After installation of the implant. How to relieve swelling and irritation after dental implantation - review of medications

The complex design of the implant and artificial material contribute to the accumulation of microbes and are often the cause of periodontal diseases. The service life and quality of the artificial root and tooth will directly depend on their care, which must be not only high-quality, but also comprehensive.

First actions

The first two weeks after installation of the implant, care requires special attention. Since the procedure involves trauma to the tissues of the oral cavity, care should be carried out taking into account these features.

In the future, until the implant is completely engrafted, which occurs 4 or 6 months after installation, care also has its own characteristics.

Implant, gum former, temporary crown

Depending on the stage of the procedure, some points of care may vary. Immediately after the implantation procedure and for 2 weeks, you must adhere to the following recommendations:

• needed completely eliminate solid foods from the diet;
• chewing on the side of the implant is contraindicated;
• should be used to clean teeth only a soft brush and paste with anti-inflammatory properties. During the procedure, you should avoid touching the operated area with the brush;
• To reduce the likelihood of developing an infection, it is necessary use aseptic rinses.

After the structure has healed, the installation of a gum former will be required, which is carried out with detachment of the mucous membrane and subsequent suturing. Implant care at this stage is almost completely identical to postoperative care.

The only difference is that the temporary abutment must be cleaned with a soft brush. Movements should be as careful as possible, without any effort.

The temporary crown is cleaned in the same way. Until the tissue has completely healed, cleaning is carried out only on its surface, avoiding pressure on the base of the crown.

Permanent crown

After complete engraftment of the artificial root and formation of the gum ridge, a permanent crown is installed.

Care in this case will practically not differ from standard hygiene procedures.

An implant with a crown needs high-quality cleaning, just like other teeth. The basic rules for caring for an implanted structure include:

• at this stage the soft brush can be replaced with a brush medium hardness;
• When cleaning, pay special attention the neck of the abutment and the area of ​​the crown located at the level of the gum line and periodontal pockets;
• the crown is cleaned in the same order as real teeth;
• using special devices it is necessary to completely remove deposits from the side surfaces of the teeth;
• To improve the quality of the procedure, it is necessary to use several cleaning options.

Proper cleaning

The classic cleaning option gives the greatest effect in removing deposits. To do this, you can use both standard and electric brushes. For better removal of plaque from the surface of crowns, an electric model is best suited.

Cleansing using the classical method is carried out in several steps:

1. First they carry out treatment of lingual and vestibular surfaces teeth with sweeping movements in a circle from the gum line to the chewing surface.
2. Cleans the chewing part, moving the brush back and forth parallel to the crown.
3. After this they begin removing plaque from the abutment neck and the base of the artificial crown. To do this, the brush first performs reciprocating and then sweeping movements.
4. In conclusion they carry out general gum massage, brushing them in a circular motion.
5. After the procedure the mouth rinse with water or a special balm for the oral cavity.

The procedure must be repeated at least 2 times a day: in the morning and before bed.

Eating

In order not to provoke the development of infection, it is necessary to maintain good oral hygiene throughout the day. To do this, it is necessary to clean the implant. every time after eating.

If it is not possible to use paste and a brush, then you need to use special brushes or dental floss. These devices easily penetrate under the artificial crown and allow you to completely remove food particles.

In this case, injury to the mucous membrane is excluded. In the absence of these devices, you should carefully rinse your mouth with water.

Adaptations

Maximum cleaning of implants can only be achieved with the use of additional devices, since a bulky brush is not always able to penetrate hard-to-reach places.

Irrigator

The principle of operation of the irrigator is to wash away deposits using water supplied under high pressure. In this case, contamination is removed not only from the visible surface, but also from all deep pores of the construction material.

Features of using this device in the presence of implants include the following:

• the irrigator can only be used after the implant has completely healed;
• During the procedure, the jet must be directed directly under the base of the crown;
• the best option for the procedure would be standard or soft cleaning mode;
• It is recommended to use mouth rinses or solutions of antibacterial drugs.

