Smoking and drinking alcohol after dental implantation

From this article you will learn:

• is it possible to smoke after dental implantation,
• How can we reduce the incidence of implant rejection in smokers?

Installing dental implants in smokers is a rather risky undertaking, and there is no doubt that smoking negatively affects the healing of the implant and significantly increases the risk of its rejection. Additionally, clinical studies have shown that there is a direct relationship between the number of cigarettes smoked and the incidence of dental implant failure.

For example, statistics show that the incidence of peri-implantitis and implant rejection in smokers is observed exactly 2 times more often than in non-smoking patients (Fig. 2). This means that approximately 8% of the total number of smokers will experience implant rejection. But still, this does not mean that smoking and dental implants are completely incompatible.

Peri-implantitis (one of the common complications in smokers) –

The first 2-3 days after dental implantation

You have just come home from implant surgery. We are confident that you feel well, but feel a slight general weakness caused by the operation and general psychological stress, as well as numbness caused by the anesthesia and excess pressure on the nerves. It will go away on its own in 5-6 hours (the maximum will persist locally and locally for a week).

“In the first days after surgery, we recommend staying within reach of the dentist - no need to go out of town or on a business trip, so that if your condition worsens, you can receive timely medical help.”

Bespalov Roman Dmitrievich, maxillofacial surgeon, implantologist, more than 25 years of experience make an appointment

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Summary -

• It is very good if you choose the right type of implant with an ultra-hydrophilic surface. Ideally, even with a surface on which phosphorus molecules or fluorine ions are applied.

• It is very good if you have chosen the correct surgical technique for installing the implant. We are talking about a two-stage classical implantation technique when installing a classic (crestal) type of implant, or about a basal implantation technique.

• It is very good if you reduce the frequency of nicotine consumption several weeks before the operation and for 5-8 weeks after it, and even better, do not smoke at all during this time.

Important: But that's not all you need to know.
You must understand that if you continue to smoke after the implant has been implanted into the bone, then you will encounter the problem of accelerated bone atrophy around the neck of the implant (typical for classic-type implants). This means that over time your gum height will decrease and the metal surface of the implant will be exposed (Fig. 9). The latter circumstance will make the aesthetics almost unacceptable if we are talking about the anterior group of teeth and at the same time you have a high smile (with exposure of the gingival margin). We hope that our article: Smoking and implantation was useful to you!

Sources:

1. Add. professional

, 2. Personal experience of a dental surgeon (implantologist), 3. American Academy of Implant Dentistry (AAID), 4. National Library of Medicine (USA), 5. “Complications during dental implantation” (A.V. Vasiliev), 6 The National Center for Biotechnology Information (USA).

Nutrition rules

The main requirement is a minimum load on the implants both on the first day and in the next 2-3 days. The following nutritional rules must be followed:

General rules for what you can eat and drink

• refuse food during the first three hours,
• after 3 hours you can eat: give preference to soft and warm foods (warm soups, yoghurts are ideal),
• over the next three days, hot and cold food, drinks,
• eliminate spicy and sour foods from your diet,
• It is necessary to chew food on the side of the dentition where there are no sutures,
• your diet should be varied - make sure the foods you eat contain all the essential nutrients, especially calcium,
• you cannot drink alcoholic beverages or smoke,
• It is not advisable to drink coffee and black tea; it is better to give preference to herbal tea or dried fruit/fruit compote,
• Do not consume solid foods, excessively cold or hot drinks,
• It is important to drink as much water as possible (up to 1.5-2 liters).

Don’t give up meals – gradually introduce all foods into your diet. Remember that your body needs strength and energy to recover. The diet should be of high quality and as healthy as possible.

Sample menu - what should be the diet in the first 2-3 days after surgery

• soft cottage cheese, various yoghurts, you can buy baby food in jars - give preference to meat products and vegetables. In the first 2 days, if you do not receive dentures immediately, your diet will consist exclusively of liquid and puree foods,
• make yourself some broth. This can also be a regular soup, but it is better to use a blender before using it. On the first day, you can afford mashed boiled vegetables. All food should be warm - neither hot nor cold,
• For drinking, water is a priority, but you can indulge in warm herbal tea, especially one that acts on the nervous system as a sedative. Be sure to buy a straw - if you need stitches, you're better off eating this way.

