Recommendations for patients: what to do after dental implantation

Can I eat it right away?
When can you eat What foods can you eat Example of a diet Impact of the implantation method on nutrition What can’t you eat and drink? Vitamins The implant is installed, all the worries are over, the patient begins to be overcome by the question: what to eat after dental implantation and when? The last meal was before the operation, then the time for the procedure, it takes at least 4 hours for a person without food. Hunger makes itself felt. But! In this situation, it is important to strictly follow the doctor’s recommendations.

How to avoid complications after implantation

• How to behave after surgery
• Postoperative nutrition
• How long does it take to heal?
• How are sutures removed?
• Postoperative complications
• Swelling after dental implantation
• Inflammation and temperature
• Numbness
• Antibiotics after implantation
• Simultaneous (immediate) implantation

During implantation, the dentist places an artificial tooth root into the gum, which then becomes the basis for a removable or fixed denture. The operation is always complex and multi-stage, and to achieve success it requires the joint work of the doctor and the patient. Even at the current level of development of medicine, it is impossible to completely guarantee the absence of complications: aching pain, hematomas, swelling, bleeding, infection, fever. It is also possible for the implant to fail.

But if you follow the recommendations, it will be easier to avoid complications, and the implant will take root faster.

So, what to do after dental implantation to quickly relieve the consequences of surgery and the best healing of the gums?

Price list for implantation services at the Esculapius clinic

How to behave after surgery

Doctors give the following recommendations after dental implantation:

1. Do not use irrigators. Any treatment of the oral cavity should be as soft and gentle as possible. Oral baths are indicated. Active rinsing with antiseptic solutions is prohibited before the sutures are removed.
2. Brush your teeth with gentle movements using a soft brush (your doctor will recommend a brush). You can use dental floss and superfloss. But it is better to clean your teeth directly at the operation site only with a cotton swab dipped in a 3% hydrogen peroxide solution.
3. Avoid involuntary sneezing, coughing and blowing your nose, especially if the implantation is associated with sinus lift surgery. A sharp increase in pressure in the maxillary sinus can lead to mechanical damage to the bone tissue and displacement of the implant.
4. Avoid extreme temperature changes. For this reason, it is better not to visit baths and saunas.
5. Air travel can also be harmful because rapid changes in altitude make it difficult to avoid a surge in pressure in the ear-nose-throat system.

Diet after implant installation and recommended regimen

Proper nutrition after implantation is a prerequisite for good survival of the pin and successful installation of the crown. There are few tips, but they must be followed:

• Do not chew on the side of the jaw where the stitches were placed.
• 15-20 minutes before each snack and immediately after it, smear the gums with solcoseryl or other antiseptic gel.
• Give up solid food for at least a week and switch to purees, steamed vegetables, low-fat broths and cereals.
• Do not eat anything too hot, spicy, salty or sour until the gums have completely healed.
• Add more dairy products, cottage cheese and kefir to your daily diet.

During the month, you should also adjust your daily routine:

• Avoid airplane travel to avoid overloading your blood pressure.
• Avoid visiting saunas, swimming pools, public baths and other public places with hazardous sanitary conditions.
• Avoid stress and heavy physical activity.
• For athletes – minimize training, protect yourself from falls and impacts.
• Sleep at least 8 hours a day, do light exercises every morning to normalize blood circulation.

After 10-20 days, the doctor will remove the stitches, and you can gradually return to your usual routine and diet. In special cases, the rehabilitation period is extended, and enhanced oral care should not be stopped unless the dentist approves a change in regimen.

Postoperative nutrition

Avoid hot foods until the anesthesia wears off. If you eat or drink something too hot, you can accidentally burn your gums because they won't feel the temperature.

In the first two days, do not drink coffee: it increases blood pressure and this can lead to bleeding. This also explains the requirement to exclude alcohol and smoking.

Within 10 days after surgery, to strengthen injured bone tissue, include calcium-containing foods in your diet: cottage cheese, kefir, yogurt.

Do not eat salty, spicy, very hot or frozen foods, as well as rough foods - crackers, nuts. The load on the teeth should be reduced as much as possible, so you should avoid foods that require careful active chewing - for example, tough meat.

The best option for a postoperative diet is pureed, semi-liquid, moderately warm food (soups, cereals, smoothies), or finely chopped.

Menu

The menu of the person who has the pin installed must be balanced. It is important to follow the recommendations of specialists and not eat rough food. It is better to give preference to soups, pureed soups, porridges, grated vegetables and fruits, soft cheeses, cottage cheese, yogurt, kefir, etc. The rate of bone tissue restoration will depend on the sufficient amount of dairy products consumed.

All food should be rich in vitamins and minerals, and it is better to completely avoid additives that are harmful to the body. Only careful attention to your body will help it recover as quickly as possible.

You will have to give up sweets and carbonated drinks for a while; it is better to replace them with fruit juices or plain water. A person with implants must consume plenty of fluids. It is recommended to abstain from sour, spicy, and alcohol during the rehabilitation period. If the patient is taking antibiotics, then any alcohol-containing drinks are strictly prohibited. This is explained not only by the fact that alcohol has a detrimental effect on the body, but also by the fact that it reduces the effectiveness of the medications taken.