Cleaners

This device is a necessary tool when an implant is installed, as it allows you to efficiently remove deposits not only from the surface of the structure, but also from the inside of the crown.

You can find brushes of various shapes on sale: curved, cone-shaped, cylindrical. The best option for implants would be cylindrical brush.

It has bristles of the same length, which, when moving, completely remove dirt from remote and hard-to-reach areas of the structure.

To clean, a brush is inserted under the crown and, moving back and forth, scrolled around its axis.

Dental floss

Modern dental floss can be compared to irrigators in terms of effectiveness. Thanks to the minimal cross-section, flossing is easy penetrates even the narrowest areas. The elasticity of the thread allows you to easily clean complex structures, including implants.

To improve the quality of the procedure, it is recommended to pre-treat the thread with toothpaste.

To clean bridges, dentures and other orthodontic appliances, a special type of thread is used, which belongs to the professional series and differs from others in its structure. This floss consists of classic dental fiber, a guide tip and a spongy part. Use floss as follows:

1. Using a guide tip pass the thread between the crowns.
2. The spongy part is placed under the base of the crown, as if encircling, and using a back and forth motion to clean the neck of the abutment.
3. Then using a segment with regular fiber treat the lateral surface of the crown.

Medicines

Until the implant is completely implanted, the dentist can prescribe maintenance therapy aimed at relieving inflammation of injured tissues and speeding up their healing. For this purpose, both medications and folk therapy are used.

Medicines

In order to promptly stop inflammation of oral tissues, the first aid kit of every person with an implanted artificial root should contain the following:

1. Flemoklav– an antibiotic that is prescribed in case of complex implantation with simultaneous sinus lifting or tooth extraction. It allows you to stop inflammation that began due to the duration of the procedure.
2. Nurofen. Helps relieve pain and inflammation. The therapeutic effect lasts up to 5 hours.
3. Erius. The drug belongs to the group of antihistamines. Designed to relieve swelling and hyperemia of the injured area.
4. Metrogil Denta– aimed at destroying microbes and regenerating soft tissues.
5. Tantum Verde– increases epithelization of the mucous membrane. In addition, the product is a good antiseptic.
6. Solcoseryl– helps relieve inflammation and restore periodontal disease.

Folk recipes

To reduce gum recovery time and prevent inflammation, the following methods of alternative treatment are used:

1. Applying applications with sea ​​buckthorn or rosehip oil. They have a keratoplastic effect, due to which the gum tissue heals quickly.

   Keratoplasties have a short period of action, so to obtain a positive effect it is necessary to apply applications as often as possible, for example, every two hours.

2. Rinsing the mouth with a decoction based on medicinal plants: chamomile, calendula, sage, oak. For preparation, you can use both individual plants and their collection.

   The decoction is prepared from 500 ml of boiling water, which is poured into 3 tablespoons of raw materials, and then infused for at least an hour. Such decoctions can be used both during the engraftment of the artificial root, and later when cleaning with an irrigator.

3. A solution prepared from a glass of water and 0.5 teaspoon will help relieve swelling and pain on the first day. salt.

Features of cleaning bridges

Implant placement is carried out not only to eliminate a single defect in the dentition, but also an entire group of teeth. To do this, bridges are installed on the implants. Caring for such structures has its own characteristics:

• cleaning bridge-type prostheses requires the use of additional devices that can get under the edge of the bridge;
• cleansing begins from the inner surface of the prosthesis using a monobrush and a curved brush for this;
• then the neck of the abutment is processed above and below the gum line;
• carry out last abutment polishing using floss and toothpaste.

