Drs. Barringer and Crestetto, PA
Oral & Maxillofacial Surgery
901 North Winstead Avenue, Suite 130, Rocky Mount, NC 27804
P: 252.443.7331 • F: 252.937.2381

After Placement Of Dental Implants

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

Bleeding

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

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 often as possible, for the first 24hours.

Diet

Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Also, avoid chips, nuts and other particulate foods. Return to a normal diet in two to three days as tolerated, avoiding chewing on the surgical site if possible.

Pain

For mild discomfort over the counter medications can be used if tolerated and not contraindicated. Use caution when mixing over the counter meds with prescription medications as some prescriptions contain Tylenol or ibuprofen already.

For severe pain, you may take pain medications that were prescribed for you at the appropriate dose and intervals noted on your prescription bottles. Over the counter medications like Tylenol or ibuprofen can be taken according to manufacturer directions if there are no contraindications to use and no allergies to these medications. Care should be taken when mixing prescription and non prescription medications as some prescription pain medications may already contain Tylenol or ibuprofen. Call the office if the medication doesn’t seem to be working.

If the pain does not begin to subside in two days, or increases after two days, please call the office.

Antibiotics

If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. If diarrhea occurs please contact our office or the doctor on call; this situation may be, or may become, serious. Your antibiotic may need to be discontinued or changed.

Oral Hygiene

Good oral hygiene is essential to good healing. Peridex (chlorhexidine) oral mouthrinse may be prescribed. The day after surgery, 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 (one teaspoon of salt in a cup of warm water) should be used at least four to five times a day, as well, especially after meals. Brushing your teeth is not a problem, even if your situation allowed for healing abutments to be placed. Be gentle initially when brushing the surgical areas. Be aware the Peridex may temporarily stain your teeth and may also produce a slight taste alteration.

Activity

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 ten days. This was discussed in the preoperative consultation.