POST-OPERATIVE INSTRUCTIONS FOR BONE GRAFTING
Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed by these. This is normal.
What to expect following surgery:
BLEEDING: Small amounts of blood in the saliva can make your saliva appear quite red/pink the remainder of the day following surgery. If you wake up and see excessive blood, contact our office immediately. If we are unavailable, please go to the emergency room.
PAIN: Before the anesthetic wears off, it is recommended you take 400-800mg of ibuprofen/Advil or Motrin every 6 hours to relieve any post op discomfort. If you are allergic or cannot take the above meds, you can take 1000 mg of Acetaminophen/Tylenol every 6 hours. There will be a pain medication sent home with you for any additional discomfort.
SWELLING: Some swelling of the lip or cheek may occur.
What to do following surgery:
After leaving the office, rest and avoid any strenuous activities for the rest of the day. This will help reduce bleeding and aid in the healing process.
Take your meds as described above. Be sure to take them before the anesthesia wears off. Nausea can occur and most often is due to taking your meds on an empty stomach. Take your meds with a large glass of water or with some soft food.
Eat soft foods for the first 2-4 days. Maintain a good, balanced diet. Drink plenty of water. Avoid chewing hard foods on the graft sites. Chewing forces during the healing phase can decrease the body’s ability to heal around the graft. DO NOT USE A STRAW. Avoid alcohol for 48 hours.
For the first day, it is advisable to let the blood clot stabilize by not rinsing your mouth. Following the first day, gentle rinsing would be advised; avoid vigorous rinsing. Do not rinse vigorously because you can disturb some of the bone graft granules. Do not use any mouthwash. Use only warm salt water or peridex as prescribed.
Smoking should be avoided for a minimum of 1 week as it delays the healing process.
Do not apply pressure with your tongue or fingers to the grafted area because the material is movable during the initial healing.
Do not avoid cleaning the area. You may gently rinse with warm salt water 24 hours following surgery and continue to do so 2 to 3 times daily for the next 5 days. AVOID VIGOROUS RINSING.
Do not avoid brushing your teeth but stay away from the site with a toothbrush. Let comfort be your guide.
If a partial denture or a flipper was placed, you will probably have to have it adjusted and learn how to remove and replace it appropriately. In some cases you will be advised not to wear it during the healing process.
Sutures will be removed approximately 2 weeks after the surgery. The non-resorbable barrier membrane will be removed by the doctor at a later appointment. If the membrane comes out after the sutures have been removed, this is ok. The membrane looks like a white sheet and it wraps over the grafting site to aide in the healing process.
Please call our office if you have any concerns or questions.