Side effects

Adverse reactions are normal for most patients, and to make recovery easier after dental implants, follow your doctor’s recommendations and don’t be afraid to ask questions about your health. The presence and severity of side effects depends on the characteristics of the body and compliance with the rules of oral care after surgery. The main reactions that occur in the early stages after the procedure:

• swelling of soft tissues - appears a few hours after the operation, three days later, the swelling begins to subside;
• hematomas, bruises are a common phenomenon, disappear within 5 days;
• ichor - can last up to 7 days. If saliva mixed with blood is released for more than one week, or heavy bleeding occurs, consult a surgeon;
• slight increase in temperature in the first 72 hours after surgery;
• Painful sensations disappear after 1-2 days. If you experience prolonged aching pain for more than 3 days, inform your doctor.

Can I drink alcohol after getting implants?

To the question “is it possible to drink alcoholic beverages after implantation,” our answer is categorical. NO. See our reasons why we strongly do not recommend drinking alcohol after having implants:

1. bone tissue is destroyed, gums heal poorly,
2. fusel oil, which is contained in alcohol, slows down the healing process and causes inflammation of the gums, increases the risk of complications - hematoma, purulent inflammation, peri-implantitis and implant rejection,
3. antibiotics are prescribed, which means alcohol is prohibited - the combination can be life-threatening,
4. inappropriate actions and inability to perform hygiene, because when a person is heavily intoxicated, he cannot control his actions,
5. your appetite increases – you can damage your implants,
6. your immune system stops working fully,
7. you forget that you need to visit a doctor: such situations arise in situations where the patient drinks alcoholic beverages for a long period of time. Shifting the visit to the doctor by 1-2 days (after a month after installation of the implants) is allowed. But in the first week, visits to the doctor should be strictly day-to-day,
8. you may lose your warranty.

Please do not read the Internet and do not study the stories of people who wrote that “they drank alcohol after getting implants or a tooth removed and nothing happened.” A lot depends on the amount of alcohol consumed, the nature of the surgery, its complexity, your state of health and the medications prescribed. If it worked for others, this does not mean that you will not have complications either.

Read more about the negative effects of alcohol on the body in our separate article.

Drinking alcohol should not become an obstacle to living a full life and maintaining the results of expensive treatment!

What happens to implants when smoking –

When smoking, several factors simultaneously affect the healing of implants. Firstly, inhalation of hot smoke actually leads to a slight burn of the tissues of the oral cavity, which is accompanied by hyperkeratosis of the oral mucosa and a slowdown in reparative processes in it. This leads to slower gum healing and increases the risk of developing peri-implantitis.

Secondly, smoking reduces the function of the salivary glands and leads to chronic dryness of the oral mucosa. In turn, this not only impairs gum healing, but also contributes to the accelerated development of pathogenic bacteria, which cause the development of peri-implantitis (inflammation of the gums around the implant, often ending in its rejection).

Thirdly, nicotine and its by-products have a very strong effect on the peripheral blood vessels located in the oral mucosa and superficial layers of bone. Nicotine causes a prolonged spasm of these vessels, which leads to a slowdown in blood flow and, as a consequence, to a decrease in the supply of oxygen and nutrients to the tissues. And this, in turn, leads to disruption of the implant’s healing to the bone.

Conclusions: all of the above factors not only worsen the healing process after implantation surgery, but also worsen the local immunity of the oral mucosa, which leads to a sharp increase in the number of pathogenic bacteria and the development of inflammation in the tissues surrounding the implant (which are already very vulnerable after surgery).

Hygiene rules

• do not touch the area of ​​sutures and installed implants with your hands or tongue,
• in the first 3-4 days, limit yourself to oral baths (just hold the solution/water in the mouth), after which you can carefully rinse,
• on days 3-5, that is, after the inflammation and swelling have reduced, you need to start using a toothbrush. The recommended bristle hardness is soft or ultra soft, so as not to damage the gum tissue and the area of ​​sutures,
• introduce toothpaste at the same time as starting to use the brush: Parodontax, ROCS or RasYan Herbal Clove toothpaste (for example, herbal, clove). These pastes allow effective prevention of gum inflammation,
• starting from 2-3 weeks after installing the implants, after each meal, use an irrigator (to begin with, at 1-2 speed, that is, minimum), and finally rinse your mouth with water or an antibacterial rinse.

