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Bone Grafting

MaxFac Clinic > Post Surgery > Bone Grafting

Bone grafting is frequently needed in preparation for dental implants. It is often carried out as a separate procedure several months before implant placement, sometimes at the same time as removing a failing tooth, which helps preserve the socket.

However, when only a small amount of bone grafting material is needed, it may be possible to simultaneously place the bone graft and the implant.

The material used during a bone graft can consist of tiny particles, so it’s not unusual to find small granules in the mouth for several days afterwards, as some may come out of the grafting site and into the mouth. Following our post-operative instructions carefully can help reduce the number of particles that become dislodged during healing. These include:

  • Avoiding touching or disturbing the wound with your fingers or tongue.
  • Avoid rinsing and spitting vigorously for at least two days after surgery, as this allows the graft to begin stabilising. Rinsing or spitting before this time could dislodge the blood clot that helps aid healing and protects the wound. After the first day, it is permissible to rinse your mouth gently, but you need to take care.
  • Take care not to apply any pressure to the surgery site with your tongue or fingers, as the grafting material is initially movable and could be pushed out of the proper position.
  • Not smoking for at least a week afterwards as the action of sucking on a cigarette could dislodge the blood clot. Additionally, smoking slows down healing and could affect the success of treatment.
  • Take any prescribed pain medication or antibiotics as directed, or use appropriate over the counter medication for mild discomfort.
  • Avoid lifting your lip to look at the bone graft as this could pull on the wound and damage the stitches.

It is permissible to brush the adjacent teeth gently, ensuring the toothbrush does not contact the grafting site. If you wear a denture, our oral surgeon will provide specific instructions on how and when to wear it. Sometimes we may recommend leaving the denture in place for the first forty-eight hours before removing it. Contact our practice for advice if you notice any sores or swelling around the denture.

Swelling after oral surgery is normal and can continue to increase for the first couple of days after surgery. Keeping the head elevated can help reduce facial swelling. It is also helpful to use ice packs for the first forty-eight hours. After this time, moist heat is more helpful until swelling has subsided.

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