Dental Implants: Pre & Post Op Instructions

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Pre-Operative Instructions

Pre-operative care is important to improve long-term prognosis of the implant surgery. Please follow these simple guidelines to be ready for the surgery. Feel free to call our office with any questions or concerns.

– Begin antibiotics the night before surgery. Continue for one week following surgery. Always take full dose of pills prescribed.
– Take 800mg of anti-inflammatory medication (i.e. Ibuprofen) the night before and morning of surgery. This medication should be taken with food.
– Any medication that you normally take on a daily basis, i.e. high blood pressure medication should be taken as usual. Any medications that are in the blood thinner category, i.e. Aspirin or Coumodin should be discontinued prior to surgery. Be sure that Dr. Greg or Brad knows about these medications in advance and we will help you with when to stop these types of medicines.
– If you require an anti-anxiety medication, i.e. valium, take one tablet the night before and another 1 hour prior to surgery.
Day of Surgery
– Please dress comfortably.
– Avoid coffee or beverages with caffeine the day of treatment.
– If you require anti-anxiety medication, you cannot drive yourself to your appointment. Please arrange for transportation to and from your appointment.
– Please follow guidelines for medications required.

Post-Operative Instructions

Postoperative, following a surgery, care is most important to hasten healing and recovery. Expect some swelling, stiffness and discomfort. Feel free to call our office with any questions or concerns. In case of after hour emergencies or questions please call Dr. Greg Gillespie (360-448-3272) or Dr. Brad Gillespie (360-904-9326).

Do not disturb the wound. Avoid rinsing, spitting, or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues please call for further instructions.

Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag, or a plastic bag, or towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as much as possible, for the first 36 hours.

Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.

You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it.

Be sure to take the prescribed antibiotics as directed to help prevent infection.

Oral Hygiene
Good oral hygiene is essential to good healing. The night of surgery, use the prescribed Peridex Oral Rinse before bed. The day after surgery, the Peridex should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then spit it out. Warm salt water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day, as well, especially after meals. Brushing your teeth and the healing abutments is no problem. Be gentle initially with brushing the surgical areas.

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.

Wearing your Prosthesis
Partial dentures, flippers, or full dentures should not be used immediately after surgery and for at least 10 days. This was discussed in the pre-operative consultation.