After implant treatment, be sure to buy a new toothbrush. Do not use the old one - it contains a huge number of microbes and bacteria that can lead to the development of an inflammatory process.

Serious consequences of smoking

Unfortunately, implantation in smokers has many risks. Addiction to tobacco negatively affects the ability of the artificial tooth root to take root and function normally. Scientists have long established a connection between structural rejection and the large number of cigarettes smoked per day.

Let's provide more detailed data. Smokers are diagnosed with peri-implantitis and complete loss of implants twice as often as people who try to lead a healthy lifestyle. These complications are the most serious and require immediate specialist intervention. In some cases, repeated surgery is not possible until the patient completely abandons his addiction.

Smoking affects not only implants, but also the condition of healthy teeth and soft tissues. Nicotine plaque has a denser structure and a pronounced yellow tint, so it is much more difficult to remove it from the enamel surface. Even innovative toothpastes with a whitening effect are practically powerless here.

Drug treatment

Don't forget about cold compresses to reduce the likelihood of swelling - apply ice, a piece of meat or frozen vegetables, a container or ice pack wrapped in 2-3 layers of thin cloth to your cheek. The duration of the compress is 5-10 minutes, breaks are 3-5 minutes. The number of approaches is 7-10 times, for approximately 1.5-2 hours. Compresses should be started immediately upon returning home after surgery, and can also be repeated periodically during the first 24 hours.

Your doctor has prescribed painkillers for you. Monitor your condition - if necessary, you can take a pill at night or after you have stopped feeling the effect of anesthesia, that is, pain has appeared.

The list of prescriptions for each patient is individual and is indicated in the recommendations issued by the doctor. But in any case, you will be prescribed ointments to apply to the area of ​​sutures, antibiotics (taken for at least 7 days, as prescribed by a doctor), antihistamines to reduce tissue swelling, drugs with a high content of vitamins C and P in the body (to improve the condition of the gums ), antiseptic agents for oral baths (do not rinse for the first 3 days - just keep the solution in the mouth).

Is it possible to smoke after the implant has taken root?

The dentist cannot prohibit the patient from smoking; he can talk about the consequences, as well as give advice on how to quit the bad habit. Many people resume smoking when the implant takes root, that is, after 1-2 months. Tobacco smoke destroys bone, which provokes implant rejection. Bone separation also occurs in non-smokers, but smoking only increases the risk. Gradually, the gums may recede down to the body of the rod.

Nicotine poses a risk of peri-implantitis even after the implant has taken root. The gums change color and may turn red or, on the contrary, turn pale or blue. In critical cases, an abscess may form. To prevent possible complications, you need to take good care of your oral hygiene and visit your dentist regularly.

Lifestyle after surgery: general recommendations

• avoid physical activity, do not lift weights - you must stop doing sports in the next month after implantation,
• avoid hypothermia and overheating - it is recommended to avoid visiting baths, saunas, swimming pools, swimming in the sea/lake also for 1 month,
• stop smoking (if possible) and drinking alcoholic beverages,
• in the first 3-5 days you should avoid air travel,
• If an implantation of the upper jaw has been performed, including a sinus lift procedure (displacement of the maxillary sinus), you must cough, sneeze and blow your nose very carefully - without opening your mouth or puffing out your cheeks (after bone augmentation, any pressure changes and overloads are prohibited).

Recommendations after implantation: why is it important to follow them?

After the implantation operation, the implantologist treating the patient gives the most detailed recommendations for caring for the teeth and oral cavity. You must follow the recommendations given to you precisely and strictly because:

• When implants are implanted, the hard and soft tissues of the oral cavity are injured and it is important that they fully heal and recover before the stage of permanent prosthetics. In addition, the speed and quality of engraftment of the dental implant will depend on the timing of bone tissue regeneration. If you do not follow the recommendations of the implantologist after implantation, such a careless attitude towards your own health can increase the time for tissue restoration, and therefore the time for engraftment of the implant. Until the process of its engraftment is completely completed, it is impossible to install a permanent prosthesis on the implant;
• Failure to follow the implantologist’s recommendations in the postoperative period can lead to the development of various types of complications, including rejection of the implanted implant. If the process of implant rejection develops to a certain stage, the artificial root will have to be removed, treated, and then re-implanted. Treatment of reimplantitis (inflammation leading to implant rejection) is a complex, lengthy process and fraught with additional significant costs for the patient!