Visiting the dentist

From the moment the artificial root is placed, regular visits to the dentist are the responsibility of the patient. The doctor determines the timing of the visit on an individual basis. But, as practice has shown, most often a visit is scheduled in the following order:

• on day 3– the dentist checks the intensity of inflammatory manifestations, and if they are diagnosed to intensify or remain at the same level, then general drug therapy is prescribed, which will help avoid implant rejection;
• for 10 – 14 days– remove the sutures and check the degree of epithelial restoration;
• in 4 – 6 months– for placing the gum former. If you skip this stage, the gums will look unnatural and expose the neck of the abutment;
• in 7 months– placement of a permanent crown;
• You will need to visit the dentist in the future at least 2 times every 12 months. At the appointment, he will conduct a preventive examination, which will allow timely detection of inflammation of the oral cavity. The dentist will also perform hygienic cleaning.

Life time

Modern technologies and materials have made it possible to produce ultra-strong implants that can last 25 years or more. Failure of a structure before this time can be caused by several reasons:

1. Poor product quality.
2. Unprofessional dentist.
3. Low quality of care.
4. Bad habits.
5. Violation of tissue trophism as a result of age-related changes or pathologies of internal organs.

Prevention of rejection

Prevention consists of timely relief of common diseases and maintaining high quality hygiene. Good health of the oral cavity and the whole body will help avoid negative consequences.

In order to promptly identify dental problems, it is necessary to carry out regular checkups at the dentist.

In conclusion, a video review of implant care products from a blogger:

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Implantation allows you to replenish your teeth and eliminate many of the inconveniences that appear during tooth loss or decay. This procedure not only restores the functions of the teeth, but also eliminates many defects in appearance - jaw curvature, changes in the oval of the face, malocclusion.

But the success of this procedure depends not only on the professionalism and experience of the doctor, but also on subsequent care. Even if this operation is performed by an experienced doctor in a clinic with a good reputation, no one can guarantee that complications will not arise in the future. Sometimes implant failure can occur. Therefore, it is extremely important to follow all the recommendations of your doctor during the period after dental implantation and subsequent care.

Features of nutrition in the postoperative period

Nutrition can also affect the patient and the implant. During this period, it is recommended to strictly follow all the doctor’s recommendations, which also relate to proper nutrition:

Complete healing period

On average, the bone tissue and gums heal after implant installation in 3-6 months. However, the healing period for the upper and lower jaws has some differences. Typically, it takes about 3-4 months for the lower jaw to completely heal and recover. But the upper jaw heals on average in 4-6 months. The upper jaw recovers and takes longer to heal due to the fact that the bone in this area is denser and thicker.
Sometimes the healing period may differ from established norms. Differences in the healing period depend on the individual characteristics of the body:

• period of tissue regeneration;
• properties of the immune system;
• pain threshold.

The speed of healing can also be affected by other physiological factors - age category, gender, lifestyle, diet, and daily routine of the patient.

An implant is an artificial titanium “root” that is surgically installed into the jaw bone where the patient’s tooth used to be. Due to this, the healing process is quite long and difficult.

But still, it takes some time for the body and tissues to fully recover. The main thing in the postoperative period is to strictly follow all the recommendations of the attending physician.

Features of suture removal

Sutures after implantation are usually removed on days 10-14, but only in cases where otherwise is not indicated. Throughout this entire period, while the sutures are in place, it is necessary to handle the teeth and installed implants very carefully and carefully.
After suturing, you may experience pain and bleeding. For this reason, you can use some painkillers:

• Nise;
• Ketones;
• Ketorol;
• Nimez.

Attention! Dehiscence of seams occurs quite rarely. This is due to the fact that doctors use only high-strength threads with a dense structure when performing implantation. However, sometimes seam divergence still occurs, but this is most likely due to violation of medical recommendations.

This often occurs due to mechanical damage in the surgical area.
Suture removal is performed without anesthesia. This process takes place quite quickly and with virtually no pain.

To relieve pain after surgery and suturing, the following drugs are used: ketanov, ketorol, nise, nimez...

Types of postoperative complications

The following conditions may often occur after implant placement:

• the appearance of severe pain. It is considered normal when there is slight pain in the gum area where the implant is inserted. These sensations are usually observed for 1-2 days.

