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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.