At this 30-minute appointment, we will go over everything needed to prepare you for your dental implant surgery. Our experience has taught us that taking care of these things in advance makes for a smoother, more relaxed surgical experience. Depending upon the course of treatment recommended this appointment may be combined with the new patient consultation.
- Prescriptions for all medications (such as antibiotics and pain medication)
- Special instructions for our patients who elect one of our sedation options
- Post-operatory care guidelines (such as what to eat, what to expect, what’s normal, etc.)
- Signing all necessary forms, and taking care of any payments (we accept payments via personal check, MasterCard, Visa and Care Credit)
- Scheduling your surgery and setting up follow-up appointments (bring your calendar)
Day of Surgery
Instructions may vary slightly depending upon your treatment, but in general, all of our patients can prepare by:
- Having all prescribed/recommended medications filled ahead of time
- Taking any medications we have specially prescribed for your surgery, one hour prior to your appointment, as instructed
- Continue any other prescribed medications that you normally take, at the regularly appointed times, unless otherwise agreed upon with our doctors
- Having cool drinks and soft, cool foods waiting for you at home
- Arriving about 10 minutes prior to your scheduled surgery time
- Dressing in comfortable, warm, loose-fitting clothing (our surgery room is kept cool)
If you are taking an oral sedative
- Eat breakfast or lunch before coming in for your surgery
- Make sure you have a driver to bring you to and from your appointment (all drivers must bring you in to the office to drop you off and pick you up)
- If possible, it may be nice to have someone who can stay with you for a few hours following surgery, but it is not mandatory
If you will be having IV sedation
You will receive a phone call from our anesthesiologist the day prior to your surgery to review your medical history and answer any questions you may have. In general, you can prepare for IV sedation by following these guidelines:
- Eating and Drinking: Do not eat anything for eight (8) hours prior to your scheduled appointment. Clear liquids such as water, apple juice, 7-UP, black coffee or tea (without creamer) may be consumed up until two (2) hours before your appointment
- Medications: Medications normally taken should continue at the regularly appointed times unless otherwise agreed upon with our doctors. If taking medication one hour prior to your appointment, sip as little water as possible.
- What to wear: Dress comfortably; short sleeves and flat shoes are preferred. Contact lenses must be removed prior to the induction of anesthesia. Please leave jewelry at home.
- If you’re not well: Please bring any changes in your health to the attention of our dental staff. For your safety, the onset of a cold or fever may necessitate delaying your appointment.
- Being cared for after surgery: You must be accompanied home by a responsible adult. It is not safe for the patient to drive a motor vehicle or operate potentially dangerous machinery for twenty-four (24) hours after the completion of treatment. It is important to have someone who is available to stay with and care for you until the next day.
All of our patients go home with a post-op care bag that includes gel ice/heat packs, cold alkaline water, lip balm, post-op instructions, and the doctor’s cell phone number. Many of our patients like to stop by one of the local frozen juice places on the way home (just remember, no straws!).
Because we perform surgeries in our office daily, please be aware that it is very difficult for us to accommodate patients who arrive late for their appointment.
Important: All patients under the age of 18 must be accompanied by a parent or guardian at all visits.
What to expect
The majority of our patients report only minor post-operative discomfort and are able to return to their routine activities the day following the procedure. All of our patients go home with a post-op care bag that includes gel ice/heat packs, cold alkaline water, lip balm, post-op instructions and the doctor’s cell phone number. Many of our patients like to stop by one of the local frozen juice places on the way home (just remember, no straws!). We will see you in 2 weeks to observe the surgery site and remove any sutures.
If you have any questions or concerns whatsoever, we encourage you to call our office at any time.
Taking all medications as prescribed will aid tremendously in your post-op comfort and healing, as well as following the post-operative instructions below:
SWELLING: Swelling following surgery is not uncommon and usually peaks on the third day. In order to reduce swelling, use ice packs, alternating 15 minutes on and 15 minutes off, for the first 12 hours. Keep your head elevated and use an extra pillow when sleeping. Some bruising, discoloration and/or swelling are not uncommon.
BLEEDING: Minor bleeding is not uncommon. In an effort to avoid causing bleeding, do not rinse or swish vigorously for the first 2-3 days. Holding ice-cold water in your mouth and allowing it to drain out with no forceful rinsing or spitting may be helpful. Do not use a straw when drinking. Try not to irritate the surgical site when eating or brushing.
You can control bleeding by applying pressure directly to the site of the bleeding using gauze, a tea bag, or a washcloth. In order to be effective, the pressure must be applied directly to the site of the bleeding, so look in the mirror to see where the bleeding is coming from. Hold the pressure continuously for 15-20 minutes and re-apply as needed. Keep your head elevated for the first few days; sleep with an extra pillow.
MEDICATION: Take pain medication and antibiotics as prescribed. Pain medication is most effective when an even blood level is maintained (as opposed to taking the medication AFTER the pain is intense). Antibiotics are particularly important.
EATING: Cold, soft foods are preferred on the first day. After that, you may eat normally, but avoid chewing in the area of the surgery. Avoid hard sharp foods such as potato chips, popcorn or nuts of any kind.
HYGIENE: You may brush your natural teeth but avoid touching the area of the surgery. Do not use a water pick and if electric toothbrushes are used, keep them away from the surgical site.
ACTIVITY: Take it easy on the day of your surgery. Avoid strenuous exercise, stooping or bending for the first three days.
SMOKING: No smoking for two weeks as smoking adversely affects healing.
DENTURES: If you wear removable dental appliances, keep them in place for the first three days (you can remove them for cleaning after meals but then they should be immediately replaced). If, instead, you choose not to wear dental appliances after surgery, be aware that swelling may prevent you from wearing them for a few weeks.
SINUS SURGERY: If your surgery involved the sinus, avoid blowing your nose for one week and do not use nasal sprays. Avoid flying or otherwise going up to altitude. In the event of a nose bleed, tightly pack BOTH nostrils, keep the head elevated and sit quietly for 15-20 minutes.