David F Pascoe DDS MSD
(631) 765-1919

Dental Post Operative Instructions

 Avoid rinsing, spitting, or disturbing the area on the day of surgery. There may be a metal healing abutment protruding through the gingival gum tissue. You may feel some discomfort following the procedure for up to a week. If pain increases over the first week please notify the office.

 Take all medication as prescribed.  Antibiotics are critical in establishing healthy healing of the area.

After the first day you may rinse your mouth with warm salt water after eating. After the first week begin to brush the area gently.  Tooth paste or antibacterial mouthwash may be used with a soft bristled manual or electric toothbrush. 

Bleeding

Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes.

Swelling

Swelling is a normal occurrence after surgery. If there is a large amount of swelling or it extends into the neck please call the office.

Diet

Drink plenty of fluids. Soft food and liquids should be eaten on the day of surgery. It takes time to become accustomed to a new prosthesis and one should be cautious about overloading the bone and supporting tissues. It takes a minimum of a couple of months for hard and soft tissue to begin to develop their initial resilience and strength.

Pain

You should begin taking pain medication as soon as you feel the local anesthetic wearing off. For moderate pain, 1 or 2 Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol.  Ibuprofen, bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken every 3-4 hours as needed for pain. For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic, or have been instructed by your doctor not to take it.

Oral Hygiene

Good oral hygiene is essential to good healing. One day after surgery, warm salt-water rinses (teaspoon of salt in a cup of warm water) should be used at least 4-5 times a day especially after meals. Start brushing your teeth and the implant healing collars 3 days after surgery. Be gentle initially with brushing the surgical areas so to not disturb stitches, membranes or lift up the gums.

Activity

Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.

For Temporary Crowns or Bridges

Please be cautious when functioning on temporary restorations especially if they are placed immediately on new implants. Chew carefully, they are made of plastic or resin and may crack or break. It is easy to overload the bone around a new implant resulting in failed integration.

 

 

Please call the office if you are in distress. Emergency contact information will be available.

You may call Dr Pascoe if he is available at:

(631) 413-5443