William E. Mason, D.D.S., M.S., Periodontics - Dental Implants
Surgical Instructions / Office Forms

Instructions for Dental Implants and Periodontal Surgery

Instructions Following Periodontal or Dental Implant Surgery
Office Forms

Instructions for Dental Implants and Periodontal Surgery

You have been scheduled for dental implant surgery. This is a procedure during which dental implants are placed to hold a bridge or a crown. Please familiarize yourself with the following instructions before your appointment to make your procedure more comfortable and successful.

1) A light meal one hour before your appointment is suggested. Do not arrive on an empty stomach.

2) Plan on driving yourself home unless a pre-surgical sedative has been prescribed. In that case have someone drive you to and from your appointment.

 

3) You should plan on taking the remainder of the day off work. You should be able to return to work the following day.

 

4) If you have a bitesplint, please bring it to your appointment. It will be checked and adjusted. Also, an occlusal adjustment may be necessary. This is a procedure which involves slight sanding of the biting surfaces of the teeth. This will help your bite become more even and therefore help your periodontal heath.

 

5) The surgery appointment lasts 1 hours; 2 hours; or 3 hours. You will be given time to sit up or walk if needed.

 

6) If you have an orthodontic retainer, removeabe partial or flipper please bring it with you to your appointment.

7) A local anesthetic will be used and non-dissolvable silk sutures will be placed. The sutures will be removed one week after the surgery.

 

8) If you take aspirin, coumadin or another blood thinner, please inform Dr. Mason now. Also, if you are not taking a multiple vitamin daily, please begin taking them beginning one week before your appointment and for six weeks following.

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Instructions Following Periodontal or Dental Implant Surgery


1) Surgical Dressing
The surgical dressing you have in your mouth will harden in approximately one half hour. Do not rinse, drink, or eat during this time. Only brush the biting surfaces of the teeth, do not brush the sides of the teeth. The dressing protects the gingival tissues and occasionally small pieces of the dressing will break off in the days following surgery. However, if a large piece should break off, the exposed area should (BE/NOT BE) gently brushed and flossed twice daily. Do not use an electric brush in the surgery area for eight weeks. Additionally, rinse twice daily with PERIOGARD / three times daily with LISTERINE. Rinse gently, not vigorously. If you have a stent or orthodontic retainer to cover the roof of your mouth, wear it each night until stitches are removed. Also, wear this while eating and as needed during the day.
2) No Surgical Dressing
In some cases, there is better healing and patient comfort without the placement of a surgical dressing. In this case, do not rinse, drink or eat for the first half-hour. When the anesthetic has worn off, it is very important that he teeth in the surgical area are gently brushed and flossed at least twice daily. This may cause minor bleeding, but it should stop soon. Do brush the teeth on either side. Do not use an electric brush for eight weeks. Additionally, rinse twice daily with PERIOGARD / three times daily with LISTERINE. Rinse gently, not vigorously. Increased sensitivity to heat and/or cold may be noticed so please be careful when taking hot or cold foods or liquids into your mouth. If implant(s) have been placed, do not brush the gum and stitches over the implant(s).
3) Physical Activity
Restrict your activities and rest for the remainder of the day. Do not engage in strenuous activity. No bending over or physical work, including heavy lifting for 3 - 4 days after surgery.
4) Diet
Please continue to take a multiple vitamin daily or begin if you are not taking one already and continue this for the next six weeks. Do not chew in the area of the surgery. In most cases, patients are able to continue with a relatively normal diet, but must cut their food into smaller pieces and chew more slowly. However, do not chew on tough or crunchy foods. Do eat a well balanced soft diet such as lukewarm broth and soups or ice cream, jello, oatmeal, custard, baby foods, bread, eggs, cooked vegetables, ground meat, and cheese. Avoid highly seasoned foods and tart fruit juices. Concentrated alcoholic beverages may cause discomfort temporarily to the surgerized area. Smoking may cause the dressing to retain a stale taste and will interfere with healing, it is recommended to quit or to reduce smoking for 6 8 weeks after surgery.
5) Bleeding
You may expect a slight amount of bleeding which will turn your saliva pinkish in color during the remainder of the day and sometimes the next day. However, if you have significant bleeding, please call my office. Bleeding can generally be controlled through pressure. Apply a moist tea bag, tightly rolled gauze, or clean cloth to the bleeding area. Apply with pressure for 15 minutes without interruption. This will control most bleeding situations. However, should you have continuing concern, please call me at any time.
6) Swelling
Swelling is often a normal result after surgical procedures. It may persist for several days but should not cause alarm. Swelling may be reduced by applying cold packs to the surgical areas for a period of a few hours. These ice packs should be applied for 10 minutes and then removed for 10 minutes. The following day, ice may be used, also. Do not use heat. If swelling is severe or persistent, please call my office. If swelling should start several days after surgery, please call me.
7) Medication
You may expect some soreness and discomfort initially. If needed, you may take Tylenol or the prescribed pain tablets to help relieve discomfort. If you have been given a prescription for an antibiotic, take the total dosage as prescribed. If you should have a reaction such as hives, difficulty  breathing, or stomach upset, discontinue the medication and please call the office immediately.
8) Postoperative Appointments

The stitches (and dressing if present) will be removed at your next appointment. The dressing normally removes quite easily, as do the stitches, without significant discomfort. No anesthetic is required. The area will then be brushed. After this, you may have some sensitivity to heat or cold foods or liquids into your mouth. This is normally a temporary problem. These tissues may still be tender and another dressing may be placed.


The first weeks after the periodontal surgery are very significant with regard to healing and regeneration of gingival tissues, so I will require that you come in at least twice after surgery or until the tissues are healed sufficiently for you to carry out adequate daily removal of bacterial plaque.

9) Gum Graft Surgery
Wear the retainer fitted for you to cover the roof of your mouth each night. This will keep the tongue away from stitches and improve healing of the roof of the mouth donor site. The retainer can be worn during the day and with meals. Do not pull lip down to look at surgical area.

If any condition or concern develops which seems unusual to you, please call the
office.
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Office Forms

Printable Instructions for Dental Implants 40.5KB Jan 31, 2008 7:41 PM
Printable Instructions for Periodontal Surgery 6.8KB Jan 31, 2008 7:55 PM
Printable Instructions Following Perio or Implant 44.7KB Nov 04, 2007 6:46 PM
Informed Consent for Periodontal Surgery or Extractions or Dental Implants 62.7KB Feb 10, 2008 12:26 AM