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Surgery and Implants

Bone Graft and Socket Preservation

Protect the graft material and support healing after bone grafting or socket preservation.

Protect the graft while new bone grows.

The graft needs to stay clean and still. Do not pull on the area or press on it.

What to Do Today

  • Bite on gauze for 30–60 minutes if there is bleeding.

  • Use ice: 20 minutes on, then 20 minutes off.

  • Eat soft, cool foods. Chew on the other side.

  • Do not touch the graft, stitches, or membrane.

  • Do not rinse hard, spit hard, smoke, vape, use a straw, or lift heavy things.

What to Expect Next

Tomorrow

  • Brush your teeth. Be gentle near the graft. 

  • Rinse gently with warm salt water after meals and before bed. 

  • Do not use a water flosser on the graft. 

  • Do not wear a removable denture over the graft unless we say it is okay.

Days 2-3

  • Swelling is often worst on Day 2 or 3.

  • A few tiny sand-like graft particles may come out.

  • Keep the area clean but do not poke it. 

  • Keep chewing on the other side.

Days 4-7

  • Pain and swelling should start to improve.

  • Stitches may feel loose as swelling goes down.

  • Keep the graft away from hard, sharp, or crunchy foods.

  • Keep your follow-up visit.

Later Healing

  • The graft may need several months to turn into strong bone. 

  • Do not miss follow-up visits. 

  • If we gave you sinus instructions, follow them until we tell you to stop.

Pain Relief After Dental Treatment

Some soreness or tenderness is normal after dental treatment. Pain should generally become easier to manage as you heal.


Follow any instructions given specifically to you by your dentist. The information below is for adults and does not replace advice from your physician, pharmacist, or dentist.


For mild pain

Take one of the following, if it is safe for you:

  • Ibuprofen 400 mg every 6 hours as needed
    OR

  • Acetaminophen 500 mg every 6 hours as needed

Take ibuprofen with food and water.


For more discomfort

If our dentist has told you that both medicines are safe for you, you may take:

Ibuprofen 400 mg plus acetaminophen 500 mg together every 6 hours as needed.

The two medicines work differently and may provide better relief when taken together.

Use the lowest amount that controls your discomfort. Stop taking pain medicine when you no longer need it.


Daily limits

Unless a doctor or dentist has given you different instructions:

  • Do not take more than 2,400 mg of ibuprofen in 24 hours

  • Do not take more than 3,000 mg of acetaminophen in 24 hours

  • Count acetaminophen from all medicines you take

Acetaminophen may also be listed as APAP and is found in many cold, flu, sleep, and prescription pain medicines. Do not take more than one acetaminophen-containing product unless a healthcare professional has confirmed that it is safe.


Do not combine ibuprofen with other anti-inflammatory pain medicines such as naproxen (Aleve) unless directed by a healthcare professional.


Check before taking ibuprofen

Do not take ibuprofen unless a physician, pharmacist, or dentist says it is safe if you:

  • Have kidney disease

  • Have a history of stomach ulcers or gastrointestinal bleeding

  • Take a blood thinner or certain antiplatelet medicines

  • Have been told to avoid aspirin or anti-inflammatory medicines

  • Have an allergy or serious reaction to ibuprofen, aspirin, or other NSAIDs

  • Have certain heart conditions or uncontrolled high blood pressure

  • Are pregnant, trying to become pregnant, or breastfeeding

Do not use ibuprofen at 20 weeks of pregnancy or later unless specifically directed by your healthcare professional.


Check before taking acetaminophen

Do not take acetaminophen unless a physician, pharmacist, or dentist says it is safe if you:

  • Have liver disease

  • Regularly drink three or more alcoholic beverages per day

  • Take another medication containing acetaminophen or APAP

  • Have previously had an allergic or serious reaction to acetaminophen

Avoid alcohol while taking pain medicine.


Prescription medication

Take prescription medication only as directed. Do not take additional acetaminophen if your prescription already contains acetaminophen or APAP unless your dentist, physician, or pharmacist specifically tells you to do so.

Prescription pain medicine may cause sleepiness or slower reaction time. Do not drive, operate machinery, drink alcohol, or combine it with sedatives unless your prescribing clinician says it is safe.


Call our office

Contact Eusebio Dental if:

  • Pain is severe or is not controlled by the recommended medicine

  • Pain becomes significantly worse after initially improving

  • Swelling continues to increase

  • You develop fever, pus, a foul taste, or other signs of infection

  • You have questions about which medication is safe for you

Call 911 for trouble breathing, difficulty swallowing, rapidly spreading swelling, chest pain, fainting, or signs of a serious allergic reaction.


Important

These instructions are intended for adults. Do not use these doses for children or adolescents unless a dentist, physician, or pharmacist provides instructions based on the patient’s age and weight.

Normal Healing

  • Mild bleeding the first day 

  • Swelling for 2–3 days 

  • Mild bruising 

  • Jaw soreness 

  • A few tiny graft particles 

  • Stitches that feel looser as swelling drops 

  • Slow improvement each day

Call Eusebio Dental

Call or text Eusebio Dental for: 

  • A large amount of graft material coming out 

  • A membrane that moves or comes out 

  • Bleeding that will not stop 

  • Pain or swelling that gets worse after Day 3 

  • Fever, pus, or a strong bad smell 

  • Any problem that worries you

Emergency
Call 911

Call 911 now for: 

  • Trouble breathing 

  • Severe swelling that makes it hard to breathe or swallow 

  • Bleeding you cannot control

You Might Be Wondering

Are small graft particles normal? 

A few tiny particles can be normal. Call us if a large amount comes out. 


Can I touch the graft? 

No. Leave it alone so it can stay in place. 


Can I wear my denture? 

Only if we say it is okay. Pressure can move the graft. 


What if the graft is near my sinus? 

Follow the special sinus steps we gave you. Do not blow your nose. Sneeze with your mouth open.

Helpful Tips

  • Keep your tongue away from the graft. 

  • Chew on the other side. 

  • Sleep with an extra pillow tonight. 

  • Do not use a water flosser on the graft. 

  • Bring your denture to the follow-up visit if it needs adjustment.

Why This Matters

  • The graft needs to stay still so blood vessels and new bone can grow into it. 

  • Pressure, smoking, and hard foods can slow healing. 

  • Gentle cleaning lowers the risk of infection. 

  • Follow-up visits help us make sure the graft is staying in place.

Bone Graft and Socket Preservation

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