Instructions for Patients Receiving Implants

It is essential for the early healing process of dental implants that the following directions are observed during the first two weeks after your operation.

  1. Do not disturb the surgical sites: In doing so you may invite irritation, infection & bleeding. No brushing or eating directly over the surgical sites.
  2. Bleeding: KEEP HEAD ELEVATED AT ALL TIMES even while you sleep. Moisten the gauze to prevent it from sticking to the surgical site. Bite down by applying slight pressure and then remove the gauze every 20-30 minutes until bleeding stops. SPOTTING of blood is normal for the first 24 hours. If bleeding is extremely heavy and is not slowing down with pressure, please call the office. DO NOT EAT, DRINK, OR SLEEP WITH GAUZE IN YOUR MOUTH AS IT CAN BE A CHOKING HAZARD.
  3. Sinus Graft (if applicable): If a sinus graft has been placed, it is essential that there is no movement of the sinus membrane. Avoid blowing your nose, and if “stuffiness” occurs, utilize an over the counter nasal decongestant for 10 days to avoid sneezing. If you must sneeze, do not use your fingers and pinch your nose or you will get back pressure into your sinus.
  4. Home Care: Do not swish aggressively for the first 24-48 hours following surgery. It is very important to maintain the blood clot over the healing site and swishing will disrupt it. Use the prescription mouth rinse (Periogard) or warm salt water to do head tilt rolls as instructed. Do not brush the surgical area for 1 week following surgery, we will provide you with a soft “post-op” brush to start using in the area after the 1st week. All other teeth should be brushed and flossed as usual. Rinse 2 times a day, morning and night, and do not rinse with water following Periogard. Periogard rinse WILL STAIN YOUR TEETH AND TONGUE after prolonged use (over 1 week). After 1 week of rinsing with Periogard, switch to an alcohol free OTC rinse; we recommend the “Natural Dentist”. You will notice your sutures coming loose at around 1-3 weeks and they may completely come out when you rinse.
  5. Removable partial dentures should not be worn after the surgery unless your Ueno Center doctor or your restorative dentist has made adjustments. If your partial denture has not been inserted after surgery, you should not replace it until you speak with our office. Inserting the removable partial denture too early may jeopardize the success of the implant(s) during this healing period by putting pressure on the site.
  6. Swelling: To aid in the prevention of swelling after oral surgery, ice packs should be placed at intervals of 20 minutes on and 20 minutes off externally around the surgical site. Do not place ice packs inside the mouth. Maximum swelling and bruising does occur 72 hours after surgery. Bruising can be blue, purple, green, yellow, or brown and travel down the neck or up the cheek as it heals.
  7. Antibiotics: If antibiotics are prescribed, be certain to continue taking the full course. If you develop hives or a rash, please discontinue use, take Benadryl, and call our office immediately! Antibiotics are prescribed as a precaution; however, this does not mean an infection will not occur.
  8. Rest: Get adequate rest. Strenuous activity following oral surgery can cause renewed bleeding and delayed healing for 5-7 days following extractions. The proper care following oral surgical procedures will hasten recovery and prevent complications.
  9. Smoking/Vaping: Please refrain from smoking for at least 7 days post op as this can hinder the healing. Be aware that smoking and/or alcohol use may negatively affect the short and long term success of the implant(s). There is separate paperwork regarding smoking.

**Avoid using an electric toothbrush directly over the implant site. The vibrations could potentially loosen the implant. **