IMPORTANT: Treatment and re-implantation under warranty are carried out only if the implant is rejected due to poor quality work by the implantologist. If the implant begins to be rejected due to the patient’s negligence towards his health, due to non-compliance with the recommendations issued by the implantologist, all costs of treatment and re-implantation will need to be paid independently!

If you have dental implants, it is prohibited

• use electric toothbrushes, since vibrations and excessive pressure during the cleaning process, especially in the first months after implantation, can lead to poor fixation of implants,
• You should also not use dental floss, especially if only a few implants were installed to replace living teeth. After implantation, the gums become less sensitive and when flossing you may not feel when it is time to stop - this can damage the tissue, which will lead to bacteria getting into the area around the installed implants. And this is already fraught with their possible rejection,
• carry out hygienic cleaning in any dentistry - it is very important that the hygienist knows how and understands how to carry out the procedure in the presence of dental implants,
• Eating foods that are too hard: The denture can be damaged if you bite off hard objects with your teeth, chew pencils, or crack open nuts. Of course, it can be restored, but it is better to prevent such situations from developing.

You will forget about dental problems for the rest of your life! Together with you, we will select the most optimal implantation method and give it a LIFETIME guarantee.

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Recommendations for dental care after implantation: period after suture removal

Removal of sutures after implantation is usually carried out 10-14 days after surgery. Sometimes later if the healing process is slow for some reason. Before removing the suture, the area where they are applied must be handled with extreme caution, do not touch them with your hands or tongue, or touch them with a brush. If you violate this recommendation, the seams may come apart.

There is no need to be afraid of the procedure for removing sutures after implantation - it is carried out without pain and discomfort, and after the implantologist removes the threads, you can gradually return to your usual routine of life, nutrition, dental and oral care.

When to see a doctor

Contact your healthcare provider if you experience the following symptoms:

• pain that does not decrease/increase on the 3rd day after surgery,
• numbness persists for 2 days after surgery, does not go away a week after implantation and only intensifies, spreading over the entire face,
• a sharp increase in facial swelling on the 2-3rd day or after it has already subsided,
• a sharp increase in body temperature or it does not subside 3-4 days after surgery,
• when pressing on the implants, unpleasant sensations, sharp pain occur,
• the seams came apart
• redness of the gums and bleeding that does not stop after 2-3 hours,
• discomfort and sharp pain when pressing on the area of ​​installed implants 7 days after installation,
• pain after fixing the prosthesis, teeth do not close together, it is impossible to chew even soft food,
• The prosthesis became mobile and some of the teeth chipped.

Smoking during dental implantation

All dentists strongly recommend giving up this bad habit during such an operation. The negative effects of tobacco described above affect the long-term results of the operation, causing peri-implantitis. Tobacco smoke is also dangerous if the patient plans to install veneers.

It is important to report this habit to your doctor. Then the dentist will choose among the implantation systems those that have a strong and rapid survival rate.

For more detailed advice on urenia and dental implantation, we recommend making an appointment with a dentist. The doctor will conduct an examination, prescribe additional diagnostics and advise the patient on how the operation will proceed.

Frequently asked questions and answers

Don't worry: it's completely normal to feel some discomfort. But be sure to pay attention to the signals your body sends. If in doubt, contact support to find out if your symptoms are normal. Be attentive to your teeth and your body as a whole - remember that implants, the entire jaw system, and you yourself need some time for rehabilitation.

Postoperative consequences and complications

This section discusses the most popular questions about conditions that arise during or in the first days after the installation of implants. Please note that it is very important to distinguish between the concepts of “consequences” (this is the norm, since tissue injury occurs during surgery) and “complications” (they are a pathological condition that requires immediate consultation with a doctor).

During the operation, I heard the doctors and felt that they were doing something in my mouth, although without pain, but I should have been sleeping, why?

