DENTAL IMPLANT – AFTERCARE INSTRUCTIONS
DENTAL IMPLANT – AFTERCARE INSTRUCTIONS
INSTRUCTIONS FOR PATIENTS
IMMEDIATE AFTER IMPLANT PLACEMENT
- Take care to only have cold drinks and do not eat until the local anesthetic has worn off.
- Avoid hot drinks or hot food for the first day and do not ‘swirl’ liquid over the area.
- Try not to disturb the area with your tongue or fingers. Do not undertake a strenuous exercise for the first forty-eight hours (running / gym).
- You may have some swelling and/or bruising following your treatment – this usually reaches a peak two to three days later.
- This is quite normal and both will subside naturally after a few days. Swelling can be reduced with ice packs (or a bag of frozen peas) wrapped in a towel.
- Hold on the cheek area for a maximum of ten minutes at a time with twenty minutes’ break. After twenty-four hours, gentle heat is more beneficial.
- Sleeping propped up slightly on two to three pillows may also help.
- Pain should not be a big problem. Although you may be sore for a few days after any surgery in your mouth, this can be easily managed with simple analgesics (painkillers).
- You should take these regularly at the maximum stated dose for the first three days after your surgery.
- Take whatever painkillers you normally take for headaches, aches, and sprains (ibuprofen and paracetamol make a good combination), and take your first dose before the local anesthetic has completely worn off.
- If after a few days you experience increasing pain and swelling, you must return to The Implant Centre as soon as possible, so that we can ensure you are not beginning to develop an infection.
- If you have a denture that covers the surgical area, please wear it as little as possible for the first week to protect the surgical site during its initial healing period. You should always leave the denture out at night.
- The stitches are dissolvable but often remain for around two to three weeks. If they are uncomfortable or annoying, you may contact us to remove them.
- Some minor bleeding after surgery in the mouth is normal. If this persists, apply pressure by biting firmly down over the area on a dampened gauze swab or clean handkerchief for sixty minutes whilst sitting upright.
- Do not keep checking or changing the gauze. You should contact us if bleeding persists for any reason after applying pressure in this way.
- If you have been given a course of antibiotics to take after your surgery, please ensure that you complete the course.
- Successful oral surgery depends on keeping the mouth as clean as possible.
- You should also start cleaning your other teeth as normal with a toothbrush, starting on the evening of your surgery.
- Avoid brushing the surgical site for the first few days, but then begin to carefully clean this area with a toothbrush as well, once tenderness permits.
- Hot salt mouthwashes (a cup of hot water with a teaspoon of salt) are very beneficial for healing in the first week. Ensure that the mouthwash is not so hot that it scalds and then hold the hot mouthwash over the surgical site until it cools. Repeat as often as possible.
- Try to keep food away from the surgical area for as long as possible. Rinse following eating to keep the area clean.
- You are advised not to smoke until the wound has healed, as this severely limits healing in the mouth.
- We want your recovery to be as smooth and pleasant as possible.
- It is vital to follow these instructions very carefully – if you have any concerns or questions regarding your progress, please do not hesitate to contact us. An out-of-hours contact number is always available on our answer phone.
HOME CARE: POST – IMPLANT INSTRUCTIONS
- Brush 2-3 times daily and floss at least once per day. Due to the shape of the dental implant and crown placed on top, there is a greater chance for food impaction around it than around your natural teeth.
- Make sure to wrap the floss as far around the implant tooth in all directions as possible. Make this part of your daily routine to maintain healthy gum tissue.
- If your dental implants are part of a bridge, make sure to floss underneath the bridge, as well as along the sides. “Floss threaders” can be used to assist with the task.
- A Waterpik or similar irrigation device can be used in addition to brushing and flossing to clean the areas around your dental implant.
- Interproximal brushes or “Proxy Brushes” can also be used to clean hard to reach areas.
- Toothpaste: most of the toothpaste contains fluoride and will not damage your implant. Avoid toothpaste with excessively abrasive particles, such as baking soda, which can remove the glaze on the porcelain crown.
- Maintain your regular dental hygiene schedule, usually every 3-6 months.
- Please contact our office if you experience any issues with your dental implant, crown, or gums. We are committed to providing the highest quality of care for all your dental needs.
INSTRUCTIONS FOR DENTIST
Scaling and Root planning procedures
Scaling and root planning procedures entail the use of plastic curettes and fine polishing pastes.
Professional maintenance should include removing both hard and soft deposits with plastic scalers.
Some plastic instruments are highly flexible and can be difficult to use when removing calculus from implant surfaces.
Plastic instruments reinforced with graphite are more rigid and can be sharpened.
Traditional stainless steel, titanium and gold-tipped instruments may scratch the implant surface, which facilitates biofilm growth.
Traditional ultrasonic tips also seem to significantly damage the implant surface.
Recent studies have shown that newly developed plastic-covered and novel metallic copper alloy ultrasonic scaler tips have minimal effects on the titanium surface of implants.
Polishing with a fine polishing paste does not appear to scratch the implant surface; however, there have been conflicting results regarding the use of air-polishing abrasives on implant surfaces.
To date, no studies have linked scratching of the implant surfaces to increased incidence of mucositis or peri-implantitis.
In addition to peri-implant inflammation , traumatic occlusion is another potential cause of breakdown of bone around the implant.
It is therefore important to perform an occlusal examination during the implant maintenance consultation.
Studies performed in monkeys suggested a possibility of bone resorption around implants with 180 µm of excess suprastructure height, even in the absence of inflammation in the peri-implant tissue.
In clinical studies, an association between loading conditions and marginal bone loss around oral implants or complete loss of osseointegration has been reported, but a causative relationship has not been shown.
For fixed restorations, light centric contacts and avoidance of noncentric interference are recommended.
During the occlusion assessment, shim stock should be held only with tightly clenched teeth, to ensure avoidance of excessive occlusal loading of implants.
Evidence suggests that plaque control is as critically important for the maintenance of dental implants as it is for natural teeth.
Therefore, it is imperative that patients understand their role and responsibility in maintaining their implants.
Ideally, a home care assessment should have been performed before placement of the implant fixture, but whether or not an initial assessment was performed, review and reinforcement at subsequent maintenance appointments are essential.
A regimen for thorough oral hygiene, customized according to the condition of the tissue and the extent of plaque and calculus around the implants, should be implemented.
Home care devices and aids that have been shown to be safe for use around implant surfaces include interdental brushes with nylon-coated core wire, soft toothbrushes (both manual and power), end-tuft brushes, gauze, many types of floss (e.g., plastic, braided nylon, coated, floss with stiffened end to clean under bridges, dental tape, Post care implant flossing aid, stannous fluoride gel and chlorhexidine.
Home care instructions should be customized according to implant design and accessibility. For example, smaller-diameter toothbrush heads, such as end-tuft brushes, may be helpful for areas that are difficult to access.