  Important! If the pain does not go away for a long time, it becomes much stronger every day, then it is better to consult a doctor. These unpleasant feelings are often the first sign of a complication;

• inflammatory process;
• seam divergence;
• the occurrence of hemorrhages. As a rule, after surgery, at first there is blood discharge from the operated area, which quickly passes. Blood discharge can be quickly removed with cotton wool. If the bleeding increases, it is best to consult a doctor.

The result of surgical intervention can be both rapid healing and a number of complications that are accompanied by pain symptoms, swelling, hemorrhage, hematomas...

The occurrence of edema

Typically, during the first three days after installation of the implant, slight swelling may be observed in the gum tissue. This phenomenon is considered natural, which may occur during surgical intervention. Often swelling is a sign of an active rush of blood to the operated site.
But to reduce discomfort and speed up the disappearance of swelling, you can take the following actions:

• In the first days after surgery, ice should be applied to the operated area. Ice should be applied for 5-10 minutes, the intervals between applications should be at least 20 minutes;
• It is not recommended to apply ice to the skin; it is better to first place it in a towel;
• Sometimes, along with ice, antihistamines and antibiotics are prescribed to reduce swelling. This is required to eliminate the infection. Treatment of the operated area with antiseptic agents is also prescribed.

During the first three days after installation of the implant, slight swelling of the tissues of the gums, cheeks, and parts of the face may be observed. This is a sign of an active rush of blood to the operated site.

The appearance of fever and inflammation

After installation of the implant, many people experience a reaction in the body, which is accompanied by an increase in temperature to 37 degrees Celsius. If the temperature remains at an elevated level for several days, this is considered a normal reaction.

Attention! If the temperature level remains at 37.8-38 degrees Celsius and does not fall, then you need to be wary. This means that there is an inflammatory process that requires immediate intervention.

In no case should you delay your visit to the doctor; inflammation can cause serious complications, which in the future can provoke implant rejection.

Numbness

In many patients, anesthesia goes away completely only after 4-5 hours after surgery. After this period, sensitivity returns again. If signs of numbness remain after the required period has expired, then you should be wary. Often these signs may indicate the presence of nerve damage. These symptoms can only occur if surgery was performed on the lower jaw, because there are no major nerves in the upper jaw.
You should also pay attention to symptoms that may also indicate the presence of damage to the mandibular nerve:

• lack of facial sensitivity;
• increased salivation;
• difficulty eating and drinking.

It is recommended to conduct an examination as early as possible. If there is nerve damage, drug treatment is used at the initial stage.
Implantation is a dental procedure that can completely restore lost teeth. But you should be prepared for the fact that complications may arise after this procedure. In any case, you need to be observed by a doctor during the first period, who can promptly identify complications and quickly eliminate them.

The dental branch of medicine has been growing and developing for more than a century, reaching ever greater heights.

Today, in addition to treatment, prosthetics of the alveoli of the upper and lower jaw with full-fledged copies of teeth (with their fixation on a special rod replacing the root - an implant) is available. This method is not quite simple.

It uses durable, biologically resistant titanium alloys. Implants are implanted into bone and soft tissue in a special way so that the body “accepts” the replacement.

The artificial teeth installed on top are just as durable: they do not wear off or break even under high pressure. Dental prosthetics through implantation has replaced yesterday's trend - “false jaws”.

But, unfortunately, the process is still not perfected, and in some cases patients still face complications.

Causes and types

For any surgical intervention to be successful, the patient needs to know all the causes of complications, options for the development of events and recommendations on how to avoid them. Possible the causes of complications are:

• Insufficient doctor qualifications: During surgery, the crown may be incorrectly removed or the facial nerve or artery may be damaged.

  Soft tissues are excessively irritated and cut off, the implant is not installed tightly, the sutures are poorly sutured, and in a completely “advanced” case, an infection occurs;

• Personal intolerance the patient's materials, substances, and physiological characteristics: even the shape of the jaw and the alveoli directly is of great importance, blood clotting, the rate of tissue healing and bone growth.

