Gums bleed after implant installation: what to do?

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, work experience of more than 26 years make an appointment

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Implant rejection

The materials from which implants are made in modern dentistry are, in the vast majority of cases, normally accepted by the body's defense systems. Therefore, the risk of implant rejection after sinus lifting and bone grafting is extremely low. However, implant rejection sometimes occurs in patients and without timely diagnosis and treatment can lead to serious health consequences.

The most unpleasant thing is that when an implant is rejected there is never a violent pain reaction or severe bleeding, but periodically minor bleeding occurs that quickly passes. The main bad sign is the unpleasant odor that accompanies bleeding from the area of ​​​​previous surgery.

There are a number of pathological conditions in which the risk of rejection increases significantly. These include congenital and acquired immunodeficiency, autoimmune diseases, diseases of the endocrine system. Bleeding is one of the symptoms of implant rejection, and if the rejection process begins in the first days after the intervention, the bleeding can be quite intense. Also, with rejection, symptoms characteristic of inflammation progress (pain, swelling, redness of tissue, fever). Normally, signs of inflammation should subside 7-10 days after the intervention. However, if bleeding, pain and other unpleasant sensations persist for longer, then you must be examined by a dentist to rule out incipient implant rejection. Treatment of this rare complication is carried out surgically against the background of antibacterial and anti-inflammatory therapy.

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.

How much does it cost to treat complications?

If complications occur due to the patient’s fault due to careless attitude towards new teeth, then in most cases the payment for their elimination also falls on the patient’s shoulders. The range of prices here is quite large - for example, it is easiest to apply sutures when they diverge, but it is more difficult to treat peri-implantitis and restore bone volume after rejection and removal of the implant. The cost of treating complications may well reach the cost of the implantation itself. Therefore, it is extremely important to follow the entire set of recommendations from the dentist after dental implants have been installed.

[1] Kuri F. Regenerative methods in implantology, 2014.

Author: Dzhutova A. V. (Thank you for your help in writing the article and the information provided)

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!

Prevention is the best cure

A good dentist must take care to minimize possible abnormal bleeding from the patient's gums after implantation. Although not everything is within his control, he can still take the following steps:

• refer the patient in advance for an examination designed to identify possible contraindications and undesirable conditions;
• study the medical history in detail and assess possible risks;
• examine blood for clotting.

In many ways, the prevention of bleeding after implantation depends on the patient himself. It can do the following:

• as soon as the titanium pin is installed, you need to keep a piece of sterile bandage at the site of the operation, changing it hourly;
• at home, apply cold to the operated area without waiting for bleeding to begin;
• try not to load the operated area at least for the first time after implantation;
• give up solid foods and foods that require intense chewing;
• stop smoking, and ideally, quit completely, because this bad habit is one of the main causes of bleeding, and in addition can cause inflammation and suppuration, up to complete rejection of the implant by the body;
• sleep on a high pillow that keeps your head elevated;
• temporarily stop taking any medications that reduce blood clotting, such as aspirin;
• observing oral hygiene, use the brush in the area of ​​the operation as carefully as possible, trying not to open the wound.

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.

How to care for implants and your mouth after installation

After implantation, you need to follow a number of rules that will speed up the engraftment of the artificial root. The implantation site should be subject to as little trauma as possible. To do this you need to adhere to the following rules:

• Brush your teeth regularly with a soft toothbrush;
• Intensive mouth rinsing is prohibited before removing sutures;
• oral baths with antiseptic solutions or herbal decoctions are allowed;
• you can use dental floss;
• You should visit the doctor at least 2 times a week before the stitches are removed.

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).

Why does bleeding develop after implantation?

The reasons for this complication vary. Some of them are related to the characteristics of the patient, and some do not depend on him. In the preoperative period, the doctor collects a medical history and recommends undergoing some instrumental and laboratory tests to confirm the patient’s readiness for surgery and eliminate the risk of complications.

Causes of bleeding that do not depend on the patient:

• an error that occurred during the operation, for example, the crown was incorrectly removed, arteries or nerves were damaged. Too tight implant installation, tissue irritation, infection or poor-quality sutures can also cause gums to bleed.
• Before the operation, a thorough diagnosis was not carried out, the protocol was violated and important details regarding the individual characteristics of the patient were missed.
• the patient has intolerance to materials and drugs used during surgery;
• old instruments and low quality materials can also cause gum damage.

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).

What to do if there is bleeding?

It is not always possible to immediately contact your doctor in case of bleeding, and there are no medical facilities nearby. Self-help in such a situation consists of the following actions:

• wrap the ice in a soft cloth and apply to your cheek for 15–20 minutes;
• You can apply a sterile gauze bandage to the gum at the point where the dental structures are installed for 15–20 minutes;
• take cool, clean water into your mouth and hold for about five minutes, then carefully spit out;
• apply a wet bag of black tea to the painful area on the gum;
• You can also place a cotton swab on the gum, which will collect excess blood and promote blood clotting.

