Dental Implants & Bone Grafting

COMISKEY ORAL SURGERY

704 -785-8060

INSTRUCTIONS FOLLOWING BONE GRAFT/IMPLANT SURGERY

  After bone graft and/or implant surgery, certain steps must be followed to minimize postoperative discomfort and maximize healing.  Please read and follow the instructions carefully.

 

  DIET

  A softer diet is advised for several days following surgery. Remove any gauze before eating or drinking. Please refer to the suggested food sheet provided in the after care bag.

  PAIN

  Pain from surgical procedures can be controlled by taking the prescribed medications as directed. Please also use over the counter products (2-3 tabs of 200mg ibuprofen every 6 hours) if needed. Unless otherwise instructed, begin the first dose immediately so that the pain medication can be in full effect before the local anesthesia wears off.

  BLEEDING

  Mild bleeding is expected and is normal. If it becomes excessive please place the gauze that was provided directly on the bleeding area and apply pressure. Replace the gauze every 20 to 30 minutes until the bleeding has been controlled. A moistened tea bag may be used if gauze is not available. If bleeding continues please call Dr. Comiskey.

  ICE PACKS AND MOIST HEAT 

  Swelling is not uncommon. To help minimize swelling  apply the ice packs provided for the first 48 hours to the outside of the face 20-30 minutes on and 20-30 minutes off and continuing until bedtime.  Use moist heat from day 3 to 4. Swelling typically worsens 2 to 3 days following surgery.  Follow the cold/heat packs instructions provided in the after care bag for further direction.

  ORAL HYGIENE

  Vigorous use of a mouthwash may cause bleeding. Refrain from rinsing  the mouth for the first 24 hours.  After that time, gently rinse with warm salt water (1/4 teaspoon of salt in a 4 oz. glass of warm water) 3-4 times per day for a week. Do not use alcohol based mouthwashes for 1 week.  Resume gentle brushing and oral care within a day, being careful to avoid the surgery site for 1 week.

 

 

PLEASE CALL Concord Office Phone Number 704-785-8060 WITH ANY QUESTIONS OR CONCERNS. IF AFTER HOURS, PLEASE PRESS “8” WHEN PROPMPTED TO BE FORWARDED TO DR. COMISKEY’S CELL PHONE.
NO SMOKING. IT IS HIGHLY  RECOMMENDED THAT PATIENTS REFRAIN FROM SMOKING OR TOBACCO USE FOR ONE WEEK.
THOROUGH CLEANING OF THE MOUTH IS ESSENTIAL TO RAPID HEALING AND PREVENTING INFECTIONS.
REST IS A VERY IMPORTANT FACTOR IN ALL HEALING.

POSSIBLE COMPLICATIONS or CONCERNS

CONSTIPATION FROM NARCOTIV MEDICATION

A mild laxative or stool softener is suggested (colace/senokot).

TEMPERATURE

There may be an elevation of temperature for the first 48 hours.

This should not exceed 101 degrees.  If temperature is higher or

continues, notify our office.

NUMBNESS

This may occur at the corner of the mouth, the lower lip or the edge of

the tongue.  This is usually a temporary condition and is rarely

permanent.

STIFFNESS (TRIMUS) OF THE JAW

May appear after surgery and usually improves over the first week.

Moist heat can be used to alleviate the stiffness.

SUTURES

Used in most of the procedures and are removed at the

follow up appointment if still present.

NAUSEA AND/OR VOMITING (usually from narcotic medication)

Notify the office and discontinue the prescription pain medication.

Recommend taking 3 tabs of 200mg ibuprofen or 2 tabs of 500mg

Tylenol every 6 hours.

GRANULES (If bone graft is placed)

It is not uncommon to notice small granules of bone graft coming from

the surgical site.