Post Operation Patient Care Instructions
Post-Op: Dental Implants
ACTIVITY: After leaving our office today, we
suggest you relax and limit your activity for the remainder of the
day. You can start light activity the day after surgery if you feel
up to it. For the first 2-3 days avoid extreme exercise,
heavy lifting or anything that will cause you to strain.
DISCOMFORT: Take the pain medication as
directed by your doctor before you have pain. Generally, 400
to 800mg Ibuprofen (i.e. two to four over-the-counter tablets of
Advil, Motrin, or generic ibuprofen) every six hours, is
recommended for post-operative soreness. If you have an allergy or
sensitivity to Ibuprofen, or have been advised not to use it, you
may take up to 1000mg of Acetaminophen (i.e. three regular Tylenol
tablets or two extra-strength Tylenol tablets) every six hours. It
is important to follow the specific directions given to you by your
doctor, and if more severe discomfort is anticipated, we will
prescribe medicines to be used as directed.
INFECTION: If you have been given an antibiotic
please continue taking it as directed without missing a dose, until
SWELLING: It is normal for some swelling to
occur after surgery. To minimize swelling, use ice packs over the
site - 20 minutes on / 10 minutes off - as much as you can for the
first 24 -36 hours. It will be hard to place ice
directly over the ridge but placing it on your cheeks and lips
adjacent to the surgical site will help reduce the swelling which
will accelerate the healing down the road and also reduce your post
op discomfort. Ice is a very important part of the
pain control protocol - it makes a huge difference
in how much you swell and how quickly you heal.
EATING AND DRINKING: Try not to eat until all
anesthetic (numbness) has worn off. You can eat right away
starting with ice cream, soup, mash potatoes and other soft
non-abrasive foods. Try to avoid hard, spicy, acidic foods.
You can drink as much as you want, but for the first week, never
use a straw as this causes negative pressure in your mouth which
can pull on the sutures and loosen things up. In a few days resume
your normal diet on the non implant side and don't attempt to chew
against the implant side for two months.
This is extremely important especially if there is a
healing cap peeking out of the tissue.
Pressure on the implant during the first few months after surgery
is the number one cause of failure and implant loss during that
ORAL HYGIENE: You may brush all your other
teeth anytime after the surgery but you should avoid the site of
the surgery for a week. If you need to clean near the
surgical site, please gently use a Q-tip soaked in Peridex.
After the sutures are out you may resume brushing near the implant
but let comfort be your guide. On the day after surgery, you
may apply the Peridex directly to the site with a Q-tip or cotton
roll and not rinse your whole mouth. You should do this twice
a day. It should be the last thing you do in the morning
before leaving for your day and last thing you do before you go to
bed at night. It is important that you do not rinse with
anything else for at least 30 minutes after rinsing with the
Peridex so it does not get diluted. You should use the
prescription rinse for at least two weeks. The Peridex tastes
bad and it will leave a light gray stain on your teeth. This
stain comes right off and removing it is something we do in a few
minutes at any post op appointment after you are done using it.
SINUS LIFT INSTRUCTIONS: If we placed an
implant near or into your lifted sinus, for two weeks, you should
refrain from blowing your nose against pressure and you should
sneeze without trying to stop the pressure. During this two
week period you should also not go under water when you swim.
USE OF REMOVABLE DENTAL APPLIANCES: If you
normally wear a removable appliance which replaces missing teeth,
and it rests on the treated area, you should refrain from wearing
it after surgery as any pressure on the surgical site could be
detrimental to healing and cause discomfort. Our office will
specify directions as each case is specific.
One last and very important concept you should understand about
dental implant supported teeth is that the biggest cause of implant
and implant prostheses failure after the first year is
overloading of the implant system, not infection, but
too much unbalanced force. If your bite feels different, or
you feel as though you are hitting on the implant, please call our
One week post op check and
We will bring you back in a week to check the healing and remove
any loose sutures. We can evaluate where you are at and modify your
brushing and eating as needed.
Going forward and assuming everything goes well with the implant
placement, we will typically schedule you to come back to start the
impression and restoration fabrication phase 2 to 3 months from the
date of surgery. Your doctor will give you more specific
instructions based on your surgery and follow up.
If you have any questions please call our Binghamton office at
724-1389, or our Endicott office at 754-3080.