You need to understand the difference between concepts such as “sedation” and “general anesthesia.”
General anesthesia is a complete shutdown of consciousness and the patient's immersion in sleep. As a rule, it is carried out by inhalation. Breathing is provided by an artificial lung ventilation device (ALV). Therefore, when using general anesthesia, the patient does not hear or feel anything. Sedation can be xenon (superficial, essentially to calm and saturate the body’s cells with oxygen), as well as intravenous. In the second case, certain anesthetics are introduced into the body (selected individually), their dosage is calculated based on the patient’s weight, his state of health, and the duration of the procedure. If necessary, the drug can be reintroduced during surgery. At the same time, local anesthesia is used.

The Smile-at-Once Clinic has an agreement with a specialized and licensed service of professional anesthesiologists. The ambulance and the team of doctors are certified within the framework of the standards and are an ambulance substation. Therefore, treatment under general anesthesia and intravenous sedation is carried out under the strict supervision of specialized specialists.

The difference between sedation and general anesthesia is that the patient retains the ability to breathe on his own, there are no involuntary reflexes of the respiratory tract (coughing, swallowing), unlike anesthesia, the patient is conscious and can, if necessary, follow the doctor’s instructions.

Since sedation uses more gentle drugs (unlike general anesthesia), the patient does not fall asleep, but relaxes. The action is individual: someone falls asleep for several hours, someone plunges into a state of complete relaxation. If you belong to the second type, then you will really feel everything that happens in the oral cavity. But all procedures are painless, since high-quality local anesthesia is used. And the sensations remain at the level of “moving instruments” in the oral cavity.

I just returned home from implantation and my cheek started to swell. Is this normal and what can I do?

This is a normal process caused by tissue trauma during implant installation. The swelling reaches its peak on the 3rd day, after which it should gradually subside. If the situation is opposite, be sure to consult a doctor. To reduce swelling, you need to apply a cold compress for the first two hours, repeating the course throughout the day if necessary.

The wound bleeds even several hours after the operation. This is fine?

If the bleeding is minor, there is nothing to worry about. You can stop it by applying a piece of sterile gauze to the wound and closing your jaws tightly. Remember not to rinse your mouth, actively move your jaw, chew, suck or swallow forcefully - all of this can increase bleeding.

If 3-5 hours after surgery the bleeding not only does not decrease, but also intensifies, you need to consult a doctor.

Yesterday I had an operation, and today I woke up with blood on my pillow, and the bleeding appears periodically throughout the day, what should I do?

Occasional bleeding is normal up to 7 days after surgery, but usually goes away within 2-3 days. We strongly recommend sleeping in a horizontal position right away, with pillows on the sides of your head. If necessary, make a comfortable tilt angle of up to 30 degrees for yourself.

It is important to sleep strictly on your back, but if you accidentally turned your face to the side in your sleep and were in this position for a long time, then due to tissue compression, bleeding is possible, and depending on the load, even profuse bleeding. The main thing is that it stops within 1-2 hours after you take a vertical position. If the bleeding is persistent, be sure to contact Patient Services to arrange an unscheduled examination by your physician.

I feel uncomfortable in the lying position, I feel pressure in the jaw area and pulsation in my head. What to do?

Such sensations arise due to increased blood flow to the head. In this situation, try sleeping in a semi-sitting position (tilt up to 30 degrees) - use an additional pillow or place it under the mattress, increasing the inclination of the bed. This way the head will be at a higher level in relation to the body and the unpleasant sensations will subside. But it is advisable to fix your head so as not to throw it to the side.

I had bruises on my face – hematomas. Is this normal and how can I remove them?

Hematomas are a consequence of vascular injury during implant installation. They appear quite often after the installation of two-piece structures, as well as after zygomatic implants - they appear approximately 2-3 days after the operation. You have absolutely nothing to worry about - the color of the bruises will change as the tissue begins to recover. In the fight against swelling and bruises, various gels for resolving bruises, for example Badyaga Forte, will help you.

My lips are dry and have small cracks - what does this mean?

This is also a completely normal condition caused by a long stay in the dentist's chair and the lack of natural wetting of the mucous membranes. For the first two to three days, use petroleum jelly or a cream containing lanolin to relieve dry lips. A regular balm may not be enough - you need a cream that is as rich and moisturizing as possible. Also make sure you drink enough fluids.

I have increased salivation after having implants - is this normal?

