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      Special instructions for patients undergoing implant surgery

      Before Your Treatment

      Do arrange for a responsible adult / chaperone to accompany you home if you are being sedated

      Do remove contact lenses prior to treatment

      Do remove all make-up and artificial nails (particularly lipstick and nail varnish)

      Do remove all jewellery

      Do continue to take routine medicines / tablets / pills (Do tell us about all medicines and tablets you are taking)

      Do tell your dental surgeon if you have been to your doctor or attended hospital since your appointment was made

      Do wear short sleeves and loose fitting, comfortable clothing

      Do eat a light meal at least two hours before your appointment (Avoid heavy meals or fatty foods on the day of treatment)

      Do not drink any alcohol on the day of treatment

      Do not wear tight clothing

      Do not bring anyone with you except the responsible adult who will take you home

      Please do not bring any children with you

      After Your Treatment; The first 24 hours

      You may be sleepy or possibly very alert. Please rest for a few hours and take the rest of the day quietly. Avoid exertion and sleep on several pillows

      Do eat soft, light and easily digestible food during the day and drink plenty of fluids but avoid using a straw – it can cause bleeding

      Do take medicines / tablets / pills that have been prescribed for you

      If you have been sedated, do not drive any vehicle, operate machinery, use cookers, kettles, and irons or make any business decisions on the same day as your treatment. Your reflexes and judgement have been affected. Stay at home with your chaperone

      You may feel wobbly when walking. Do not use stairs unattended, your balance may be affected

      Do not drink any form of alcohol or smoke, it interferes with healing and may cause infection

      Do not brush the treatment area but keep the rest of your mouth clean in the normal way

      Do not rinse your mouth or use a Water Pik

      Please call us if you have any concerns

      After Your Treatment; 24 hours – 2 weeks

      Maintain a soft diet; soups, stews and smoothies are nutritious and easy.

      Drink plenty of fluids but avoid using a straw – it can cause bleeding.

      Use hot/salty mouth rinses to bathe the area gently

      Do not smoke, it interferes with healing and may cause infection

      Do not drink alcohol whilst taking the medications we prescribe

      Do not brush the treatment area but keep the rest of your mouth clean in the normal way

      After Your Treatment; 2 weeks – 2 months

      Use hot/salty mouth rinses 3-4 times/day for a further 3 days, this will soothe the area where the stitches have been

      Brush the treatment area with a soft toothbrush

      Remove any dentures nightly and clean as normal

      Do not use a Water Pik

      Do not use alcohol containing mouth-rinses.

      After Your Treatment; 2 months onwards

      You may now use floss / super-floss and soft electric toothbrushes


      If you have had a bone augmentation

      It is normal to find a few small white granules

      Do not rinse vigorously for 2 weeks

      Do not press on the surgical area with your tongue or fingers

      Do not be tempted to lift your cheek or lip to look at the stitches, this can cause tearing

      If you have had a sinus lift

      Small nosebleeds are normal for the first few days

      Do not blow your nose, suck drinks through a straw or go swimming

      Do not take an aircraft journey

      Take all of the antibiotics


      Chaperone / companion tips (for the first 24 hours):

      The patient may be very sleepy or very alert, so it’s important to stay with them throughout the first 24 hours

      They might have difficult walking after sedation, so assist them gently

      Ensure that the patient does not operate a motorised vehicle, machinery, ovens, irons, toasters or kettles. Their reactions are delayed and they may hurt themselves

      Do not let the patient go up/down stairs unattended

      Ensure that the patient drinks plenty of fluids

      Call if you have questions or difficulties

      If you feel the patient is experiencing dangerous symptoms, take them to the nearest A&E


      Medications

      It’s normal to feel some mild discomfort after surgery, once the anaesthetic has worn off. You will be provided with appropriate pain medication. In most cases, Ibuprofen and Paracetamol will be prescribed. When taken together, these two medications are very effective, but without any of the side effects. If you have any questions about your medication, please speak with your dentist prior to surgery.

      Please take any medication we have prescribed. It will be ok to take any regularly-scheduled medication (for diabetes, high blood pressure, etc.) on your regular schedule, unless advised otherwise by your dentist.


      Potential side effects

      Temporary amnesia: Not remembering the details of the procedure

      Over-sedation: This can occur within sensitive individuals, or patients who have taken alcohol, sleeping pills or pain relievers without discussing it with the dentist

      Swelling: Some swelling after surgery is a normal body reaction, and it tends to reach its maximum 36-48 hours after surgery – lasting up to six days. To help control any swelling, apply a gel icepack over the surgical area (30 minutes on, 30 minutes off) for the first 24 hours. Continue to take the medication we have provided for you. Remember that you must avoid heat for the first 24 hours after surgery

      Bruising: Mild bruising around the surgical area is normal, and should disappear within a week or two

      Stiffness: After surgery, you may experience jaw muscle stiffness and have difficulty opening your mouth. This is normal, and should improve in 5-7 days

      Stitches (Sutures): If you have stitches, you will need to have them removed at short appointment 7-14 days after the procedure. Dissolving sutures will disappear on their own in about 14-18 days

      Bleeding: It is normal for some blood may ooze from the surgery area for a day or two, which can be quite alarming, particularly if you spit out into a white basin. Please do not worry, it is rarely as bad as it looks! If bleeding persists, bite firmly on moist gauze or a cotton handkerchief for a timed 10 minutes. Replace with new moist gauze if needed. If the bleeding begins again, place a damp teabag directly over the surgical area and bite firmly until the bleeding stops. If bleeding persists, contact the practice


      Other stuff

      It’s natural to lose a bit of weight after surgery, since you aren’t able to eat a regular diet – so it’s very important to get vitamins, minerals and calories however possible. Maintain a high protein diet throughout the healing phase. Foods that are a good source of protein are: eggs, soup, cottage cheese, ground lean beef and milk products. A blender may be used to chop up foods. Food supplements such as Complan are available at your local pharmacy. A fairly soft diet (cooked food) should be maintained for several months following surgery while the implant heals. Avoid nuts, muesli, crusty bread, raw vegetables. The implant should remain covered, if it does become exposed please contact the practice. Avoid traumatising the implant. Do not use a ‘water pik’, play with the area with your tongue or eat hard crusty food

      Take a daily supplement of 500mg of Vitamin C to balance your diet

      If you are taking antibiotics, yogurt with active cultures or acidophilus can be eaten to prevent diarrhoe

       

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      *Important: This is not definite advice. You need to see your dentist for specific advice following an appointment.

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