Dental Implants and Related Procedures - Post Surgical Instructions

Dr Terranova explains how to take care of your mouth after dental implant surgery and related procedures.

  •  You must not engage in physical activity for the first 48 hours and until anesthesia has worn off. Only have cold drinks and do not eat solid foods for 3 days. Avoid hot drinks also and do not swill liquid over the implant area. Also do not rub the area with your tongue.                                                                                                                                                                                       

  • Swelling and bruising following after your treatment is normal – but should subside after 3 days. Swelling can be reduced by using ice packs wrapped in a towel.  Place on the cheek for no more than 10 minutes then give    20 minute break. You can also sleep propped up  on 2 -3 pillows. Lying down can cause 

  • Pain should not be a big problem. Although you may be sore for a few days after any surgery in your mouth, this can be easily managed with simple analgesics (pain killers).  You should take these regularly at the maximum stated dose for the first 2 days after your surgery. Take whatever painkillers you normally take for headaches, aches and sprains (ibuprofen and paracetamol make a good combination), and take your first dose before the local anaesthetic has completely worn off.

  • If after a few days you experience increasing pain and swelling, you must return to Astoria Implants and Periodontics as soon as possible so that we can ensure you are not beginning to develop an infection.

  • If you have a denture that covers the surgical area please wear it as little as possible for the first week to protect the surgical site during its initial healing period. You should always leave the denture out at night. 

  • The stitches are dissolvable but often remain for around 2-3 weeks, if they are uncomfortable or annoying, you may contact us to remove them.

  • Some minor bleeding after surgery in the mouth is normal. If this persists, apply pressure by biting firmly down over the area on a dampened gauze swab or clean handkerchief for 60 minutes whilst sitting upright. Do not keep checking or changing the gauze. You should contact us if bleeding persists for any reason after applying pressure in this way.

  • If you have been given a course of antibiotics to take after your surgery, please ensure that you complete the course.

 

Cleaning

  • Successful oral surgery depends on keeping the mouth as clean as possible.
  • Please start to use the mouthwash you have been given on the evening of your surgery and continue for 1 week. This is very important. You should gently bathe the surgical site by holding approximately 15ml over the site (the equivalent of half a cap-full) for at least 1 minute, 3 times a day, for 7 days.
  • You should also start cleaning your other teeth as normal with a toothbrush, starting on the evening of your surgery.  Avoid brushing the surgical site for the first few days, but then begin to carefully clean this area with a toothbrush as well, once tenderness permits.

  • Hot salt mouthwashes (a cup of hot water with a teaspoon of salt) are very beneficial for healing in the first week but taste awful.  Ensure that the mouthwash is not so hot that it scalds and then hold the hot mouthwash over the surgical site until it cools.  Repeat as often as possible.
  • Try to keep food away from the surgical area for as long as possible. Rinse following eating to keep the area clean.
  • You are advised not to smoke until the wound has healed as this severely limits healing in the mouth.
  • We want your recovery to be as smooth and pleasant as possible. It is vital to follow these instructions very carefully – if you have any concerns or questions regarding your progress, please do not hesitate to contact us.  An out of hours contact number is always available on our answer phone.