Post-Op Instructions


General Guidelines for all procedures:


Do not chew on hard, sticky or chewy foods for a least 24 hours. Never chew on ice. Avoid aggressive chewing and sticky foods such as “hard tack” candies that can loosen or damage a restoration. Carefully follow all guidelines provided by the doctor and their staff and most importantly practice good oral hygiene. Additional instructions following various types of treatment are listed below. Please click on the below topics for detailed instructions. Whether you are in Boston, MA or New Hampshire, in the event of an emergency, please call our office at 781-639-3585. If you are experiencing a serious or life threatening emergency, please call 911 or visit the nearest emergency room.


Boston MA Dentist
Some pain, bleeding, swelling and seeping are normal following implant surgery. A cold ice pack should be placed on the face near the implant site on the day of surgery and the next day. This will help reduce discomfort and swelling. Do not miss your follow up appointment with Dr.Rothenberg and do not probe the area with your tongue or fingers. Please do not pull on or stretch your lips to see or feel the area treated. This can tear your stitches. Avoid brushing your teeth near the surgery site but brush and floss the rest of your mouth as instructed by the office. You can take ibuprofen 600mg (2-3 times a day) or a prescribed pain medication according to the instructions on the label or those provided by the doctor as needed. Warm water rinses, approximately six ounce glass of water, three to five times a day can be helpful.

For the first 24 hours you may experience some cold and heat sensitivity in your natural teeth. Do not eat, drink, chew or consume foods and beverages that are extremely hot or spicy until the numbness has worn off following the anesthetic. Avoid vigorous physical exercise for the first 24 hours and do not consume alcoholic beverages or smoke for at least one (1) week. During the first few days after surgery a diet of liquids and soft foods such as soups, yogurt, juice and smoothies are recommended. If you experience excessive bleeding or discomfort after 2-3 days, please call our office immediately.

Follow any other instructions provided by the office on your visit. Please take all medications as prescribed including your prescribed antibiotics (if given), to help prevent infection.

After your procedure please do not disturb the area. Avoid forcefully rinsing or spitting. Some bleeding is normal for the first 24 hours. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. If bleeding continues please call our office

Warm water rinses can be used 3-5 times a day after meals. Brush your teeth with a soft manual toothbrush. Be gentle when brushing the surgical areas. Sutures that were placed should not be touched!

Swelling and bruising may occur. The use of ice packs following your surgery will help diminish the swelling you may experience in the next 2-3 days. Applying ice for the first 2 days following your surgery works very well.

Drink plenty of fluids. Stay away from spicy foods. Also avoid sharp and crunchy foods like tacos, chips and nuts. Tobacco and alcohol should not be used. Alcohol should not be used in combination with pain medications nor antibiotics.

Keep physical activities to a minimum immediately following surgery. Please take all medications, including mouth rinses, as prescribed.

After your procedure please do not disturb the area. Avoid forcefully rinsing or spitting. Some bleeding is normal for the first 24 hours. Biting on a gauze pad placed directly on the wound for 30 minutes will help reduce bleeding. If bleeding continues please call our office.

After 24 hours, warm water rinses can be used 3-5 times a day after meals. After 24 hours, brush your teeth with a soft manual toothbrush. Be gentle with brushing the surgical areas.

Sutures may be placed after the surgery , please do not touch them.

Swelling and bruising may occur. The use of ice packs following your surgery will help diminish the swelling you may experience in the first 2 days following surgery. After 2 days if swelling is still present, a warm pack can be applied to aid in comfort and reduce swelling and bruising.

Please take all medications, including mouth rinses, as prescribed.

Drink plenty of fluids. Stay away from spicy foods. Also avoid sharp and crunchy foods like tacos, chips and nuts. Tobacco and alcohol should not be used one week following surgery. Alcohol should not be used in combination with pain medications nor antibiotics.

Keep physical activities to a minimum immediately following surgery.

Please refrain from blowing your nose for up to four (4) weeks following your surgery. Do not hold your nose when sneezing. Avoid flying in pressured aircraft, scuba diving, bearing down when lifting heavy objects, blowing up balloons, playing musical instruments that require a blowing action or any other activity that increases nasal or oral pressure for at least four weeks after surgery.

Swelling and bruising may occur. The use of ice packs following your surgery will help diminish the swelling you may experience in the first 2-3 days following surgery.

It is important to keep your mouth clean after surgery to reduce the risk of infection and promote rapid healing. Start water rinses the evening of surgery or the day following your procedure and after each meal.

Brush your teeth gently with a soft manual toothbrush on the evening of your surgery or the first post-operative day and continue at least twice a day.

Drink plenty of liquids. Eat soft foods for the first several days after surgery. Advance to a regular diet as you become more comfortable. Please avoid chewing or creating pressure on the bone graft site. Please avoid drinking alcoholic beverages or smoking during the first one to two weeks following your surgery.

If you experience severe or persistent sinus or nasal congestion please let us know. Please take all medications as prescribed, including decongestants as necessary.