Following implant placement, the general postoperative instructions still apply, but several additional points should be emphasized. 

Routine placement of dental implants usually does not create a great deal of pain.  If you find that you need pain medication, start with over-the- counter pain medication.

DO NOT directly brush the area for the first week to allow time for the gums to initially heal.  The sutures that are placed are either dissolvable sutures that will come out in 4-7 days or sutures that will be removed in about 3 weeks. 

If the implant was placed so that you can see metal protruding from the gum tissue, it is very important for you to keep this area clean in order to avoid buildup of food debris. You may use a cotton-tipped swab dipped in mouth wash or warm salt water and gently wipe the metal part protruding from the tissue. You can proceed to a soft, non-electric toothbrush after 1 week. It is recommended that you avoid electric toothbrushes or waterpiks as they may contribute to loosening of this metal cap.

Rarely, the metal cap (abutment) of the implant may loosen or even come off during the integration period.  Do not be overly alarmed. If the metal comes loose or falls off, please call the office to schedule an appointment for the cap to be replaced. Ideally this appointment should be the same day or a few days after to help prevent the gum tissue from healing over the site. It is not an emergency.  

DO NOT chew near the area.  Chewing forces during the healing process can initially injure or damage the gum tissue and decrease the body’s ability to heal around the implant.  Once the minor discomfort following surgery has passed, you have to remember the importance.  The most crucial time for implant integration is the first month after surgery. 

DO NOT resume the use of any tobacco or smoking products except as directed. 

If you have a temporary/removable prosthesis, it is important that it not impact or rest directly on the surgical area.  Any pressure can cause complications including implant failure.  Please notify the office if this is a concern.  Also, remember that the purpose of most provisional or temporary prosthetics is for aesthetics only and should not be used for chewing.