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310 S. Greenleaf St.
Suite 203
Gurnee, IL 60031
1900 Hollister Dr.
Suite 280
Libertyville, IL 60048


All On 4/5 Dental Implants (Teeth in a Day)

Pre-Operative General Instructions

Pre-Operative Instructions for IV and Oral Sedation


After the Procedure

Do not disturb the wound. Avoid spitting or touching the wound on the day of surgery. There will be a metal healing abutment protruding through the gingival (gum) tissue.


Some bleeding or redness in the saliva is normal for 24 hours. Excessive bleeding (your mouth fills up rapidly with blood) can be controlled by biting on a gauze pad placed directly on the bleeding wound for 30 minutes. If bleeding continues, please call for further instructions.


Swelling is a normal occurrence after surgery. To minimize swelling, apply an ice bag, or a plastic bag, or towel filled with ice on the cheek in the area of surgery. Apply the ice continuously, as often as possible, for the first 24 hours.

HOT APPLICATIONS:  You may apply warm compresses to the skin over the areas of swelling (hot water bottle, hot moist towels, heating pad) for 20 minutes on and 20 minutes off to help soothe tender areas.  This will also help decrease swelling and stiffness.

Your surgeon may recommend Orion natural products designed to decrease post-operative swelling and bruising. Please, refer to specific instructions on use of Orion products.


Drink plenty of fluids. The first 6-8 weeks you will need to be on liquid diet. The bone   around implants will be undergoing remodeling during that time and premature function may compromise implants’ integration.

After 8 weeks, you may start chewing soft food. The appropriate time for you to start chewing will be determined by your surgeon.


You should begin taking pain medication before you feel the local anesthetic wearing off, approximately 60 minutes after procedure. For pain, take the Motrin (Ibuprofen) and prescribed pain medications as directed. DO NOT exceed 4,000mg of Tylenol and 2,400mg of Motrin/Ibuprofen within a 24 hour period.


Be sure to take the prescribed antibiotics as directed to help prevent infection.

Oral Hygiene

Good oral hygiene is essential to good healing. The day after surgery, Orion oral rinse should be used twice daily, after breakfast and before bed. Be sure to rinse for at least 30 seconds then expectorate. Warm salt-water rinses (one teaspoon of salt in a cup of warm water) should be used at least four to five times a day, as well, especially after meals.

Water pik should be purchased before surgery. You may start using it 3-5 days post-surgery.

You may brush your prosthesis with regular toothbrush without any toothpaste.


Keep physical activities to a minimum immediately following surgery. If you are considering exercise, throbbing or bleeding may occur. If this occurs, you should discontinue exercising. Keep in mind that you are probably not taking normal nourishment. This may weaken you and further limit your ability to exercise.


Do not smoke for at all. As discussed at your consultation, smoking dramatically (two to three times) increases the risks of bone graft and implant failure.


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