Dental Implants
- Dr. Sun has given you a prescription rinse containing chlorhexidine, an antibacterial
medicine to assist in the healing and keep the site healthy. Make sure that
you get rid of any toothpaste residue prior to rinsing and then DO NOT eat or drink
for 30 minutes after rinsing. This will maximize the potency of the medication.
- If you have had Vicryl sutures, they may need to be removed after healing.
They are white strings which may see in your mouth. If they become loose and annoying,
call the office to have them removed at your earliest convenience. Do not
try to remove them yourself. If you have not had Vicryl sutures, you will
have had dissolvable ones which will disappear.
- Some degree of discomfort and pain arises a numbness subsides. At the first
sign of pain or discomfort, take the prescribed medications. As an alternative you
may take 2-4 Advil. If you cannot take aspirin products, then take two Tylenol.
If the pain you are having, is not controlled by the Advil or "Advil-like"
medication, you may take the prescribed severe pain medicine [typically Vicodin
ES], but only after eating some food. Any pain medications can cause nausea and
vomiting. It is very important that you have some food in your stomach before you
take them.
- DO NOT DISTURB THE AREA OF SURGERY. Allowing the tissues to rest undisturbed assists
the healing process. Avoid vigorous chewing, excessive spitting, or aggressive rinsing.
If you routinely use a Water Pik, avoid doing so during the healing phase. Initial
healing may be delayed, active bleeding restarted, or infection introduced.
- Expect minor bleeding or oozing. If bleeding persists, continue pressure on a fresh
sponge for an additional 30 minutes to an hour. Biting on a moist teabag wrapped
in gauze may help control persistent oozing from the surgical site. Tea contains
tannic acid, which helps promote blood clotting.
- Firm pressure for 15-30 minutes usually controls the problem. If you check
too frequently, (every few minutes), the blood clot will not form properly and bleeding
will continue. Should active bleeding persist, Please call the office or page the
doctor.
- LIMIT PHYSICAL ACTIVITY during the first 24-48 hours after surgery. Over exertion
may lead to postoperative bleeding and discomfort. When you lie down keep your head
elevated on a pillow. You may wish to place a towel on your pillowcase to avoid
staining from any blood-tainted saliva
- PAIN FOLLOWING ORAL SURGERY may be most severe within the first 6-8 hours
after the operation. Please do not drink alcoholic beverages while taking prescription
medication. Do not wait for the pain to become unbearable before using some form
of pain medication, as then it will be more difficult to control. Moderate to severe
pain usually does not last longer than 48 hours. And mild discomfort usually diminishes
after the third day. Please contact us if you experience prolonged severe pain so
that we can help make you more comfortable.
- SWELLING RELATED TO THE SURGICAL PROCEDURE may occur following certain types of
procedures. An ice pack should be placed on the side of your face for 20 minutes
then taken off for 10 minutes and repeated. Anti-inflammatory medications, such
as Advil, also help decrease swelling.
- FLUID INTAKE IS IMPORTANT. Clear beverages, ginger ale, Seven-up, or Sprite, water,
teas, soda, broth, soups, or juices are all suitable. Avoid hot liquids until the
numbness has worn off, and the bleeding has stopped. Drink plenty of fluids.
AVOID USING A STRAW FOR SEVERAL DAYS. It may dislodge the blood clot and delay healing.
- FOOD SELECTION. Soft, cool foods are most easily tolerated. A nutritious diet is
most important to your comfort and temperament. Remember that eating can prevent
nausea sometimes associated with certain medications. Supplements such as Ensure,
Carnation Instant Breakfast and/or yogurt supply excellent added nutrition.
- * DO NOT EAT ANY POPCORN, POPPY SEEDS, SESAME SEEDS OR SEEDED FRUITS. THEY CAN GET
STUCK AND CAUSE INFECTION!
- Take any special medication we have prescribed on the special dosing schedule. Yogurt
with active cultures or acidophilus should be taken while on antibiotics to prevent
diarrhea. It is important to take the antibiotics to completion. If you are given
antibiotics and take birth control pills, you should be aware that the birth control
may become ineffective, therefore take appropriate precautions.
- Take any regularly scheduled medication (for diabetes, high blood pressure, etc.)
on your regular schedule unless advised to do otherwise.
- AVOID SMOKING COMPLETELY, as it tends to delay healing and interfere with regeneration
THE DAY FOLLOWING SURGERY AND THEREAFTER
On the day following the surgery, rinse your mouth carefully with 1/2 teaspoon of
salt to a large glass of warm water. Repeat three times a day until remaining soreness
subsides. Please do not use a syringe or water pik during the healing phase.
ANY SWELLING, SORENESS OR STIFFNESS IN THE JAW MUSCLES can be relieved by applying
a warm moist towel to the affected side of the face. Sometimes a soft diet
may be necessary for the first few days following surgery. Most patients are able
to resume regular food intake within a short time.
Bruising marks may appear on the skin of the face during the first few days after
surgery. Should any undue reaction or complications arise, notify the office
immediately and remember to always leave a voice message with your name, number
and where you can be reached.
We will endeavor to get to emergency calls as promptly as possible. If you are experiencing
an emergency, go to the nearest hospital emergency room.
- Warm salt water rinses should continue twice daily for the next two weeks
with one teaspoon of salt per 8 ounces of water.
- If antibiotics are part of your post operative instructions, it is essential that
you take them as prescribed, on time, every time, with no skipping doses. If you
experience an adverse reaction to your medication, call the office immediately.
- It is also recommended that you use an ice pack on the side of your face and the
sides of your jaws for the first 48 hours after surgery. Try to do this around the
clock as much as possible.
- It is important that you maintain a high protein diet throughout the first part
of the postoperative phase. Foods that are a good source of protein are eggs, soup,
cottage cheese, milk products, and lean ground beef.
- The blender may be used to chop up foods. Food supplements, such as Meritene or
Nutrament are available at pharmacies. A fairly soft diet should be maintained for
several months following surgery while the implant area heals. Avoid all foods that
are hard or crusty.
- Avoid using a Water Pik and do not play with the implant with your tongue. This
will only traumatize the implant area. Also, avoid any food that is hard or crusty,
and avoid using a Water Pik.
- We recommend you include a daily vitamin supplements. Any good
multi-vitamin with a minimum of 1000 mg of Vitamin C will work.
- If upper posterior implants were placed, we instruct patients to avoid blowing the
nose during the first two weeks of the postoperative period. Otherwise, infection
can set in.
- Any dental implant patient who suspects he or she is getting an infection during
the postoperative phase is advised to contact us immediately.
- If no signs of infection show up, the patient should return in two weeks for suture
removal and postoperative evaluation.
- The remainder of the healing process can take up to six months from the time the
dental implant is placed. You may have to wear a temporary prosthesis
and make periodic adjustments to make sure it fits and works correctly.
- When the permanent prosthesis is made, we will give you instructions on cleaning
the implant and keeping it in optimal health with periodic visits to our office