the surgery before the local anesthetic wears off. Pain medication should be taken on a full stomach. For moderate pain, 3-4 tablets of Ibuprofen (Advil or Motrin) may be taken every 4 hours as needed for pain. Ibuprofen comes over the counter in 200mg tablets. The maximum dosage is 3200mg in a 24 hour period. You may also take 1-2 tablets of Tylenol or Extra Strength Tylenol every 4 hours. The maximum dosage is 4000mg in a 24 hour period. You may not take over the counter Tylenol products if you are also taking a prescription medication that contains Tylenol (Acetaminophen) such as Hydrocodone (Vicodin, Lortab) or Oxycodone (Percocet). You may take Ibuprofen in conjuction with Vicodin if needed.
For severe pain, take the tablets prescribed as directed. The prescribed pain medicine will make you groggy and will slow down your reflexes. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.
If prescribed antibiotics be sure to take as directed to help prevent infection.
Good oral hygiene is essential to good healing. After surgery, rinse with diluted Listerine 1 part Listerine 4 parts water .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. Be gentle initially with brushing the surgical areas. Do not use an electric toothbrush in the area of the implant surgical site until the crown has been placed for it may loosen the implant.
Do not smoke for a least 48 hours following surgery.
This may be caused by swallowing blood or taking pain pills on an empty stomach. For relief, Coke, ginger ale, 7-UP, etc. may be sipped slowly every hour for 6 hours. If these are tolerated, tea, clear soup, crackers or bland foods may then be taken. If nausea persists discontinue the pain medication prescribed and substitute plain Tylenol or Aspirin. Also avoid taking medication without having some food in your stomach.
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.