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Post-Operative Instructions: Tooth Extractions with Bone Grafting

Please be gentle with the surgical site. Avoid vigorous rinsing, spitting, or touching the surgical site for the first few days after surgery.  You ARE encouraged to brush your teeth during the healing process, starting on the day of surgery, but you should be very careful to not disrupt the sutures with the toothbrush.  If you use an electric toothbrush, please be especially cautious around the sutures and the graft site.


Typically, patients experience minimal bleeding after dental implant surgery.  However, some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding is highly uncommon, if this should occur, please contact the office or Drs. Aiken or Shessel for further instructions.


Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice pack on the cheek in the area of surgery. Apply ice as much as  you can comfortably tolerate, for the first 24-48 hours. Swelling generally reaches a peak in 24-36 hours and then subsides over the next 3-5 days. If swelling begins to increase after the third post-operative day, please promptly contact the office for assistance.


Drink plenty of fluids. Avoid hot liquids or food. Soft food and liquids should be eaten on the day of surgery. Return to a normal diet as soon as possible unless otherwise directed.


You should begin taking pain medication before the local anesthetic wears off.  Please refer to the written instructions in your discharge paperwork for all medication related instructions.


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


Good oral hygiene is essential to good healing. Warm saltwater rinses (a teaspoon of salt in a cup of warm water) should be used at least 4–5 times a day, especially after meals. DO NOT rinse with peroxide, even if diluted. If you are given a prescription oral rinse, please rinse for 30 seconds and spit twice per day. Remember, brushing your teeth is encouraged throughout the healing process. Be gentle initially (within the first 7 days) when brushing around the graft site.