How long does it take to heal?

Bone tissue and gums heal after dental implantation on average from three to six months, and the period is different for the upper and lower jaws. The lower jaw will heal in three to four months, but the upper jaw will take longer: four to six months. This is due to the greater bone density of the lower jaw.

Sometimes the healing rate deviates from the average time frame, because it depends on the individual characteristics of the patient’s body: the speed of regeneration, the strength of the immune system, the pain threshold. Even such factors as gender, age, lifestyle, diet and daily routine of the patient are important.

In any case, recovery after surgery takes some time. Following medical recommendations will help protect yourself from complications during healing.

IMPORTANCE OF VITAMINS

In order for the intraosseous structure to fuse with hard tissues faster, and for the wound area to heal without complications, it is important not only to be scrupulous in choosing food products, but also to try to consume more vitamins.

The most significant substances necessary to maintain the body in the postoperative period are:

• Vitamin C. The substance promotes intensive production of collagen, which maintains the health of bones, muscles, blood vessels and soft tissues within normal limits. In addition, it has an antioxidant and anti-inflammatory effect, which means it promotes rapid recovery after a traumatic procedure.
• Vitamins of group B. In combination they work to accelerate regeneration processes in gum tissue and bone structures.
• Vitamin D. Without this substance, calcium in the body will not be fully absorbed.
• Vitamin E. One of the most powerful antioxidants. Prevents the development of pathological processes that occur in response to damage.

How are sutures removed?

Sutures after dental implantation are usually removed 10-14 days after surgery, unless otherwise indicated. Throughout this period, surgical sutures need careful, delicate handling. After suturing, there may be some discharge or slight pain. It is permissible to use painkillers (Nise, Ketanov or another remedy recommended by a doctor).

Modern dentistry uses strong synthetic threads that do not break even with active chewing of food, so dental sutures now rarely come apart. But suture dehiscence is still possible - however, it is most often associated with violations of medical recommendations, most often with mechanical damage to the operation area.

Removal of sutures does not require anesthesia and is completely painless.

Postoperative complications

The most common complications after dental implantation are:

1. Pain syndrome. The norm is mild soreness of the gums in the area of ​​implantation for 1-2 days. In cases where severe pain does not go away even after taking the generally recommended painkiller, you should consult a doctor, because this is most often a symptom of a complication.
2. Inflammation.
3. Seams coming apart.
4. Hemorrhages. After surgery, ichor often separates from the gums, the amount of which quickly decreases and disappears. It is enough to remove it with cotton swabs. But if the bleeding becomes more intense, you should consult a doctor immediately.

There are also complications such as inflammation of the sinuses, peri-implantitis (inflammation of the tissue around the implant, leading to destruction of the supporting bone tissue), mucosal hyperplasia (pathological growth of the mucous membrane in the area of ​​the implant), damage to the implant and prosthesis.

IVF procedure: general provisions

Depending on the protocol, in vitro fertilization may include various procedures, but the general scheme consists of several stages:

• Preparation. At this stage, the patient consults with a fertility specialist and undergoes a series of diagnostic examinations. Based on their results and the woman’s medical record, he prescribes a suitable IVF protocol.
• Ovarian stimulation. If a woman does not undergo IVF in a natural cycle, she is prescribed a course of hormonal injections to accelerate the growth of follicles. This allows you to increase the number of eggs produced in her body during one menstrual cycle, and thereby obtain more genetic material for fertilization.
• Ovarian puncture and fertilization. To obtain oocytes, the doctor pierces the wall of the uterus and each of the mature follicles through the vagina with a long needle, extracting their contents. The eggs are transferred to the laboratory, where the most viable ones are selected and placed in an incubator. There they mix with prepared sperm, resulting in fertilization.
• Embryo transfer. Fertilized eggs are cultured in an incubator for 3-6 days. Typically, transfer occurs when the embryos reach the blastocyst stage, which facilitates their implantation into the uterus. The embryos are transferred into the uterine cavity using a catheter, after which the patient is prescribed a course of maintenance hormonal therapy and periodic examinations to determine the fact of pregnancy.

In parallel with the cultivation of embryos, the endometrium of the uterus is also prepared for implantation. It must reach a certain stage of development at which the fertilization of the fertilized egg is most likely. For this purpose, hormonal preparations are used based on human chorionic gonadotropin (hCG), a hormone responsible for adapting the woman’s reproductive system to pregnancy. Inflammation, hyperplasia, atrophy and other pathologies of the endometrium significantly reduce the likelihood of successful transfer. Therefore, in the presence of such diseases, an appropriate course of treatment is first carried out - only after this a reproductive specialist performs embryo transfer.

