Frequently Asked Questions
Instructions after implant placement
Surgical procedures in the oral cavity are similar to surgical procedures in other parts of
the body and require patient attention to postoperative instructions. For any question or
clarification contact your doctor.
Do not disturb the wound with the tongue. Do not rinse on the day of
surgery. Do not smoke for at least 4 days after the operation, it slows down the healing
process and irritates the operated areas.
Post-operative swelling occurs after most oral procedures. Apply ice to the
operated area to reduce swelling. Apply an ice pack for 20 minutes, remove it for 20
minutes, and continue at this rate for the first few hours after surgery. Swelling is
expected to be maximum 48 hours after implant placement.
Follow a soft diet until the day of suture removal. You can eat anything except
small hard pieces such as rusks, nuts, as long as you chew on the opposite side of the
operation. Drink plenty of fluids and limit alcohol use.
The day after surgery, start rinsing with chlorhexidine 0.12% 2 times a day
(Plak-out, chlorexil, Plac control, Eludril, Periokin, Eladent Care 012) until sutures are
removed. If you are not given chlorhexidine for mouthwash, you can use warm salt
water for washing 2-3 times a day. Do not brush your teeth on the day of surgery and do
not brush the surgery area until the stitches are removed. A little blood on the
toothbrush is normal.
You will feel pain for the first few days after surgery. Use the pain
relievers recommended by your dentist. Usually, Non-Steroidal Anti-Inflammatory Drugs
(NSAIDs) are sufficient to treat the pain. Avoid aspirin as it can interfere with the clotting
process and cause bleeding. If you are given narcotic pain relievers (eg Lonarid), do not
drive or operate machinery while under the influence. An increase in pain after the 3rd
day is not expected. If pain persists despite medication, contact your doctor.
If you have been prescribed antibiotics, take them exactly as
directed and for the length of time recommended by your dentist. Report any side
effects such as rash or diarrhea to your doctor. Infection after the placement of dental
implants is rare. But if you experience fever, persistent swelling and pain, or discharge
of pus, contact your doctor.
If you bleed in the first few days, don't worry. Avoid alcohol and hot drinks and
foods. When you are bleeding, do not rinse your mouth. Moisten a gauze pad or tea bag
with some warm water, place it on the area and hold it firmly for 30 minutes. Try not to
lie down for a while, don't spit and put ice on the outside. Contact your dentist if you are
still bleeding 2 days after surgery.
Nausea can be caused by analgesic-anti-inflammatory drugs. Try to drink
plenty of fluids. Also non-carbonated soft drinks help to deal with nausea.
Bruising of the skin is to be expected and may last for weeks and may extend
to the neck.
Local anesthetics are active for 24-28 hours. If you experience numbness
beyond this period, notify your doctor. Loss or change of sensation in the lower lip,
tongue, cheeks, chin, gums or teeth can occur if nerves near the area where implants
were placed are injured. Usually the loss of sensation is temporary, but it can also be
permanent. Report the numbness to the dentist if it persists.
May occur due to swelling after surgery. As the
swelling increases, the trismus will decrease. If trismus persists, call your doctor.
Complications from the sinus cavity: If your implants have been placed in the posterior
region of the upper jaw, there may be complications from the sinus cavity. Sinus
symptoms such as nasal congestion or heaviness or severe pain should be reported to
your dentist.
Your doctor has placed stitches that will either be absorbed in 2-3 weeks
or you will be asked to return to the office to have them removed.