Saliva is a very important biological medium for the organs and tissues of the oral cavity. It contains many enzymes that promote normal digestion and the formation of healthy oral microflora. The therapeutic norm is the production of liquid by saliva in the amount of 2 ml per ten minutes. In the case of implantation, especially during the period when the denture has not yet been installed, the patient may complain of hyperactivation of the secretory function of the salivary glands already when 5 ml is produced. This is a normal reaction to tissue injury as a result of implantation, especially if the operation was performed to restore a full row of teeth.

But increased salivation is also possible as a result of damage to the lingual nerve. Its symptoms are pain when swallowing, changes or complete loss of taste, numbness of the tongue and its biting, burning, drooling. If the integrity of the nerve is not compromised, but there is compression on the nerve or its sheath is damaged, then the unpleasant sensations are restored within a period of 7 days to 4 months. Otherwise, more time may be required for rehabilitation, and in case of extensive disruption of the integrity of the nerve bundle, microsurgical interventions may be required.

Failures in the functioning of the endocrine system are another common cause of hypersalivation. Usually, problems with the thyroid gland are to blame. The symptom can also be triggered by diabetes mellitus or hormonal changes - during menopause or puberty.

Part of my face is numb, it’s difficult to talk and open my mouth, does this mean that the nerve is damaged and how long will these sensations last?

Numbness is caused by compression of the trigeminal nerve, its stretching, or injury - complete or partial intersection. In the case of sprain or compression without compromising the integrity of the trigeminal nerve, the sensations pass quite quickly - within up to 7 days as blood circulation in the bone tissue improves. But if there was partial damage to the fibers of the nerve bundle, then the rehabilitation process can take from 14 days to 6 months. In cases of severe trauma, implants may need to be reinstalled because the body of the implant interferes with the restoration of axons (processes) in the nerve bundles.

According to research, damage to the trigeminal nerve during dental implantation occurs in no more than 3% of patients, while only 1.7% are diagnosed with permanent neuropathy, requiring microsurgical correction of the situation.

In our clinic, before the operation, careful computer planning of the placement of implants is carried out, after which surgical templates are printed, protecting the patient and the doctor from incorrect installation of implants. Immediately or the next day after the operation, a control computed tomography is performed, on which a control commission (consilium of doctors), in accordance with international quality assessment protocols, compares the placement of implants with the original plan and makes a conclusion about the success of the operation, or makes recommendations to the attending physician on the need to take additional measures

Please note that there is no point in hiding the fact of damage to the trigeminal nerve for the doctor and the clinic; it will reveal itself anyway - this is the first thing. Secondly, even if this happened, the consequences are eliminated by properly selected therapy and joint work between the doctor and the patient.

Yes, if damage occurs, then the patient will have to undergo quite a long period of rehabilitation (up to 6 months), but in difficult clinical situations of complete absence of teeth and low quality bone tissue, the doctor works in very limited conditions, so, unfortunately, some consequences but not life-threatening and health dysfunction cannot always be avoided.

Do not confuse nerve damage with compression on it that occurs in the bone as a result of swelling after the installation of implants located close to the nerve endings. Compression goes away along with swelling and numbness in this situation is a normal reaction.

Most often, such symptoms typically appear 2-3 days after multiple implantations; they are a normal reaction to tissue injury when screwing in implants and damage to intraosseous capillaries. Improvements will be noticeable almost immediately after installing the prosthesis on the implants and activating the chewing load, and with it the restoration and blood circulation in the bones.

How long does it take for wounds to heal after implantation and for implants to take root?

The first phase is the healing of soft tissues. It takes about a week. Already after this stage you will feel much better. If the installation of implants was carried out in a minimally invasive way - using a protocol, then rehabilitation takes only 2-3 days. The second phase is osseointegration, that is, the direct engraftment of the implant into the bone tissue. It takes from 3 months to six months, in difficult situations up to 8-12 months - during this time the bone actively grows around the implants, strengthening their position.

Is it necessary to take antibiotics after implantation?

Antibacterial drugs are prescribed during major surgery in order to reduce the risk of developing inflammatory processes. In addition, they are mandatory for those patients in whom implantation was carried out against the background of periodontitis or inflammatory processes in periodontal tissues (cysts, granulomas, etc.) were diagnosed before the installation of implants. In other cases, you can limit yourself to vitamins, local anti-inflammatory drugs and antihistamines.

How normal is discharge from a postoperative wound?

