After Bone Grafting Surgery

Please read the instructions carefully and call our office if you have any questions or concerns. It is very important to follow instructions following your oral surgery procedure to minimize unnecessary pain and complications.

Immediately following surgery:

  • If you have had any form of sedation DO NOT operate a motor vehicle for 24 hours. You should have a responsible adult with you for the first 24 hours after sedation because your coordination and judgment are impaired.
  • You should bite with firm, steady pressure on the gauze provided for approximately 2 hours following surgery. Change the gauze every 30 minutes as needed. DO NOT CHEW ON THE GAUZE.
  • YOU SHOULD NOT RINSE YOUR MOUTH WITH ANYTHING FOR 24 HOURS.
  • DO NOT SMOKE following your surgery for a minimum of 5-7 days as this will cause additional pain and delay healing.
  • You may notice some bone graft material (sand like granules) in your mouth the first week following your surgery. This is expected and should not cause alarm.
  • Take all medications as they have been prescribed. If you have been given a prescription for pain medication you should not operate a motor vehicle while taking the medication.

Bleeding:

  • Some bleeding and drainage is normal for up to 24 hours following your procedure. For minor bleeding it is not necessary to continue biting down on the gauze for more than 2 hours.
  • If excessive bleeding is a concern, please call our office for further instructions. Kernersville Office Phone Number 336-992-2123

Pain:

  • Some pain and soreness is to be expected following oral surgery. When you leave our office, you will still be numb. This numbness will last approximately 1-2 hours. Before the numbness wears off you should take the pain medication prescribed to you as directed (not on an empty stomach). This will help ease the transition of the numbness wearing off. You may alternate with 600-800 mg of Advil or Ibuprofen (3-4 over the counter pills) every 6 hours with the prescription pain medication. After the first 24-48 hours the Advil or Ibuprofen should manage your pain sufficiently. However, in some cases, the prescription pain medication is still needed.
  • Your peak day for pain and swelling is commonly the second and third day. From this point, symptoms should improve with each day.

Diet:

  • Start with clear liquids. While you are numb, you should only have liquid-type foods that do not require any chewing (ice cream, yogurt, pudding, jello, protein shake, etc….) Once the numbness has worn off you may have soft foods (eggs, mashed potatoes, pasta, soups, etc….). Avoid sharp, crunchy and chewy foods for the first week following your surgery. Avoid chewing directly over the bone graft site(s) for the first few weeks.
  • NO DRINKING THROUGH A STRAW for one week.

Swelling and Bruising:

  • Swelling is normal following a bone grafting procedure. Apply an ice pack to the outside of your face, over the surgical site, off and on as much as possible for the first 24 hours following your surgery. This will help with discomfort and minimize swelling.
  • Swelling peaks 2-3 days after surgery. After the 2 nd day, you may apply moist heat to the outside of your face. This may help resolve any facial swelling.

Oral Hygiene:

  • Good oral hygiene is essential to healing after your implant surgery. On the day after your surgery, you should start rinsing with warm salt water 3 times a day for one week (mix ½ teaspoon of table salt with ½ a cup of water).
  • You may have been given an antibiotic mouth rinse. If so, you can rinse with the mouth rinse the day after your surgery as directed on the bottle.
  • You may resume brushing your teeth on the day of your surgery. Use caution to avoid the bone graft site for the first week.

Dentures, Partial or Essix appliance:

  • If you had a denture, partial or essix appliance placed the day of your surgery, DO NOT remove your appliance for the first 48 hours, except to rinse with salt water. If you leave if out for more than a few minutes, you may have an increase in swelling that will cause your appliance to not fit well until the swelling subsides.

If you have any questions or concerns, please call our office. We are here to help in any way we can to ensure that you have a great surgical experience with our office. Kernersville Office Phone Number 336-992-2123