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Post-Operation Instructions for All-on-4® Implant Surgery



  1. DO NOT rinse, spit or brush teeth for 24 hours after surgery.
  2. DO NOT use a Sonicare toothbrush or anything that has vibration on the site. This may cause the implant to move.
  3. DO NOT smoke for 48 hours after surgery.
  4. DO NOT drink alcohol for 48 hours after surgery.
  5. DO NOT eat or drink hot foods for 24 hours.
  6. DO NOT eat spicy or acidic foods for seven days after surgery.
  7. DO NOT exercise vigorously for three to four days after surgery.
  8. If there is no bleeding, you DO NOT need to apply the gauze.



  1. During the day, if you are awake and alert, place a moist 4×4 folded gauze that will be provided by our office around the prosthesis on the side of the cheeks until gauze becomes saturated.
  2. Change the gauze every hour until bleeding stops.
  3. Remember, it is common to have slight oozing for the first day after surgery.
  4. Discontinue the gauze after bleeding has stopped.
  5. You may have sutures; they will dissolve on their own within seven to 10 days.



  1. The local anesthesia (numbing medicine) administered during your surgery normally has a four- to six-hour duration, although some types of anesthesia can last up to 12 hours. You may have discomfort once the anesthetic wears off. Therefore, supplemental medication for comfort is usually necessary. Take the prescribed medication as soon as you get home after your surgery. Do not take any medications on an empty stomach.
  2. Take the prescribed antibiotic pills as directed on the bottle. It is extremely important to make sure you finish out the prescription. Discontinue antibiotics if you experience an upset stomach or development of any rashes. Please report this immediately.


Swelling & Bruising:

  1. It is extremely important to apply the iced face mask for 30 minutes on and 30 minutes off until bedtime to decrease the inflammation and minimize swelling.
  2. Sleep with your head elevated by pillows for two days following surgery. This will help reduce swelling and the appearance of bruises.
  3. Remember, swelling and bruising is very common after surgery. It will reach its maximum at 72 hours after surgery and will gradually resolve over the week. Continue to ice as needed. Please note: Everyone heals at a different rate. Some will swell more or less than others.
  4. Keep lips moist with cream or Vaseline® to prevent cracking or chapping.


Oral Hygiene Care:

  1. Brush your teeth gently, carefully avoiding the surgical sites, beginning the day after surgery. Waterpik® is recommended after 1 week. Setting has to be on low.
  2. If you have a Sonicare toothbrush, do not use until you get the permanent prosthesis.
  3. Start rinsing your mouth with saltwater rinses (one teaspoon of salt in one quart of water) after every meal beginning the day after surgery. It is extremely important to keep your mouth clean since an accumulation of food or debris may promote inflammation or infection.

Implants require a three- to six-month integration period, and it is important that they not be disturbed during this time.

If you have any questions about your recovery or the above recommendations, please call our office at 925-934-7888. During business hours, a member of our team will be happy to assist you. If this is a life-threatening emergency, please call 911. After hours, you may call our office and follow the prompts to get in contact with our oral surgeon, Dr. Alijanian.

Post-Op Food Recommendations
Post-Op Instructions For All-on-4
All-on-4 Home Care Kit

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