  All these points must be discussed with a specialist in advance so that he is aware of everything during implantation;

• Inappropriate preparation for surgery and careless attitude towards oneself afterwards, failure to comply with the requirements of a specialist, negligence in relation to the symptoms of complications: leads to at least inconvenience, and at most to rejection of the implant;
• Poor quality material or equipment: a fairly rare case, but also occurs.

Problems during surgery

Problems sometimes arise during implantation:

• A specialist without sufficient experience may insert the implant deeply enough or overdo it, breaking through important submandibular or supramillary canals;
• Heavy bleeding due to poor blood clotting or broken blood vessels;
• Touched nerve;
• Pain through anesthesia.

All this can be caused either by the inaccuracy of the dentist’s actions or by the patient’s incorrect behavior.

Perforation of the bottom of the maxillary sinus and nasal cavity

Perforation- this is a breakdown of the partition between two cavities (in this case: oral and nasal). This happens either due to inaccuracy of actions, or due to working “at random”.

As a result, the doctor has to repair the resulting hole and undergo surgery until a new layer of bone grows in the problem area.

To avoid such situations, a computed tomography or x-ray is first performed, from which the size of the dense jaw is calculated and the appropriate length of the implant is selected.

Damage to the wall of the mandibular canal and nerves of the lower jaw

The same situation, only for the lower jaw. The consequence of penetration may be partial numb gums and cheeks as a result of the implant pressing on the nerve or blood entering the sinus.

In cases of severe nerve damage, it is felt sharp pain(even despite the anesthetic), and the blood that gets into the jaw cavity is not dangerous: the liquid will resolve after a while, after which all symptoms will disappear. Usually such problems go away in a couple of weeks, sometimes in a month.

Bleeding

An actual complication in the form of heavy blood loss is extremely rare. In other cases, there is simply more blood than the patient expected, which is quite Fine.

Even if deep large vessels are damaged, there is nothing to be afraid of: modern medicine has many ways to effectively stop bleeding, even in hard-to-reach places.

Postoperative problems

Symptoms may appear on the second or third day after surgery (early) or later. months and sometimes years(late complications).

To distinguish true signals from false ones, you need to monitor your own sensations: with healing, your health improves, and with complications, it gradually worsens, starting from the second or third day of engraftment.

A common reaction of the body, which is often confused with a complication, is pain, swelling, fever, hematoma and numbness. Normally it can last up to a week.

More serious causes of concern that require unconditional intervention are inflammation, dehiscence, peri-implantitis and implant failure.

Pain

A completely natural reaction for such interventions. A few hours after the end of the operation, the anesthesia and the adrenaline included in its composition will cease to act, and the nerves will again begin to send signals to the brain. signals of "damage".


To get rid of pain for the first 2-3 days, the specialist will prescribe additional painkillers. If the pain persists or appears after this time even under the influence of pills, you should consult a doctor.

Edema

It is also a completely natural reaction of the body (dilation of blood vessels and channels for accelerated healing). To avoid this, you should attach apply something cold to your cheek immediately after surgery, but do not hold it there for a long time.

Hypothermia can make things even worse, causing necrosis soft tissues, and the swelling will not subside. Swelling should not last longer than a week.

Hematoma

It can be visible not only on the gum, but also on the outer surface of the cheek. Evidence of abundant internal hemorrhage. The body itself is able to cope with such a complication. You should only consult a doctor if the yellow-brown tint does not subside within 4-5 days.

Temperature increase

It is a completely normal reaction of the body to the entry of a foreign “substance” (in this case, an implant). Body temperature elevated to 37-38 degrees should not cause concern because the body is thus accelerates all (including recovery) processes.

Seam divergence

A fairly rare occurrence, the causes of which are quite predictable: excessive loads on the operated jaw, touching the stitches with the tongue, poor hygiene.

Numbness

May continue up to a week. Associated with blood entering the sinuses of the jaw and excess pressure on the nerves. This effect should be local and short-lived.

