Postoperative Guidelines for the Implant Surgeon

APPENDIX G Postoperative Guidelines for the Implant Surgeon

ROUTINE

Antibiotics

Use preoperative antibiotics routinely at double the therapeutic level or greater, or the prophylaxis dose recommended by the American Heart Association (AHA). Administration should provide maximum blood levels at the time of incision.

Analgesics

Depending on the severity of the procedure and an assessment of the patient’s level of pain tolerance:

• Ibuprofen (Motrin), 400 to 600 mg, four times daily, or a comparable non steroidal anti-inflammatory drug (NSAID), such as Advil (two tablets four times daily) or Aleve (two tablets twice a day after meals) for the first five days after surgery is effective.
• More potent are the codeine drugs (with aspirin or Tylenol), 30 to 60 mg. In further ascending order of effectiveness are hydrocodone (Vicodin) or Vicodin ES (Extra Strength) or oxycodone (Percodan [with aspirin] or Percocet [with acetaminophen]). The last two drugs may be quite habituating. All pain medications are taken every 4 to 6 hours.
• For patients sensitive to codeines, Demerol, 100 mg, is effective.

If gastritis occurs, it can be handled with an antacid (e.g., Maalox) or by administrating the analgesic with yogurt.

Edema

Generally, nature should be allowed to take its course. If the patient or physician is concerned, and if it has been established that the edema is not related to infection, use steroids both intraoperatively and postoperatively. During the procedure/>

Related posts:

  1. Suggested Readings
  2. Implant Patient Follow-Up Form
  3. 28: Principles of Occlusion in Implantology
  4. 23: Root Form Implant Prosthodontics: Abutments
  5. 3: Evaluation and Selection of the Implant Patient
  6. 6: Preparations for Implant Surgery

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Jan 5, 2015 | Posted by in Implantology | Comments Off on Postoperative Guidelines for the Implant Surgeon

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