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Aftercare
You will be called the next day and also be given written and verbal instructions...
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What About Your After Care Following Dental Implant Treatment?

Our After hours (Aftercare) Telephone Number is 0207 486 5538


“The Most Important Issue of Your
Dental Treatment is Your Access to Aftercare.

Here at Harley Dental we pride ourselves in giving a 100% aftercare package to all our patients once treatment has been undertaken. This is an element of our service that is unique and one area that other clinics abroad cannot offer you”.

Our Commitment to You

Below is a Summary of our Dental Care Plan and Aftercare

1. After any surgery or dental implant treatment we will arrange post operation medication for you.

2. You will be called the next day and also be given written and verbal instructions.

3. We will review you in 1 week after the surgery.

4. You will have direct access by phone 24/7 to the surgeon who treats you.

5. We will make arrangements to be able to see you if needed on the same day if any issue arises.

6. We will guarantee all our work for a period of *10 years subject to you attending our clinic for yearly reviews.

7. We will also offer you additional dental implant protection against accidental damage to give you complete peace of mind.

Post-Operative Instructions for Implants


Please follow these instructions as closely as possible. They are designed to help you heal quickly, and comfortably, with minimal side effects. If you-experience any complications, please call our office. We have a 24 hour answering service that can always reach one of the doctors by pager, and we will return your call as soon as possible, usually within thirty minutes.

For the Remainder of the Day

1) Do not spit. Use a tissue to wipe your mouth as needed, or swallow your saliva. 2) Do not use a drinking straw. Drink straight from the cup. 3) Do not smoke. 4) Keep fingers and tongue away from the surgical area.

Spitting, the use of a straw, smoking, and poking can dislodge the blood clot that is forming, and will cause bleeding from the area. Also, smoking can increase the chances of an infection.

For Bleeding

Some minor bleeding is expected after implant surgery. It will usually subside quickly, and stop within an hour or two after surgery. A little oozing is normal and may persist for several hours, Upper implants may occasionally trigger some bleeding from the nose, This is normal and will stop quickly. 1) Keep gauze on the surgical area with some pressure for 30 to 45 minutes.

2) Remove the gauze after 30 to 45 minutes, and replace it with a new piece of gauze if you are still bleeding. It is important to make sure’ the gauze is directly on the surgical site. Firm pressure for another hour should stop the bleeding. 3) If you find that this is not working after your third attempt, use a moistened tea bag instead of the gauze. The tannic acid in tea will help to form a clot, and stop the bleeding.

4) If all else fails, call the office.

For Swelling

Most patients will experience some swelling after surgery in the mouth. It may be mild or severe, and is different for every patient. The swelling will get bigger for the first 24 to 48 hours before it starts to go away. It may last for several days to one week. Some bruising may also develop on the face. 1) Use an ice pack on the cheek or face next to the surgical site. Keep it on for 15 to 20 minutes, then off for 10 minutes, and repeat until you go to sleep. Start again the next day.

2) Sleep with you head elevated slightly, above the heart. This will keep swelling down. 3) On the third day, change to moist heat instead of ice packs. This will bring the swelling down quicker.

Eating

You may eat soft foods as soon as the anaesthetic wears off. Try not to chew directly on the surgical site. You may resume a regular diet as soon as you feel up to it. Please stay well nourished, and well hydrated, you will heal faster.

Brushing

You may brush your teeth, avoiding the surgical area, either tonight, or tomorrow morning. Be gentle, and do not spit or rinse forcefully. Start brushing the surgical area on the second day, and be very gentle on the stitches.

Rinsing

You may start rinsing today, gently, with some warm salty water every few hours. Do not use alcohol-containing mouth rinses for a few days.

Medications

You were probably given one or more prescriptions for medications. Take all medications with a full glass of water, and as directed on the bottle. Call us if you experience severe nausea, or diarrhoea, or cannot swallow your pills. 1) Antibiotics: Continue until the bottle is empty. Do not quit halfway. 2) Pain Medicine: Continue as necessary. Remember that narcotics can make you drowsy, so no driving, operating machinery, or alcoholic beverages while you are taking them.