Inflammation

This is a fairly serious sign that should not be confused with a hematoma. As a result of inflammation, an unpleasant taste and pain appear in the mouth, the soft tissue around the implant changes color, and there is an unpleasant odor from the mouth.

Feeling of heaviness in the maxillary sinus

Often occurs as a result of implant failure inside maxillary cavity. This happens when the length of an artificial root or thinned jaw bone is not accurately calculated. If such a symptom occurs, you should consult a doctor and get an x-ray.

If concerns are confirmed, the implant is removed, after which the dentist performs bone tissue augmentation and re-implantation (after 2 months).

Peri-implantitis

A serious and unpleasant complication. It can appear immediately or a week or even years after surgery. In this case, inflammation occurs not only in soft tissues, but and in the bone itself.

Under the influence of decomposition processes, bone tissue decreases and pus appears. Often occurs due to lack of hygiene and appropriate care.

The consequences are much more serious than ordinary edema. Often, inflammation develops into implant rejection and is accompanied by a feeling of the latter “moving” relative to the bone.

Precautionary measures

Negative options for the development of events after surgery are most often realized through the fault of the patient himself. Upon completion of implantation, the doctor must give a list of recommendations on nutrition, medications and daily procedures, but not everyone follows them strictly.

The first rule in this case is consonant with the slogan of doctors: “Do no harm!” It's worth it for your own good refuse from many bad habits, including smoking, for at least 1-2 months.

Too sweet, bitter, spicy foods can cause irritation and swelling, so they should also be exclude. Hard or sticky foods at all prohibited for 2 months after implantation.

Before surgery

The first and very important component of success is the choice of a clinic and a good specialist. What is important in this matter is real reviews and experience.

Before implantation, a qualified dentist conducts a general consultation to identify problems and characteristics of the body, then examines the oral cavity and, if necessary, cleans the teeth.

To create a surgical plan, the patient undergoes fluoroscopy to show the thickness and integrity of the jaw bone. As a result, contraindications to implantation and hidden problems, including caries, are identified.

Postoperative care

During the healing period, you must absolutely avoid physical activity and going to the sauna/bathhouse so that the blood does not rush excessively to the head (as a result, swelling of the gums may occur).

All solid and irritating (salty, pepper) foods are removed from the diet. At first, you can apply ice to your cheek.

Reviews

The real experience of people who have gone through implantation is very important for those who are just deciding to undergo it. Many clinics and private offices offer their services in every city, and it is sometimes very difficult to choose between them.

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2 Comments

• Sarah

  June 29, 2016 at 5:55 am

  I didn’t think such consequences were possible. I'm about to have implantation in a few days, but my doctor says everything will go fine. I will trust him. I think that 90% of the result depends on the doctor, but, of course, you probably shouldn’t discount genetics and the condition of your teeth. I really don’t understand people who don’t take care of their teeth and then wonder why this happened.

• Pauline

  June 29, 2016 at 11:05 pm

  Wow, there are so many complications after implantation. A year ago I got an implant. The doctor warned about possible discomfort, but healing went without problems. Of course, it is very important in such a difficult and expensive matter to be completely confident in the doctor’s experience. You should not only trust him, but also follow all instructions for caring for your jaw and implant. All in our hands.

• Konstantin

  July 2, 2016 at 3:12 pm

  I didn’t think how many problems there could be with implantation. I’ve never had an implant installed, but I talked about this topic with doctors. Everyone has different opinions... some have discomfort, and some are fine. If there is nothing left but an implant... then choose a doctor and we perform surgery. It is better to brush your teeth than to undergo such dangerous and expensive operations.

• Santa

  February 14, 2017 at 0:08

  Dental implantation is a surgery like any other. In essence, a foreign body (even a hypoallergenic one) is implanted into the bone and soft tissue of the jaw. The body can react to this in different ways, hence the whole list of various complications. But in the vast majority of cases, everything ends well, so you shouldn’t beat yourself up in advance.