To assess the quality of the genetic material and the chances of successful implantation, preimplantation genetic diagnosis is performed. For PGD, blastomeres formed during the fragmentation of a fertilized zygote, membrane particles and satellite cells formed shortly after the start of division are extracted from the embryo. Genetic screening is prescribed for the following indications:

• more than 2 unsuccessful attempts at in vitro fertilization;
• history of spontaneous abortions and missed abortions;
• mother’s age is from 35 years, father’s age is from 42 years and older;
• low sperm count and severe spermatogenesis disorders in the partner;
• genetic pathologies in one or both parents, their closest relatives.

Take the first step

make an appointment with a doctor!

In practice, preimplantation genetic diagnosis is recommended for all women and their sexual partners undergoing IVF. This diagnostic procedure allows you to identify possible congenital abnormalities of the embryo, reduce the likelihood of spontaneous abortion and other pregnancy complications.

Swelling after dental implantation

In the first three days after implantation, swelling may occur in the gum tissue. This is the body's natural reaction to surgery. Most often, a tumor is an indicator that blood is actively flowing to the operation site.

But if you want to avoid the discomfort caused by swelling, you can reduce the risk of its occurrence. To do this, in the first two days, apply cold to the operation site: for 5-10 minutes with breaks of 20 minutes. Do not apply ice directly to the skin; it is best to wrap it in a towel. In rare cases, the tumor will require the use of antihistamines, antibiotics (to prevent infection) or treatment with antiseptic solutions.

It will also help to avoid swelling by eliminating sudden stress loads on the body: physical overload, hypothermia, overheating.

Inflammation and temperature after dental implantation

Your body may also react to surgery with a low-grade fever, that is, an increase in general body temperature to 37°C. Even if the temperature stays within these limits for several days, this will remain the norm. You should be wary only when there is a persistent increase in temperature to 37.8-38°C. In this case, it almost certainly means inflammation, which requires immediate intervention (for example, in case of peri-implantitis, this should be sanitation of abscesses, bone regeneration, as well as professional oral hygiene).

In this case, you should not delay visiting a doctor: the inflammation can not only worsen on its own, but also lead to implant rejection.

DEPENDENCE ON THE METHOD

If the patient has replaced only one tooth with a titanium analogue, then medical advice regarding the composition of the products and their temperature is retained. It is recommended to take solid food earlier. Chewing should be done with special care on the opposite side, and the mechanical crushing of food should be slow and thorough.

If a temporary crown was installed immediately after implantation of the root structure, it is prohibited to load it. This microprosthesis, covering the crown part of an artificial tooth, is used exclusively for aesthetic purposes.

If the chewing pressure increases, the installed titanium rod changes its position slightly - the danger of its non-acceptance by the tissues increases.

One-stage techniques, including the “All on 4” or “All on 6” protocols, require immediate loading, i.e. chewing here is not only possible, but also necessary, and immediately after installation of the prosthetic structure.

Implantologists recommend starting with foods of a soft consistency, gradually introducing tougher foods into the diet, such as chunky meat, cookies, etc.

As you increase the load, you need to monitor your sensations. If discomfort occurs, you can reduce the intensity of the exercise and take a break for several days. However, as statistics show, patients manage to return their diet to their usual course in an average of 3 weeks.

These techniques, used to restore the entire dentition, require stress for medical reasons. Pressure on implanted titanium products activates metabolic processes in the bone at the cellular level, which promotes intensive growth of bone masses. Thus, the rod receives reliable fixation, so immediate loading is simply necessary.

Numbness after dental implantation

For most patients, anesthesia wears off within four to five hours after implant placement. Then oral sensitivity should return. If numbness persists after this period, then you have cause for concern because it may indicate nerve damage. This is only possible when the operation was performed on the lower jaw, because there are no large nerves in the upper jaw.

Other symptoms of mandibular nerve injury are lack of facial skin sensitivity, excessive salivation, and difficulty speaking and eating. Timely diagnosis will help to establish the nature and extent of the damage and manage the treatment with medications rather than surgical methods.

Antibiotics after dental implantation

For preventative purposes, the doctor prescribes a course of antibiotics after surgery. In most cases, this is inevitable, since surgical trauma, even with the modern level of development of medicine, carries a high risk of infection. Therefore, it is better not to ignore antibacterial drugs prescribed by a doctor if you do not want to additionally place unnecessary burden on your immune system to fight infection.

Most often, the course of antibacterial therapy does not exceed 7 days, and broad-spectrum drugs are prescribed - amoxicillin, amoxiclav, cephalosporins. They are characterized by low toxicity and have long proven themselves to be well tolerated by the human body.

Simultaneous (immediate) implantation

This prosthetic method is a one-stage implantation. In this case, the dentist removes the patient’s damaged tooth and immediately installs an artificial root.

Implantation immediately after tooth extraction is only possible if the bone tissue has sufficient volume to accommodate the implant - for example, if the tooth was damaged or lost in an accident. But tooth loss much more often occurs due to diseases when bone tissue is lost. Therefore, this method is not always available.

Dental implantation is an achievement of modern dentistry that allows you to restore lost teeth and use them for the rest of your life. And if you carefully follow your doctor’s recommendations, your smile will always bring joy to your loved ones!