Procedure Instructions

Socket Grafting and Bone Grafting After Surgery Care


Timeline

  1. Surgery: The tooth is extracted and grafted. A thin membrane is tucked underneath the gum tissue around the extraction site and sutured into place. This holds the graft in place during healing.
  2. One Week Post-Operative Visit: The sutures will usually be removed at this visit.
  3. Three Week Post-Operative Visit: The membrane will be removed at this visit. The membrane is gently removed non-surgically and is easier than suture removal.
  4. CT Scan: The site must heal for at least three months before it can be evaluated for implants. After healing a CT scan will be taken to measure the horizontal and vertical bone dimensions to size and order the appropriate implants.

Bleeding

It is normal to have some bleeding following dental implant placement. It is, however, usually less than with other surgeries in the mouth. A folded piece of gauze should be placed over the grafted site and bite with firm pressure for 30-45 minutes. Repeat if necessary.

Swelling

Swelling following socket grafting surgery is normal. It will increase until the third day after surgery. Ice packs placed on the side of surgery for 15 minutes at a time will help minimize the swelling. This is usually only helpful for the first 24-48 hours after surgery. Sleeping with your head slightly elevated will also help prevent the swelling from settling in the cheeks.

Pain Control

  • Dental Implant surgery is usually less painful than extractions or other surgical procedures in the mouth.
  • NSAIDS: Non-steroidal anti-inflammatory drugs (NSAIDS) are a good way to control post-operative pain and swelling if you are not allergic or intolerant. Start taking Motrin (Ibuprofen) as prescribed immediately after surgery and as often as allowed during the first two days after surgery. It can be taken at the same time as prescribed narcotics and will often work better when combined with either the narcotic or Tylenol. Since Ibuprofen can also help prevent swelling, it is recommended to continue this for mild discomfort after narcotic use has ended.
  • Prescribed Narcotic Pain Medicine: If the Motrin does not control the discomfort alone, take the prescribed narcotic as well. The two drugs can be taken together. You should not drive or make important decisions while taking the narcotic pain medicine. Common side effects of narcotic pain medicine include nausea and vomiting, constipation and dizziness.

Eating

  • It is important to drink lots of fluids to replenish your body after fasting.
  • ​Soft foods will be more comfortable while you are healing during the first few days: eggs, soups, soft pasta, meatloaf, mashed potatoes, ice cream, shakes, etc.

Brushing

Start brushing normally 24 hours after surgery. Be gentle in the area of the wound. Do not disturb the stitches. The sutures used for grafting are usually not dissolvable and will be removed at your post-operative visit.

Oral surgical care in a safe, warm, and caring environment!

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5 of 5 stars of 167

My experience with the ladies and Doctor Loveless was great. I had never been put under by anesthesia before and they made me comfortable and very relaxed. They took care of me from the beginning consultation to leaving minus 4 teeth. Thankfully Dr. Loveless is a younger man so he will hopefully be around to treat my children with the same care, someday.

5 of 5 stars of 167

Dr. Loveless and the rest of his team was great! They made the whole experience very enjoyable. I was really nervous before going into my surgery and the team was very friendly and made me feel at ease. I will definitely recommend friends and family to Dr Loveless. He has a great bedside manner and, is very professional. I know ive found an awesome oral surgeon.

Angie B.
Happy Patient

5 of 5 stars of 167

This surgeon is great. ALL his staff is outstanding. Had implant done, basically painless, very interesting procedure. Assistant /hygienist (practically doctor) Emily was great. Highly recommend this office.

Larry C.
Happy Patient

5 of 5 stars of 167

I went to get my wisdom teeth removed a few days ago & i could not wait to leave a review. My experience was absolutely PHENOMENAL. I wish i could give them more stars. Everyone at the facility was nice, accommodating and very professional. The procedure was done very quickly and they even gave me Ted Drew’s afterwards! My recovery has been unbelievably easy & fast. I had all 4 wisdom teeth extracted and there was very little swelling. I’ve barely had to take any pain medication and i was even able to eat the next day! I’m convinced they are magicians because the entire experience was just so great it seemed unreal! I never leave reviews but I just had to after receiving such amazing treatment. They definitely live up to the reviews!

Keyonna H.
Happy Patient

5 of 5 stars of 167

Best oral surgery place! Everyone is so friendly & caring! They did a great job of making sure I was comfortable & the surgeon did an excellent job-they even gave me some Ted Drewes to bring home!

Deb M.
Happy Patient

5 of 5 stars of 167

What can I say? No one likes to visit the dentist…especially for anything other than having their teeth cleaned. I am no different. Hated that I had to have a tooth taken out but it was necessary. I was referred here by my dentist to see Dr. Loveless. If I ever have to have anything else done from an oral surgeon, I would never wish to see anyone else. Dr. Loveless and his staff not only made me feel less anxious but they were super nice and made sure that I knew everything that was being done. I would refer them to anyone with complete confidence! If I could give them more than 5 stars, I would. I want to tell them all thank you for making this process much easier on me. Just an amazing staff and surgeon!!

5 of 5 stars of 167

Dr. Loveless is amazing. I will continue to use and refer people to him.

5 of 5 stars of 167

Dr. Loveless did an amazing job. I needed a wisdom tooth extracted that had a large cavity. He got it out whole in less than 1 minute. He is great. His staff is wonderful too. My whole experience was great. I will refer anyone that needs an oral surgeon!

Pamela W.
Happy Patient

5 of 5 stars of 167

Excellent oral surgeon. I had to have my wisdom teeth removed and was terrified. The staff at Archway were very professional and took care of me. Painless proceedure and I was in and out in a hour. highly recommended thank you very much!

Patrick H.
Happy Patient

5 of 5 stars of 167

Very friendly staff. Doctor spent time to explain and answer questions. Easy to make an appointment. Easy to get a recheck. Staff and Doctor made themselves readily available for questions after surgery even during holidays.

Laurie M.
Happy Patient

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St. Louis Office

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Washington, MO 63090

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