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Geoffrey R. Bauman, DMD, MS | Dental Implant Placement Surgery in Newark

Geoffrey R. Bauman, DMD, MS / Board Certified,  American Board of Periodontology
Fellow, Midwest Implant Institute



Dental Implant Placement Surgery

Considerations for the surgical area:  You must keep your tongue away from the surgical site.  Movement is detrimental to healing.  Also, if you have a removable partial denture and you notice even a little pressure over  the implants, take it out and call Dr. Bauman so that he can adjust it.  Pressure from the partial denture at this early stage can cause implant failure later.  Don’t take a chance even with light pressure.

Medications: Some discomfort should be expected post-surgically; however, the dentist will have given you prescriptions or recommended non-prescription medications to control pain.  Take the medication as directed.  Even a doubling of the recommended dose can cause severe problems.  Take your first dose of ibuprofen or Tylenol before the numbness wears off.  If the Ibuprofen is not adequate, then start taking the narcotic in addition to the ibuprofen (don’t stop taking the ibuprofen).  Do not take Tylenol in addition to the narcotic as there is already Tylenol in the narcotic pill).   If a narcotic (Percocet, Synalgos, Vicodin, Tylenol #3) was prescribed and you do not need to take it, return it to a certified local take-back site or dispose of it in the toilet.  Expedient removal from your premises is most essential.  Do not save this medication for pain at a later date.  Narcotics can be detected by blood or urine test and you may be prosecuted for taking the drug without a current prescription.  Most pain medications have the potential to cause nausea and vomiting.  This effect is decreased by taking the medications with 8 oz of fluid. With narcotics, it helps to remain still (even walking around can be a problem) to prevent nausea.  If nausea ensues with narcotics, you must stop taking them. It will only get worse otherwise.  The antibiotic (usually Doxycycline or Amoxicillin) must be taken to prevent infection in the graft site.  You must take the antibiotic until it is all gone unless you develop some side effect from the medication.  For women taking the birth control pill, be aware that antibiotics may disrupt the effectiveness of the pill, so you should not rely on the birth control pill to be effective until after the second full menstruation after you discontinue the antibiotic.  Doxycycline may cause a rash or severe sunburn if the skin is exposed for more than 15 minutes to direct sunlight.  Antibiotics can sometimes encourage vaginal yeast infection which may require treatment.

Bleeding: It is recommended that you change bed linens to some that you will not be concerned if they are stained because there is often a little oozing at night during sleep.  You will experience some slight oozing of blood around the surgical areas and it is rarely a problem.  However, if you notice faster bleeding, dampen a piece of gauze or facial tissue, fold it over for some thickness, and place moderate pressure with this over the site where the bleeding is coming from.  It will not stop the bleeding just to lay the gauze over it you must apply some pressure.  Apply pressure for at least 20 minutes without removing the gauze pressure from the area (do not wipe the area with the gauze).  It will break the clot and continue to bleed if you remove the gauze pressure sooner than 20 minutes.  Do not create suction in your mouth to try to gather the blood to spit.  That will make the area bleed faster.  Just spit out and apply pressure as described above.  If it still doesn’t stop, then just apply pressure and call Dr. Bauman. 

Diet:  Your diet should include the equivalent of 8 glasses of water per day (anything except for alcohol or soft drinks during the first 4 days).  1000 mg of vitamin C may be helpful for healing.  For the first day, just liquids up to a milk shake/pudding consistency.  2nd day soups with soft vegetables, rice, short noodles, etc.;  on the 3rd day, you may start some softer foods such as baked potatoes, ground beef, etc., in very small bites and always chew on the opposite side from the surgical areas.  If you  are not careful you might knock the dressings loose and cause severe pain and bleeding. Continue that softer diet through the first two weeks.  The surgical areas of your mouth should not be used for chewing for 4 weeks after the surgery.  You must maintain at least a normal daily intake of calcium and other minerals, so if you do not usually get a normal intake of dairy products, you will need to supplement your diet with minerals.

Home care:  Do not perform any brushing or flossing until the second day after the surgery.  On the second day, you may begin brushing and flossing all the areas of the mouth not involved with the surgery.  You will be given a mouthwash (Peridex or Listerine) to use in the surgical area in the morning and evening after you have brushed and flossed the non-surgical areas.  However, do not vigorously rinse with this or any other liquid.  Just allow it to pool over the surgical site for about 1-2 minutes and then spit out.

Cold Packs:  You may place cold packs over the cheek or lip where the implant was placed to limit the swelling.  Use the pack for 10 minutes on - 10 minutes off but only for the first 6 hours after the surgery.  No cold after the first 6 hours.  The pack may be made by putting 4 ice cubes in a zip-lock freezer bag and fill about 1/2 full with water.  This pack will adapt well to the face without getting too cold.           

Exercise:  Avoid heavy physical exercise for at least 3 days after surgery.  After that play it by ear.            

Smoking/alcohol: Smoking causes blood vessel constriction and alcohol causes dehydration which are both harmful to healing and it is best that you not smoke or drink for as long as possible after the procedure, especially during the first week.