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Post op Implant placement & Bone graft

Post operative care:  Dental implants & Bone graft

  

Specific for Implant and bone graft care:

  • Most sutures will loosen up within one week.  Some areas may intentionally have longer last sutures that my take several weeks. 
  • Some sutures are none dissolving material, thus the patients will be scheduled accordingly for its removal.  
  • Healing caps over the implant may loosen or fall out periodically.  Avoid chewing on the implant area to minimize the risk of this occurring.  There is no urgency for it to be replaced thus if you are traveling out of town please call us back at your convenience to replace it.  If you still have the the piece that fell out, please bring it with you.    
  • You can brush over the implant healing cap area after one week.  However avoid any hygiene care to the areas where bone graft was applied.  
  • Avoid using water picks.

For Sedated patients

  • Do not drive for 24 hours.  Although you may feel fine you are still impaired!
  • Do not leave the sedated patient in the car alone, or alone at home.  
  • Nausea may occur. 
    • If nauseated,  discontinue use of the the narcotic pain reliever.  
    • Drink / eat clear foods such as water, sport drinks, Jello,  applesauce… Avoid dairy products if nauseated.
    • If vomiting occurs, rinse gently with water.  Vomiting will not harm the surgical sites.
    • Usually the nausea will resolve with time.  If it persists please call your surgeon.

Bleeding

  • Some blood in the oral cavity is normal.  

  • Bleeding is controlled by placing a gauze pack directly over the site and biting with GENTLE pressure.  

  • You may change the gauze every 30 - 60 minutes using the extras provided.

  • If the gauze is only spotted with blood you can discontinue the gauze use.

Ice / heat

  • For simple extractions, ice and heat applications may not be necessary

  • Apply ice packs to the side of the face for 20- 30 minutes per hour on the day of surgery.  You may use ice the day after surgery also if it is helpful.

  • Apply heat packs 2 -3 day out to help with soreness and stiffness.

Swelling / Stiffness

  • Swelling usually peaks 2-3+ days postop.  If you believe the swelling is abnormal or is increasing rapidly please call  the office or your surgeon.

  • Stiffness and limited opening is normal.  Again, if not improving please call.

Pain control

  • Take the medications prescribed for you as directed.  Taking with food may help to minimize stomach upset.

  • Some antibiotics may interfere with oral birth control pills.  Please exercise appropriate precaution.

  • If you are able to use NSAIDS (Ibuprofen, Advil, Aleve),  we recommend using ibuprofen as the main medication for pain / swelling relief over the first 2-4 days.   You will find better control if you take it as prescribed every 6-8 hours.

  • If needed, you can introduce other types of pain medications between the Ibuprofen doses.  Such as alternating Ibuprofen with over the counter (OTC) Tylenol (acetaminophen) or the prescribed hydrocodone/acetaminophen or other medication if you were instructed to do so.   In this way you can take a pain reliever every 3 hours.

  • Do not take  OTC Tylenol and the prescribed hydrocodone/acetaminophen (other acetaminophen product)  together. You will be taking too much acetaminophen.

  • Persistent nausea days after surgery is usually associated with narcotic pain medications.  

  • Do not drink alcohol, drive, or operate machinery while taking narcotic pain relievers such as hydrocodone and oxycodone.  

Diet

  • Advance diet as tolerated, chewing away from the surgical sites.  Avoid hard foods such as chips, nuts, popcorn… over the first 2 weeks.

Please call with any questions to us:

During business hours: 

  • Ames (515) 232-6830
  • Marshalltown (641) 753-4130

Or after hours please call the Surgeon who performed your procedure:

  • Dr. Rudman (515) 450-9552
  • Dr. Kazwell (515) 231-2573
  • Dr. Cho (515) 520-9924

If you have an urgent problem and are unable to reach your doctor immediately, please call (515) 239-2011.  Ask for the Oral Surgeon on-call.