• Vlada

  May 18, 2017 at 9:21 am

  Costs four implants. The first one was installed in 2009. So far everything is great. Unfortunately, dental health depends not only on hygiene. Over the past three months, I had to remove 4 teeth in a row. Implantation is coming again. I'm gathering my courage.

• Nata

  May 31, 2017 at 8:47 am

  In February of this year, I placed two implants on the lower jaw. They did not take root. Five days ago I had a second operation. Something went wrong and the doctor could not place a second implant, but only one. At the end of the operation, the pain was severe, it became bad. Here For the fifth day now the pain hasn’t gone away at all, it spreads all over my cheek (it’s swollen), I can’t open my mouth. I went to her, apply ointment, rinse with an antiseptic. It doesn’t help. I went to the soya regiment at the address. They took a panoramic x-ray, it turned out the implant was pressing on the nerve. Moreover, the stitches came apart. They prescribed antibiotics, but I can’t cope with painkillers for days. If I had known that this would happen, I would never have bothered! It’s impossible to tolerate this pain, and it seems that every day it is getting stronger. I take antibiotics and hope that the pain will leave me... Think a hundred times before using it.

• Olga

  June 19, 2017 at 09:46 pm

  Last summer I decided to install five implants. At first I thought that the doctor would do them one by one. As a result, everything was installed in one step. Maybe that's right. The feeling was terrible. Then, for the worse, everything healed. They began to install teeth. Installed the lower ones. On the left everything went well, but on the right there were problems. A lump has grown on the lower outside of the lower jaw. At first it hurt a lot. I took several courses of antibiotics. The pain has gone away, but sometimes it comes back, but not severely. But the lump doesn't go away. This worries me a lot. The crowns have been removed for now. I'm afraid to install them because I don't want to put any strain on this jaw. I chew on the other side, where everything has taken root. The doctor also doesn’t know what to do. This is the first time this has happened to her. I consulted in other clinics, very significant ones, but no one fully explains anything. Scary.

Anastasia Vorontsova

Dental implantation often proceeds much easier than postoperative period.

It is necessary to understand that no matter how wonderful the surgeon who performed the operation is, the introduction of an implant means tissue injury, which can lead to complications.

To avoid postoperative complications, it is very important to strictly follow the dentist’s recommendations during this period.

The condition after dental implantation of the oral cavity is such that it is vulnerable to the development of infectious complications associated with bacteria entering the mucous membrane.

In this regard, in the postoperative period, therapy is aimed at preventing infection from entering the surgical field and accelerating the healing of the wound surface.

Therefore, in the postoperative period, antibacterial drugs are prescribed, both orally and for local use.

Complications

In the early postoperative period, the following symptoms may appear:

• The appearance of swelling or bleeding in the surgical area. To reduce swelling, ice should be applied to the cheek in the area of ​​the installed implant for twenty minutes every half hour during the first day.
• Your health after dental implantation may suffer due to pain or fever. All these unpleasant sensations are relieved with the help of painkillers.

Within three to five days, usually all these symptoms disappear on their own.

In the post-implantation period, the following complications occur occasionally:

• Having severe pain.
• Increased body temperature.
• Numbness of the jaw.
• Bleeding.
• Hematoma formation.
• Seams coming apart.
• Development of the inflammatory process in the area of ​​surgical intervention.

The main reasons for such complications may be:

• Failure of the patient to follow the doctor's recommendations.
• Violation of technology for preparing and conducting surgical intervention.
• Features of the patient's body.

Complications arising in the late postoperative period:

• Pereimplantitis is inflammation of the tissue around the implant. The bone tissue surrounding the implant is destroyed.

Causes of reimplantitis:

• Hemorrhage over the plug with subsequent development of suppuration.
• Incomplete closure of the surgical wound.
• Violation of the bone bed preparation technique.
• Lack of oral hygiene.

The main method of treatment is to remove the hematoma and eliminate the causes of inflammation.

If treatment fails, the implant is removed and bone tissue is restored.

