Pre- and Post-Mini Dental Implant Instructions

The following information will help you know what to expect when you have your mini dental implant placed and your denture attachments inserted.

Antibiotics will be prescribed, to start one hour prior to your mini dental implant placement and continuing four times daily for six days, until finished.

Take ibuprofen (eg. Advil, Motrin) 200 mg OR acetaminophen (eg. Tylenol) 325 mg:

Two tablets one hour before your appointment and continuing with 1 tablet every four hours for the day of surgery, and as required for your comfort. Take ibuprofen with food or plenty of liquid. Discomfort from the placement of mini dental implant is generally similar to a routine dental extraction, and should be eased with these medications.

If you currently eat a well-balanced diet, you should have adequate vitamins and minerals to heal well after surgery. As a precaution, especially if you have difficulty eating due to a loose denture, we suggest that you take the following nutritional supplements. They are available at most major pharmacies including Maple Pharmacy in this building. Start 5 days before your surgery and continue for at least 5 days after.

  1. Stresstabs Z-BEC – one tablet daily
  2. Vitamin C – 500 mg daily (in addition to the Stresstabs)
  3. Echinacea – 900-1000 mg of Echinacea root divided in 2 or 3 doses

On the day of mini dental implant placement, please avoid wearing makeup on your lower face as this can contaminate the surgical site. Ensure that we are aware of any medications or pills of any kind that you are taking. Diabetics should ensure that they eat their normal meal before coming for their appointment.

Your mini dental implant surgery is generally less invasive than a dental extraction, and often takes less than half an hour. After your mini dental implants are placed and stable, the attachments will be added to your denture with cold-cure acrylic. This will be done in our office and you will wear your denture home. You will wear your denture until we see you the day after your surgery.

If you have chosen to have sedation:

You must be accompanied by an adult, and may not leave the office alone. Plan to have someone with you for the entire day of the surgery. Do not wear tight fitting clothing; wear comfortable and loose fitting clothing. Do not wear high heels or platform shoes as walking in them while sedated may be dangerous. A blanket and pillow in your vehicle may make your return trip home more comfortable.

Post-Surgical Care Following mini dental implant placement

Do not remove your denture the day of surgery. Keep your denture in place until your post-operative appointment the day after your surgery, when the doctor will remove it. Light pressure on your denture will help stop any bleeding.

Rest: Relax today and refrain from vigorous work-out programs for 2-3 days following surgery. Keep your head slightly elevated in the first 24 hours (an extra pillow or a thick book under the head of your mattress).

Oral Hygiene: Do not rinse today. Starting tomorrow you will rely on the antibacterial oral rinse given to you to keep the area clean. You should rinse/swish for 30 seconds/spit out, 2 times per day (follow instructions on bottle) You must avoid brushing the surgical site for at least 1 week unless otherwise instructed.

Swelling: Is very common. You can minimize it by placing an ice pack on your face over the surgical site during the 1st day after surgery (on for 20 minutes, off for 20 minutes). Swelling is a part of the body’s healing process and can be expected for three days to several weeks depending on the nature and extent of the surgery. After seventy-two hours heat may be applied to the swelling. Heat will increase circulation and aid in the healing process. Swelling is often worst in the morning because you have been lying down. It will reduce gradually after you get up.

Bruising: Fair skinned patients, seniors, or individuals who bruise easily may anticipate some discoloration of the skin in the area surrounding the surgical site. The use of a cold pack immediately after surgery will lessen bruising.

Bleeding: Slight seepage/blood staining in your saliva is expected following the surgery. Profuse bleeding isextremely rare. If bleeding should occur, apply pressure with a moistened tea bag for 20 minutes. If you are still unable to control bleeding after 3-4 hours, call our office. In the unlikely case of profuse bleeding, if you are unable to reach the dentist, you should go to the nearest hospital emergency department.

Smoking: If you smoke, your implants are more likely to fail!

Alcohol: Will affect your body’s normal clotting mechanism, and can contribute to bleeding problems within the first few days after surgery. Avoid alcohol for the first few days after surgery. It can also adversely interact with painkillers (codeine based drugs) and some antibiotics.

When you should notify your doctor:

  1. If active bleeding continues after 3-4 hours of applied pressure to the surgical site.
  2. If you are unable to maintain a nutritious diet after 48 hours.
  3. If numbness persists after the initial day of surgery.
  4. If pain or swelling increases after the third day.
  5. If bleeding has not decreased after two days.
  6. If sutures or stitches become loose or dislodged prior to the third day or if an implant becomes loose.
  7. If an implant fractures.
  8. If you have any symptoms that may indicate a reaction or allergy to medications, such as skin rash, hives, elevated temperature, increased and/or erratic heart rate, nausea/vomiting, dizziness/fainting, or blurred vision.
  9. If your body temperature, measured orally, exceeds 100.5° F/38C.

WHAT ABOUT EATING?

DO NOT try to eat solid foods until the local anesthetic wears off. You will have no feeling in the surrounding area, including your tongue, and may unknowingly bite yourself.

DO NOT use a straw when consuming liquids. The sucking action will cause a vacuum in the mouth and may dislodge the body’s natural clot.

A nutritious diet throughout your healing stage is most important to your comfort, temperament and healing. Hungry people become irritable and less able to deal with discomfort that can follow surgery. You should be aware that eating can prevent stomach upset sometimes associated with certain medications.

Milk, along with cooked cereals, scrambled eggs, cottage cheese, and milk toast are recommended for the initial day following surgery.

Soups, broiled fish, stewed chicken, mashed potatoes, and cooked vegetables can be added to your diet as your comfort indicates. Do not eat sticky or hard foods.

Liquid meal replacements such as Boost or Ensure and/or yogurt supply excellent added nutrition. These are especially indicated if other soft foods are not consumed.

Avoid acidic foods such as citrus fruits, orange juice and tomatoes. If you have remaining natural teeth they may have sensitivity to cold, which will diminish with time. Please let us know if cold sensitivity persists.

Please do not hesitate to call our office if you are concerned about your situation. Dr. Black’s contact phone number is above.

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