If you had bone material or an RPF membrane grafted, if the doctor used healing drugs (for example, Alvostat), you should not panic - discharge from the wound in such situations is normal. But we still recommend that you contact support and discuss the nature of the discharge with your doctor.

Can stitches come apart after implants are installed?

This is a fairly rare phenomenon, the main reasons for which are excessive stress on the operated area, frequent touching of the wound with the tongue, and failure to comply with hygiene rules. As a rule, we use resorbable threads (dissolve on their own) - such sutures do not need to be removed. But in any case, after installing the implants, you will still visit the implantologist in the coming days - the attending physician will monitor your condition.

My temperature is elevated, it’s shocking. Do I need to see a doctor?

An increase in body temperature up to 39° in the first 3 days is a completely normal reaction of the body to external influences and the entry of a foreign body (in this case, an implant). It should not cause concern - in this way our body accelerates all tissue repair processes. But if the temperature subsided, you felt well, and then there was a sharp increase to 38-39°, you should immediately consult a doctor.

To drink or not to drink antipyretics - you must decide for yourself, based on your own well-being. Monitor your condition as each person handles fever differently.

Questions related to prosthetics

When implantation is carried out according to immediate loading protocols, the prostheses are installed immediately - within 3-4 days maximum. At first, you will experience some discomfort - and this is completely normal, because before treatment you lived for a long time without teeth, your bite has changed. Now it just takes time for both you and your jaw system to get used to the changes.

I'm not very comfortable chewing and talking with my new denture. Is this normal and how can I fix the situation?

Yes, it is normal. You haven’t had teeth for a long time, so the muscles have atrophied, the temporomandibular joint is used to functioning differently, so it takes time to adapt - you will get used to it. Due to the lack of teeth, the position of your tongue has also changed - it has adapted to the situation, so after installing the prosthesis, you experience difficulty pronouncing some sounds.

I have problems with diction after prosthetics, I have a lisp and cannot pronounce sounds, how can I fix this?

To restore your diction, pronounce tongue twisters and speak as much as possible. Place a few Sula lollipops (sugar-free) in your mouth and read aloud for 15-20 minutes, up to 3 times a day. In 1.5-2 weeks of regular training, you will completely restore your diction.

In addition, after the installation of implants, an adaptation period begins; the prosthesis itself is created specifically for it, so the design has characteristic disadvantages compared to a permanent future prosthesis. In particular, you may feel like your food is being crushed rather than chewed when chewing – this is also normal. In order to avoid excessive load on the implants and distribute it evenly, during the adaptation period, the orthopedist specially erases some of the tubercles on the chewing surface of the teeth. During re-prosthetics, the contact surfaces will be restored.

How long will I have to eat liquid food? When is it safe to start eating solids?

In the first days after implantation, food should really be as soft, liquid and puree as possible (baby food, soups, yoghurts). After installing the dentures, the same thing happens. But already 2-3 days after prosthetics, you need to start changing the consistency: replace the mashed potatoes with boiled potatoes and eat them in pieces, cottage cheese can be grained, meat is no longer baby food, but well-chopped cutlets. Firstly, it is important to independently monitor your feelings. Secondly, relatively solid foods should be introduced into the diet only after you begin to perform oral hygiene - it is necessary to remove food debris. Thirdly, in the first days you will regularly visit the doctor - he will monitor the quality of fixation of the prosthesis and the degree of stabilization of the implants, the healing of all tissues of the oral cavity, so he will be the one who will tell you when you can start eating solid food - based on your specific situation .

Read even more questions and answers about dental implantation in our separate collection of Frequently Asked Questions.

Medicines used in dental surgery

Dental implantation involves surgical procedures, during which the risk of infection of the patient’s body with pathogenic microorganisms increases. To avoid this, and also to speed up the process of soft tissue restoration, a course of antimicrobial therapy is prescribed. List of antibiotics used after dental implantation:

1. Augmentin;
2. Amoxiclav;
3. Flemoklavsolutab.

These are penicillin drugs. If there is an allergy to penicillin drugs, then the doctor prescribes another antibiotic, for example Tsifran. The attending physician will prescribe a suitable regimen specifically for your case. The benefits of antimicrobial agents outweigh the risks of developing side effects from their use. With minimal incisions and simple operations, there is no need to take additional medications.