If possible, or if home treatments are ineffective, you should seek medical help. The doctor will examine the site of inflammation and determine the causes of bleeding, which may be different and require different correction methods.

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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Peri-implantitis and bleeding

One of the most dangerous and severe inflammatory processes in the oral cavity is peri-implantitis. It occurs when trying to combine bone grafting or sinus lifting with implantation under unfavorable conditions. Inflammation develops around an installed dental implant and, if treatment is not started in a timely manner, can lead to serious consequences. The main reasons for the development of this pathology are non-compliance with the technique of surgical intervention and implantation, inadequate sanitation of the oral cavity before the procedure, or the use of low-quality structures for implantation.

The development of such a pathological condition can be suspected if the patient experiences severe pain and swelling in the implant area, increased bleeding of the gums, suppuration (with the addition of a bacterial infection), and impaired implant fixation. Bleeding against the background of the above symptoms is a dangerous sign, so you should immediately consult a doctor. The most severe consequence of the disease is bone tissue atrophy, which subsequently requires surgical correction. Treatment for this pathology should be aimed at eliminating inflammation and foci of infection in the oral cavity.

Bleeding in such conditions occurs a week after surgery in a state of complete rest and without any irritants.

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.

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?

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.

How long does it take for tissue to recover and implants to take root?

How long it will take for the gums to recover depends on the method of implantation and the general health of the patient. If there were incisions and sutures were placed, then healing takes a little longer than with a minimally invasive installation (using the gum puncture method). But on average this period takes 3-7 days.

As for the engraftment of classical implants, osseointegration or dense growth of bone tissue over the entire surface of the implant takes about 3-6 months. If advanced models with active coating and drugs that stimulate bone growth were used, osseointegration can occur very quickly - in just 2-6 weeks.

Much also depends on when exactly the prostheses will be placed on the implants. With the traditional approach or two-stage implantation, the prostheses are fixed after complete osseointegration - i.e. 3-6 months after surgery. But when implanting with immediate loading, the prostheses are installed immediately or 3-4 days after the operation. Here, osseointegration is accelerated due to the chewing load transmitted along the “prosthesis-implants-bone” chain, which activates the formation of new capillaries and the growth of bone tissue around the implants.

The healing of soft tissues and the engraftment of implants also depends on how carefully the patient follows the recommendations of the implantologist during the postoperative period of dental implantation. We'll talk about this later.

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.

Causes of severe and prolonged bleeding

Any intervention does not eliminate the risk of complications. Dental implantation is no exception. Prolonged heavy bleeding, although not a common phenomenon, does occur. Among the probable causes of the pathology:

• Suture dehiscence is the main factor causing bleeding. Typically, the situation occurs when the threads are damaged during hygiene procedures.
• Blood clotting disorder - may be associated with an existing disease or taking medications that affect clotting (for example, aspirin). In this case, blood may ooze for about 10 days.
• Damage to a blood vessel during implantation is accompanied by intense bleeding and the appearance of hematomas.
• Diseases of the cardiovascular system can also cause complications.
• Hypertension, nervousness before surgery - high blood pressure, severe fear of the procedure (which increases blood pressure) often cause prolonged bleeding.

Opinion of a dentist-implantologist : “Often the cause of hemorrhage in the area of ​​dental restoration is the penetration of dental cement into the gingival structures. According to studies, in 8 out of 10 cases of bleeding, it opens due to this factor. Therefore, after the procedure, it is necessary to take a control x-ray to check for the presence of cement. However, it is worth considering the fact that some materials are radiolucent.”

Carrying out MRI after implantation

Many patients with implants are concerned about the possibility of an MRI. The opinion that a magnetic field has a destructive effect on implants and surrounding tissues is erroneous. There is evidence for this:

• alloys used in the manufacture of implants do not interact with magnetic waves;
• the metal does not heat up;
• magnetic waves do not cause vibration or displacement of implants.

Before performing an MRI, you should inform the specialist about the presence of artificial teeth, as this requires additional adjustment of the equipment.

Healing time after implant installation

Due to anatomical features, the implant survival time is longer in the upper jaw (4-6 months) than in the lower jaw (3-4 months). This is due to the fact that the bone structure of the lower jaw is more dense, the implant stays in it better and, therefore, takes root faster. However, the duration of the osseointegration process may vary depending on the type of implantation system, as well as on the individual characteristics of the body.

What to do in the early recovery period

Even after a perfectly performed implantation, complications may arise as a result of improper care or failure to follow the doctor’s instructions:

• exclusion from the diet of hard, spicy, hot and too cold foods;
• minimizing physical activity;
• exclusion of visits to the bathhouse, solarium, beach, as well as flights and diving;
• abstaining from smoking and alcoholic beverages;
• strict adherence to oral hygiene.

In the first days after implantation, especially if tissue plastic surgery was performed, you should not intensively blow your nose, sneeze, cough, or make sharp turns or bends. The decision to lift restrictions can only be made by the doctor after an examination.

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