Post-Operative care for Implant Patients
- For the first 7 to 10 days after surgery, avoid physical exertion (ie. Sports, heavy lifting)
- For the next 24 hours avoid hot drinks such as tea or coffee.
- The day after surgery (no less than 24 hours) commence salt water rinses ¼ – ½ teaspoon of salt into a cup of warm water and rinse every meal, this will help to keep the wound clean and reduce soreness also rinse gently with Corsodyl mouthwash three times a day.
- It is very important that your oral hygiene and home care is maintained to the highest of standards and that all hygiene appointments are kept.
- Avoid alcohol for the first week or longer as this will affect the healing of the tissue. Avoid smoking for two weeks, as this will also slow down the healing process.
- Leave the denture out as much as possible after the surgery to help the healing of the soft tissues. Do not attempt to force dentures into the mouth and should they become painful stop wearing them and contact your dentist.
- A surgical dressing may have been placed around the incision after the surgery. Avoid brushing around the area; instead use a cotton bud with Corsodyl to gently clean the area.
- If an antibiotic has been prescribed, please take only as directed and finish the course, if you appear to be having a reaction to any prescribed medication please contact the surgery.
- Please maintain a soft diet for the next 10 days during the healing phase. Do not use a water pick, explore the area with your tongue or eat any hard crusty foods.
Sleeping; sleep with an extra pillow to lift your head for the first 2 nights to reduce swelling.
Discomfort; only minor discomfort should be experienced.
- If you have undergone a sinus lift procedure, avoid blowing your nose or drinking through a straw for approximately 2 weeks after surgery. This will help prevent infection, please avoid flying or swimming for 2 weeks after surgery. If you feel like sneezing please try to sneeze through your mouth and not through your nose.
- Supplements; All patients can help the process of healing by taking multi vitamins and dairy products as part of their diet.
- CONTACT THE SURGERY IF; numbness persists for more than 24 hours after surgery. Stitches become loose or fall out within the first 5 days, excessive pain or bleeding.
If you have any questions and need to speak to someone out of surgery hours please do not hesitate to contact your implant aftercare team.
What to do after an extraction
- In order to speed up healing and prevent infection after a tooth has been extracted, you need to look after yourself carefully.
- General Advice Do not rinse your mouth out for at least 6 hours after the extraction.
- Eat soft foods and eat on the other side. Do not disturb the clot as it may start to bleed.
- Avoid smoking and alcohol for 24 hours. Smoking or allowing food particles to pack in the socket will interfere with the healing process.
- Avoid strenuous activities for the rest of the day.
- Some discomfort such as swelling and bruising may be expected for 2-3 days. This is normal.
- You can also decrease pain and swelling by applying an ice pack but be sure it is wrapped in a towel before applying directly to skin.
- Be careful not to bite your lips or cheeks and wait until the numbness has worn off before eating. The numbness usually lasts between 2-3 hours.
- Limit your diet to soft foods, soups and ice creams for the first 48 hours after your extraction.
- Take painkillers if you need them as you would for a headache (not aspirin unless taken for medical condition). If you are unsure, ask your dentist.
- Continue taking your medication as normal unless advised by your dentist.
- If antibiotics have been prescribed, continue to take them for the indicated length of time even if all symptoms and signs of infection are gone.
- If you feel small pieces of bone working their way out of the socket, Don’t worry this is normal.
- Provided bleeding has stopped, start salt-water mouth rinses the NEXT day.
- Dissolve a teaspoon of salt into a glass of comfortably warm water.
- Hold the salt-water over the socket for 30 seconds, spit out, and then repeat. Do this 4 times a day for 7 days.
- Brush the rest of your teeth normally with toothpaste, avoiding the socket area.
If bleeding does not stop:
- Do not worry; rinse the mouth out very gently with cold water to remove any large clots.
- Sit quietly in an upright position.
- Roll up some clean gauze and place it over the socket from tongue side to cheek.
- Apply pressure by biting firmly for 20 minutes. Take off the pad and check to see if the bleeding has stopped.
- If bleeding continues use a new piece of gauze for 20 minutes further.
If bleeding continues contact your dentist!
- Sometimes the blood clot in the socket can break down, leaving a painful empty hole in the gum.
- This is called a ‘dry socket’. The symptoms of dry socket can present as severe pain, earache, unpleasant taste or bad breath.
- If this happens, please come back to the practice and the dentist will clean the wound and pack it with a dressing that will relieve the pain and reduce the risk of infection.
After Crown & Bridge Appointments
Usually after having a crown or bridge appointment you will be numb from the local anaesthetic so refrain from eating and drinking hot drinks until the numbness has completely worn off as you could bite you tongue, lips or cheeks. After your first appointment you will normally have a temporary crown or bridge. Be careful as this is just a temporary and may come off, this can easily be re-cemented back on until you get your permanent tooth. Sometimes this can feel sensitive, this will go once your permanent tooth has be put on but go careful and avoid sticky or chewy foods and if possible eat on the other side of your mouth. Avoid using floss around these teeth whilst you have a temporary as this may pull off your crown.
If you feel that the tooth is uneven or if you feel pain then do contact the practice to be seen by your dentist. Keep the tooth clean especially around the gums and if you do floss go careful!
After composite (White) Fillings
Usually after having a filling you will be numb from the local anaesthetic used so your lip, tongue and cheeks can feel numb for up to three hours. Avoid chewing and eating any food and also avoid hot drinks as these can burn you. Do this until the numbness has completely gone.
You may feel some sensitivity after having a new filling especially if it was deep so use sensitive toothpaste and take some Ibuprofen. If the problem persists, contact the practice as the filling may need adjusting but be careful not to bite hard until seeing your dentist.
The newly fitted ‘Immediate Dentures’ will protect the gums and help healing. The dentures should be kept in the mouth continuously for the first 24hours. They should then be carefully removed and cleaned. Gently rinse the mouth out with a salty mouth rinse (one teaspoon of salt in a beaker of warm water). Replace the dentures straight away.
Please keep the dentures in all-day and overnight for the first week, only taking them out to clean. After the first week please take your dentures out at night.
Sometimes patients may develop pressure sores from their new denture. These will not heal until the denture is adjusted. Please book an appointment with the dentist who can adjust them for you.
You may find that you have difficulty speaking normally when you first have your dentures fitted. As you get used to your dentures this should improve very quickly. Try reading aloud.
The first few days after your denture is fitted you may find that eating is difficult/ strange. Your mouth will adapt however, and gradually you will develop new eating habits. You may also notice extra saliva in the mouth. This is quite normal and will reduce in a few days.
Your new dentures are very highly polished. Brush with a soft toothbrush and soap and water. To remove staining use a denture paste or powder.
Please brush and clean your denture after every meal and at night.
DO NOT USE– Very hot water, as this will warp your dentures
Bleaching agents, as these will spoil the colour of the teeth and plate
3-6 months After Extractions
The mouth needs to be allowed time to completely heal after extractions. During this time your dentures may become loose. Your dentist can sometimes adjust or reline them to help them fit better. Once the mouth has stopped changing new dentures can be made which will be the best fit for your mouth.