• Implant rejection. Very rare. The cause of rejection may be the presence of an inflammatory process, a burn of bone tissue during implantation, or bone osteoporosis. In this situation, the implant is also removed.

Video: “Possible complications after dental implantation”

Rehabilitation after implantation

During the first two weeks after surgery, the following recommendations should be followed:

• Avoid alcohol, smoking, eating spicy and hot foods.
• You need to eat finely ground, semi-liquid food.
• Avoid a sudden rush of blood to the head by avoiding stress, sports and other physical activities.
• Refrain from climbing to heights, and also avoid air travel.
• Refuse to visit the bathhouse or swimming pool.
• Ensure the most gentle treatment of the wound surface and the entire area where the implant was implanted.
• Do not spit or drink liquid through a straw.
• Replace mouth rinsing with antiseptic solutions.
• In the first days after surgery, it is better to sleep on a high pillow.

The most important factor preventing the development of complications in the postoperative period is proper oral hygiene.

It is important to know that when brushing your teeth you should not touch the implantation site. This area must be treated with a swab soaked in saline solution. On the second day after implantation, so-called oral baths can be used on the operated area.

How to care for implants after the postoperative period

• Caring for implants is the same as caring for teeth using a toothbrush with toothpaste, floss (dental floss), a brush, and rinses.
• Care of the structures affects only the part of the implant protruding above the gum. Its lower part requires special care.
• Teeth should be brushed twice a day.
• Equally important for caring for implants is the use of an irrigator, which allows you to maintain the cleanliness of the oral cavity at the highest level.

Questions and answers

Dental implantation is one of the most popular procedures today. Installed implants are no different from real teeth, both in aesthetics and in feel. If you take into account contraindications for dental implantation, you can easily avoid complications in the postoperative period.

Answers to frequently asked questions will help you understand how to behave correctly in the post-implantation period.

• Question: How does rehabilitation occur after the installation of implants?

Answer: There is a medical protocol. It includes examinations of the patient and administration of medications. Healing of the wound surface occurs within seven days.

• Question: Is it possible for the implant to fail?

Answer: This is a clinical case that is very rare.

• Question: Is it true that alcohol and smoking can cause complications after implantation?

Answer: Smoking affects the engraftment of the titanium rod and its service life. Alcohol can cause complications at the everyday level.

• Question: How and what can you eat with implants without crowns?

Answer: At first, it is enough to install plastic crowns or temporary removable structures that are convenient to eat with. In the first days after surgery, food should be soft and pureed.

• Question: Do I need to take any medications after implantation?

Answer: Yes. It is necessary to take anti-inflammatory, antibacterial, painkillers and restorative drugs. It is important to carry out oral care using antibacterial and regenerating agents.

• Question: Can an implant rot?

Answer: No. Titanium doesn't rot. The bone tissue surrounding the implant may be destroyed or soft tissue inflammation may begin.

Video: “Hygiene after dental implantation”

During the first two days after surgerydental implantation You should avoid coffee - it increases blood pressure and can promote bleeding. For the same reason, you should not drink alcohol and be sure to refrain from smoking.

What can you eat after dental implantation?

In any case, dental implantation is accompanied by bone trauma. Therefore, to strengthen bone tissue, eat foods rich in calcium - kefir, cottage cheese, yogurt, sour cream - any fermented milk products. Eliminate from your diet foods that are too salty and spicy, as well as foods that are too cold and hot. Refrain from rough foods - nuts, crackers, tough meat. Ideal nutrition option after implantation- mashed dishes, warm broths, purees.

Until the wound is completely healed, try to chew food on the opposite side to prevent food from getting into the hole. If this does happen, it’s okay, just rinse your mouth with warm water or chamomile decoction.

If bleeding, acute pain or swelling occurs, contact the clinic by phone at 73-111-11 and describe the symptoms. Remember that following the recommendations of your treating implant surgeon is the key to a successful result.

Dmitry Igorevich Korlykhanov
Implant surgeon GK "