Care of the mouth after a bone graft surgery has an important effect on healing. Swelling, discomfort and restricted jaw function are expected, and no need to cause alarm. These may be minimized by following these instructions. Please read them carefully.

Bleeding: Generally slight bleeding is expected. Avoid spitting and vigorous rinsing. Ice packs and limited activity will decrease bleeding. Change gauze packs every 20-30 minutes until bleeding stops. A moist tea bag placed over the bleeding will help clotting.

Analgesics: Many implant patients will take Advil or Tylenol only

Swelling: We use medications to decrease swelling however, ice packs will further lessen your swelling and bleeding. Apply the ice packs to the cheek or jaw for 30 minutes on and 30 minutes off each hour. Ice packs are effective for the first 24 hours.

Diet: Liquids are suggested for the first 24 hours. A soft diet with avoidance of the surgical site is necessary for up to 2 weeks.

Nausea: Nausea is usually related to anesthesia or narcotic pain medicine. If it occurs, discontinue the pain medication. Benadryl 25 mg. will usually decrease nausea. It may be taken every 4 hours with 2 Advil for pain. If the nausea persists, please call the office for direction.

Oral Hygiene: Rinsing very gently can be started the next morning after surgery. Use ½ teaspoon of salt in 8 oz. of warm water. Allow the water to gently move across the surgical site. Do not swish the water or spit.

Smoking: Smoking can cause delayed healing and graft or implant failure.

Activity: Graft procedures require limited physical activity such as running, tennis, and contact sports for 1-2 weeks.

If you have any questions regarding these directions, or if you experience excessive bleeding or swelling, persistent and severe pain, fever, or any reaction to medications, please call our office immediately at (253) 475-7125. If after hours, Dr. Bui can be reached at (253) 576-7080.

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