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Bone graft material is placed under the sinus membrane of the upper jaw prior to or at the time of dental implant placement. Symptoms related to the nose and sinuses are common for several days after the surgery. Because the sinus membrane is very thin, bleeding into the sinus cavity is fairly common after surgery. It presents as a nose bleed or bleeding in the back of the throat. It is important to limit physical activity, use Afrin nasal spray or Neosynephrine nose drops, and keep from forcefully blowing the nose until the bleeding stops. If brisk bleeding persists in spite of the above measures, please call the office.
In the first week after surgery it is also important to refrain from blowing the nose or creating any negative pressure such as sucking through a straw. Open the mouth and do not pinch the nose while sneezing. Swelling is common in the cheek and at the donor site. Apply ice to the cheek and donor area intermittently for the first 48 hours after surgery then moist heat until the swelling has resolved. The mouth should be gently rinsed with warm salt water three times per day and after meals. Teeth away from the surgical site may be brushed as usual. Chlorhexidine (Peridex) rinses, if prescribed, can be started three days after surgery – three times per day.
Occasionally small white colored particles of graft material may appear in the mouth or through the nose. This is a fairly common occurrence as the body remodels the graft material. If this is associated with increasing sinus symptoms or nasal discharge please let us know.
Stay on liquid diet for the first 24 hours. The diet can be advanced as tolerated but no chewing on or around the surgical site for four weeks. If swelling or pain reoccurs after the first week of surgery please call the office.
If you have any questions or concerns please call us @ 714-771-7677
The C.O.R.E. staff
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