Dental implant
Today we placed an implant (and/or a bone graft). The first 2–3 days are the most important for healing.
What to do
- Apply an ice pack to the cheek, in 15-minute intervals, on the first day — it helps a lot with swelling.
- Start your painkiller before the numbness wears off completely (dosage below) and, if you were given antibiotics, complete the course.
- On the day of surgery, do not rinse your mouth at all.
- From the next day, use chlorhexidine 0.12% twice a day for about a week: after brushing, hold it in your mouth for ~30 seconds and spit it out — do not rinse with water afterwards, so it stays active.
- Eat soft and cool foods, and sleep with your head slightly raised on the first night.
What to avoid
- On the first day, avoid vigorous rinsing, forceful spitting and drinking through a straw.
- Do not smoke — smoking is the single biggest cause of implant failure. Avoid it for as long as possible.
- Do not touch or pull at the site or the sutures with your tongue, fingers or toothbrush.
- Avoid alcohol, spicy or hard foods and strenuous activity for the first few days.
- If you had a bone graft, you may feel small granules in your mouth — do not try to remove them.
Pain & swelling
- A little bleeding or “pink” saliva in the first hours is normal. Swelling usually peaks on the 2nd–3rd day and then subsides; slight bruising of the cheek is normal.
- For pain: paracetamol (e.g. Depon) 1000 mg, up to four times a day.
- If that is not enough, add ibuprofen (Algofren) 600 mg every 8 hours. Combining the two is safe — try to space them out in time as much as you can.
- Do not combine ibuprofen with other anti-inflammatories (e.g. Mesulid, Niflamol).
- Carry on brushing your other teeth, leaving the surgical area alone. Sutures (if not self-dissolving) are removed at the appointment we arranged.
After the anaesthetic
- Do not eat or drink anything hot while you are still numb, so you don’t injure your lip, cheek or tongue.
When to call us
- Bleeding that is not controlled with gentle pressure.
- Severe pain or swelling that worsens after the third day, or fever.
- If a suture comes away early or you feel something is not right.