In the postoperative period, other medications may be prescribed:

1. Erius is a new generation antihistamine whose powerful antiallergic properties help reduce inflammation. According to the instructions, it should be taken once a day, at night.
2. Voltaren or Nurofen are the most effective anti-inflammatory drugs that have a positive effect on swelling. Depending on the patient’s condition, 1 tablet is prescribed 1-2 times a day.
3. Linex is a probiotic that is necessary when taking antibiotics. Restores intestinal microflora and improves the body's immune functions. Directions for use: 2 capsules 3 times a day.
4. Vitamins – help normalize metabolism and tissue regeneration.
5. Calcium supplements are necessary to strengthen bone tissue. Take the drug Calcium D3 Nycomed or follow a special fermented milk diet for 1 month after antimicrobial therapy.
6. Naphthyzine is necessary during sinus lift surgery on the upper jaw. Dosage – 2 drops 4 times a day. Any vasoconstrictor drugs are used for no more than 5 days.
7. Ketanov is an effective pain reliever used in dentistry. According to the recommendations of dentists, to eliminate pain, you need to take 1 tablet every 12 hours.
8. Traumeel S - like any other homeopathic medicine, is taken for 2-4 weeks according to a special regimen. The tablets have an anti-inflammatory and wound-healing effect.

Local preparations are also effective:

1. Tantum Verde solution for oral baths. The solution has an antiseptic composition that eliminates germs. Unlike rinsing, baths are allowed from the first day of surgery, and are prescribed until the sutures are removed. Directions for use: 1 cap of solution 3-4 times a day.
2. Solcoseryl dental adhesive paste – has an analgesic, regenerating and protective effect. Apply a thin layer directly to the seam after each meal and before bed.

When building up bone tissue in the upper jaw, it is recommended to avoid tension in the ENT system. Discharge is removed delicately using a napkin or cotton swab. These recommendations must be followed for about 2-3 weeks.

Checklist: a general list of what to prepare after implantation

Prepare a sleeping place in advance, stock up on interesting films or favorite music - they will help you distract yourself on the first day after surgery and not focus on every sensation. The body has suffered stress and the tissues begin to rehabilitate – discomfort is normal.

What recommendations should be followed after the stage of permanent prosthetics?

The last stage of implantation is the stage of permanent prosthetics, during which a permanent crown is placed on the implanted artificial root. After installing a permanent crown on the implant, you can safely return to your normal routine. But there are still several recommendations that are important to follow even after complete completion of treatment.

They will be as follows:

• In the first months after installing a crown on an implant, try not to overload the artificial root. Do not try to crack nuts or open bottles, chew with some caution;
• Despite the fact that artificial teeth are placed on the implant, they need to be cleaned with the same regularity as natural teeth. That is, twice a day - with a properly selected brush and paste;
• It is important to clean the crown on the implant on both sides and do not forget about cleaning the spaces between the teeth! Special brushes and irrigators can help you perform this task efficiently;
• In caring for teeth after implantation, you can and should use rinses and balms, but it is better to refrain from using whitening pastes with abrasives.

And of course, do not forget about such mandatory recommendations as regular visits to the clinic, to the doctor, for preventive examinations. During the year after implantation, you need to visit the doctor’s office once every 3-4 months, then twice a year.

Compliance with all the recommendations discussed in the article is a guarantee that the dental implant will take root both in the postoperative period and after installation of the crown, no complications will arise!

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Lifestyle: do's and don'ts after dental implantation

In general, installing implants is not a reason to give up your usual lifestyle. However, there are still a number of limitations:

• complete cessation of smoking, alcohol, coffee, sweet soda;
• refusal of sports training - cardio and strength training, active running, squats and other exercises;
• visiting a sauna, bathhouse, taking a hot bath, or prolonged exposure to heat and sun is completely prohibited;
• staying in the cold for too long;
• for the first few weeks you need to give up swimming, both in the pool and in open water;
• it is necessary to avoid drafts to prevent colds - during the rehabilitation period it is extremely undesirable to sneeze or blow your nose, this can lead to displacement of the implant.

General mobility, on the contrary, should be increased; walks in the fresh air will also benefit. On the contrary, you cannot spend a lot of time lying down.

To speed up healing, you can take vitamins and mineral complexes.