Post-Operative Instructions after Oral Surgery
(Implants/Extractions)

Please follow these instructions as closely as possible. They are designed to help you heal quickly, and comfortably, with minimal side effects. You are NOT ALLOWED to wear your night guard or retainer unless Dr. Goudy has adjusted it and says it is OK. If you did not bring it with you on your implant date, you can bring it with you on your post-operative check visit. If you feel that your implant is loose or you are in a lot of discomfort, please contact our office immediately.

FOR THE REMAINDER OF THE DAY:

1) Do not spit. Use a tissue to wipe your mouth as needed, or swallow your saliva.
2) Do not use a drinking straw. Drink straight from the cup.
3) Do not smoke.
4) Keep fingers and tongue away from the surgical area.
5) Spitting, the use of a straw, smoking, and poking can dislodge the blood clot that is forming, and will cause bleeding from the area. Also, smoking can increase the chances of an infection and implant failure.

FOR BLEEDING and DISCOMFORT:

Some minor bleeding is expected after implant surgery. It will usually subside quickly, and stop within an hour or two after surgery. A little oozing is normal and may persist for up to 24 hours.

1) If you leave here with gauze in your mouth, keep gauze on the surgical area with some pressure for 30 to 45 minutes. This is usually not done when a temporary tooth is placed.
2) Remove the gauze after 30 to 45 minutes, and replace it with a new piece of gauze if you are still bleeding. It is important to make sure the gauze is directly on the surgical site. Firm pressure for another hour should stop the bleeding.

EATING:

If you had an immediate temporary placed on your implant, YOU ARE NOT ALLOWED TO CHEW WITH IT. It is for smiling and talking only. If you feel you are contacting it in any way, call the office immediately. Pressure or contact from opposing teeth will cause the implant to fail.

For extraction sites, you may eat soft foods as soon as the anesthetic wears off. Try not to chew directly on the surgical site. You may resume a regular diet as soon as you feel up to it. Please stay well nourished, and well hydrated, you will heal faster.

MEDICATIONS:

1) Take 2 tablets of ES Tylenol every 4 hours if needed in the first 24 hours. You can switch to Motrin the following day if necessary; otherwise avoid Motrin for the first 24 hours.
2) Continuing taking the prescribed antibiotics until they are completely done.

HOME CARE:

1) Please use Chlorhexidine rinse (for the following 7 days) on a Q-tip and rub the gum line (front and back) of the implant site 3-4 times per day. Don’t be alarmed if you notice a dark staining on the adjacent teeth. This is normal and easily removed by us.
2) Brush and floss normally after the first 24 hours. Let discomfort be your guide. If it hurts don’t do it. You will be slightly sore around the gums of an implant but it needs to stay clean.