Post-Operative Instructions

Implant Procedures

You will receive prescriptions for antibiotics, anti-swelling, and pain medications at the time of surgery.

Now that your surgery has been completed, follow these instructions to make yourself more comfortable, promote healing, and help prevent any possible complications.

Read all items carefully!

Day of Surgery

Anesthesia

Most patients prefer an intravenous sedation to relax them during the procedure. After surgery, it usually takes 3-4 hours for the sedative medications to totally clear your system. (Refer to your pre-operative instructions regarding activities and escort requirements immediately after surgery)

You will also receive injections of local anesthesia (novocaine) after being sedated. Don’t worry, you will not remember them!

Medications

We will prescribe four medications to be taken after surgery. These medications will be as follows:

  • Antibiotic (Amoxicillin; take at dinner)– to decrease post-operative infection.
  • Anti-swelling (Decadron; take at dinner)– as the name implies. This decreases post-operative swelling.
  • Analgesics (Lorcet; take all day as directed) – for post-operative pain relief.
  • Mouth rinse (take tomorrow) – this improves healing and decreases wound infection. (This is not an "over-the-counter" mouth rinse!)
  • Take tylenol as needed for today.
  • Take advil, motrin, ibruprofen tomorrow as needed.
  • Please take all medications as prescribed.

If the patient becomes nauseated:

Sip room temperature bicarbonated soda or ginger ale and check the position of the gauze to ensure blood is being absorbed. If nausea persists, (1-2 hours later), then call the office with a pharmacy number so a medication for the nausea can be called in!

Note:

Females taking birth control pills should note that additional measures should be utilized while taking antibiotics.

Patients who smoke increase the risk of developing a "dry socket" after extraction(s) or have delayed soft tissue healing. It is our suggestion that this habit be curtailed for 2-3 days following surgery to safeguard your surgical outcome.

Diet

It is important that you remain on a puree/soft or liquid diet for seven (7) days following the surgery to avoid any soft tissue damage or disruption of the sutures. On the day of surgery avoid citric acid products (orange juice, grapefruit juice, lemonade, and tomato juice). Please do not use a straw. Do not rinse or spit the day of treatment.

Swelling

Keep an ice pack on the outside of the face (adjacent to the surgical site or sites) Doing this will minimize the swelling. The suggested regimen for use of the ice pack is (10) – (20) minutes on and (10) – (20) minutes off. Use the ice packs only on the day of surgery. The following day, use warm moist heat (such as a hot water bottle), if swelling remains. Please do not use a heating pad, doing this may dry out your skin.

On the day of surgery, keep your head elevated with two pillows. When resting, sleep on the opposite side of the surgical procedure to avoid swelling.

Gauze

You will leave our office with a gauze pack placed over the surgical site. You will be given extra gauze to change every fifteen (15) to thirty (30) minutes for the first two (2) hours. After this time, change the gauze as necessary. This will allow the bleeding to stop. It is important that you bite down firmly on the gauze. Gauze packs will also help prevent nausea by absorbing the blood.

Second Day After Surgery

Oral hygiene

Start warm salt water rinses three (3) to four (4) times per day (0ne teaspoon of salt in an 8-ounce cup of lukewarm water). Gently rinse and expectorate. No water piks. Continue this procedure for one week.

Use a Q-tip dipped in peroxide on Silver caps (for 1-stage patients).

Your surgical site is closed with sutures. These sutures will be removed approximately seven (7) to fourteen (14) days following surgical treatment.

Some discomfort, swelling, bruising, and pain may be experienced for the next to two (2) to three (3) days. This is normal… it will get better!

For those patients who are wearing a removable appliance (i.e. a partial/denture), explicit instructions as to it's use will be explained by Dr. Barsamian. In many cases, the prosthesis will be adjusted and soft lined. This liner will be replaced periodically by our staff.

Questions?

If you have questions or concerns, please do not hesitate to contact the office! (904) 246-6545