3) Mouth rinse: Peridex or Periogard. Swish with one-half ounce for thirty seconds, and spit it out, two times per day.

It is our desire that your recovery be as smooth and pleasant as possible.  Following these instructions will assist you, but if you have questions about your progress, please call the office.  Please try to call during office hours; however a 24-hour answering service is available for after hours contact with a doctor.
The after hours telephone number is 0207 486 5538


“An Example” of a Post Operation Instructions After a Sinus Graft

You have had a Sinus Lift Augmentation procedure in your upper jaw.  This procedure regains lost bone height in the area of your first and second molar and occasionally second premolar.  It is an important procedure as it allows implant placement in an area that could not be implanted otherwise because of insufficient bone height due to an enlarged sinus.

The bone that has been grafted is most commonly a combination freeze-dried bone, artificial synthetic bone and your own bone. Because of this you may have two post-surgical wounds: the donor site and the recipient site.

DO NOT UNDER ANY CIRCUMSTANCES. BLOW YOUR NOSE FOR THE NEXT FOUR (4) WEEKS. This may be longer if indicated. You may sniff all you like but NO BLOWING.

Do not blow your nose or sneeze holding your nose.  Sneeze with your mouth open.  Do not drink with straws and do not spit.  Scuba diving and flying in pressurised aircraft may also increase sinus pressure and should be avoided.  Decongestants such as, Dimetapp, or Sudafed will help reduce pressure in the sinuses.  You may also be given a prescription for antibiotics.  Please take these as directed. Anything that causes pressure in your nasal cavity must be avoided.  Avoid “bearing down”—as when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure.  Smoking must be stopped.

Antibiotics

Be sure to take the prescribed antibiotics as directed to help prevent infection

Oral Hygiene

Do not rinse or spit on the day of your surgery. This tends to disturb the blood clot, open the wound and can prolong bleeding and slow healing. You should not have a significant amount of blood in your mouth. Saliva can be swallowed, even if slightly blood tinged.

Keeping your mouth clean after surgery is essential to reduce the risk of infection.  Start salt water rinses the day following your procedure. Use one-half teaspoon of salt dissolved in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful.  Repeat as often as you like, but at least four to five times daily and always after eating for the next five days.

Do not brush the teeth in the area of surgery for 48 hours. When brushing, be very gentle. When expectorating, also be gentle.

We may prescribe an antibiotic rinse (Chlorhexadine, Periogard, Peridex) for certain procedures.  This rinse should be used in the morning and at bedtime after routine mouth care.  Do not eat or drink or rinse your mouth after using the medicated rinse.  Using this rinse more than two times a day will cause staining of your teeth.

Smoking

Do not smoke for at least two weeks after surgery, if at all.  As discussed at your consultation, smoking dramatically increases the risk of bone graft and sinus augmentation failure.  Dr. Dandapat can prescribe a Nicoderm patch if you feel you need it.

Wearing Your Prosthesis Or Nightguards

Partial dentures, flippers, or full dentures should not be used immediately after surgery until your post-operative appointment unless specifically instructed otherwise. Please contact the office if there is any question.  If you have a temporary “flipper” to wear do not place it until the numbness in the area is gone. When it is placed it should not touch the gums in the area of the surgery. If it does, this can cause ulceration of the wound edges and breakdown of the suture margins. This can lead to loss of the graft.  If you have questions about the fit of your flipper, partial or complete denture, do not wear it until your general dentist or our office can see you.

Post-Operative Problems Or Complications

As with any procedure, unexpected post-operative healing can occur.  If you notice the unexpected flow of air or liquids between your mouth and nose, please let us know immediately.

If you are aware of several small particles of graft material being discharged from your nose, let us know as well.
If you experience sinus or nasal congestion on the side your surgery was performed, let us know.

If there is an increase in swelling in your mouth, cheek or under your eye after 3 days, let us know.