Dental Implants & Sinus Lift

Complete & Partial Dentures
August 21, 2019
Gum Grafting & Frenectomy
September 14, 2019

CARE BEYOND THE CHAIR

INSTRUCTIONS FOLLOWING DENTAL IMPLANT SURGERY

DO

✓ Rest for the remainder of the surgery day – Feet up watching TV

✓ Take your medication as prescribed ✓ Drink plenty of liquids ✓ Eat soft foods (protein shakes, ice cream, Ensure, yogurt, etc.)

DO NOT

×  Plan out of country travel for one month

×  Rinse your mouth for 24 hours following surgery

×  Eat hot and spicy foods, peanuts, popcorn, chewing gum, and chips for 2 weeks

×  Chew hard solid foods for 1 week

×  Drink hot liquids for 1 week

×  Drink through a straw for 1 week

×  Rinse your mouth excessively

×  Brush the surgical site for 2 weeks and only brush gently for the next 4 weeks

×  Floss the surgical site for 2 weeks

×  Smoke

×  Exercise – Proper wound healing requires rest.

….NO strenuous exercise that will get your blood pumping for 4-7 days

×  Play with the dressing or sutures with your tongue or hand

×  Look at or “show off” the treated area until after your sutures have been removed.

×  Take Aspirin

Swelling

Swelling on the first day may occur and can be kept to a minimum with ice packs to the outside of the face over the surgical area. Ice packs should be used 10 minutes on, 10 minutes off, during the first 12 hours.

Bleeding

A slight amount of bleeding is expected the first day. If bleeding is excessive, apply direct pressure with moist gauze directly over the site of bleeding for 15 minutes. If you do not have gauze, a tea bag works well. If this does not control the bleeding, please call.

Sutures

Either resorbable or non-resorbable sutures will be placed over the surgical site. Any remaining suture material will be removed at your 10-14 day post-surgical assessment appointment. If however a non resorbable membrane has been placed the membrane and sutures will be removed after approximately 4 weeks of healing time.

Crown or other prosthesis placement

The minimum time required for the implant to integrate into the bone is generally 3 months. In most cases more time will be required until we can proceed with the next stage of your treatment. We will advise you as to the most appropriate healing time for your individual situation. We will do our best to provide you with a temporary tooth as is appropriate during this healing phase. It is important that the temporary replacement does not disturb the surgical site. Please contact us if it is not totally comfortable.

Salt Water Rinses for Days & Weeks Following Surgery

It is helpful to start rinsing the day after your surgery with a gentle salt water rinse (1/2 a teaspoon of salt mixed into a glass of warm water) twice a day for two weeks.

Note: Over the next 6-12 months at your regular maintenance appointments, our dental team will monitor the healing of your surgery. Pending the results of your healing, your dentist may suggest minor modifications to further enhance the success of your treatment.

MEDICATION MANAGEMENT FOLLOWING IMPLANT SURGERY

Although usually not significant and almost always very temporary, the following are some normal post operative symptoms that could be experienced following surgery: infection, swelling, pain, bruising, limited jaw opening, bleeding, recession, altered neurosensation, or sensitive teeth.

The following prescription medications and non prescription medications may be used to help minimize these complications and aid in the success and comfort of the procedure. As with all medications, you must closely follow the directions on the bottle or as prescribed.

SEDATION

Oral Sedation (Triazolam) or Conscious Sedation (Nitrous Oxide)

INFECTION Amoxicillin or Clindamycin (For those allergic to Penicillin) This helps to minimize the possibility of an infection developing during the healing.

PAIN and DISCOMFORT Alternating Acetaminophen and Ibuprofen has been found to have a greater success in pain reduction.

The following prescription to self administering both Acetaminophen (a.k.a Tylenol) and Ibuprofen (a.k.a Advil) is as follows:

  • BEGIN WITH…1000mg of Acetaminophen
  • TWO (2) HOURS LATER… 600mg of Ibuprofen
  • TWO (2) HOURS FOLLOWING… 1000mg of Acetaminophen
  • TWO (2) HOURS FOLLOWING THAT… 600mg of Ibuprofen

Carry on the above dosage as directed for 3-4 days or as prescribed for pain control.

As with all medications, if you have an adverse reaction, stop medication immediately and contact your medical physician.

PAIN and SWELLING Dexamethasone Injection

This is an injection given by the dentist at the time of surgery to help minimize pain and swelling. There is fee for this medication which will be included on your estimate.

ANTIMICROBIAL Chlorhexidine Mouth Rinse

This helps minimize bacteria in the mouth that could affect healing * May cause some tooth stain that can be removed by a courtesy polishing in our office

MEDICATION MANAGMENT AFTER IMPLANT SURGERY + SINUS LIFT

Although usually not significant and almost always very temporary, the following are some normal post operative symptoms that could be experienced following surgery: infection, swelling, pain, bruising, limited jaw opening, bleeding, recession, altered neurosensation, or sensitive teeth.

The following prescription medications and non prescription medications may be used to help minimize these complications and aid in the success and comfort of the procedure. As with all medications, you must closely follow the directions on the bottle or as prescribed.

SEDATION

Oral Sedation (Triazolam) or Conscious Sedation (Nitrous Oxide)

INFECTION Amoxicillin or Clindamycin (For those allergic to Penicillin) This helps to minimize the possibility of an infection developing during the healing.

PAIN and DISCOMFORT Alternating Acetaminophen and Ibuprofen has been found to have a greater success in pain reduction.

The following prescription to self administering both Acetaminophen (a.k.a Tylenol) and Ibuprofen (a.k.a Advil) is as follows:

  • BEGIN WITH…1000mg of Acetaminophen
  • TWO (2) HOURS LATER… 600mg of Ibuprofen
  • TWO (2) HOURS FOLLOWING… 1000mg of Acetaminophen
  • TWO (2) HOURS FOLLOWING THAT… 600mg of Ibuprofen

Carry on the above dosage as directed for 3-4 days or as prescribed for pain control.

As with all medications, if you have an adverse reaction, stop medication immediately and contact your medical physician.

PAIN and SWELLING Dexamethasone Injection

This is an injection given by the dentist at the time of surgery to help minimize pain and swelling. There is fee for this medication which will be included on your estimate.

DECONGESTANT *Sinus Lift* Sudafed

Take this medication in dosage as on package for 1-2 days prior to surgery and for a few days following surgery to clear your sinuses of any fluid.

NASAL SPRAY *Sinus Lift* Otrivin

Use this spray 1-2 sprays twice per day for at least 5 days following surgery as opposed to blowing your nose.

ANTIBIOTIC *Sinus Lift*

Keflex 500mg (prescription)

Take antibiotic as prescribed: every day for 10 days.This article is intended to promote understanding of and knowledge about general oral health topics. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your dentist or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.