Typical, Yet Different.
Post-Surgical
How long do I need to stay at your office following surgery? What criteria must be met before I will be released to go home?
If sedation is used we will have you stay approximately 20 minutes. The patient must be alert and oriented prior to leaving by assessing vital signs and mental status at regular intervals. Basically, you can be tired when you leave but you should be alert.
What pain medication will be prescribed? Which one(s) and for how long?
Most prescribed drugs include Percocet or Vicodin for 3-5 days post operative.
Will antibiotics be prescribed following surgery? Which one(s) and for how long?
In most cases, depending on the procedure itself, amoxicillin or clindamycin is prescribed for 7 days post operative. We also recommend an antimicrobial mouth rinse called Peridex for 1 week.
Recovery
How long will I need to be off work?
Depending on the extent of the procedure and what you do for work, anywhere from a matter of hours to 4 days.
Is there likely to be any facial bruising?
There can be some bruising, particularly if many teeth are removed and numerous implants placed. Women and light skinned individuals may bruise more.
When can I resume fluid intake? Food - soft, normal?
Clear liquids can be started immediately. Patient's diet will be determined based on the extent of the surgery and recovery protocol.
Are there restrictions for activities? Driving?
With sedation there should be NO driving until the following day. Depending on the extent of surgery, and in the most severe cases, curb strenuous activities for 7 days.
How soon do I need to return to office for post-surgical follow-up?
Within one week, depending on the case. Your implant coordinator will determine your recall visits and our post operative staff will keep you informed of your appointments.
Insurance
Are any surgical procedures covered under medical benefits? My dental benefits are limited to $1,500.00 per calendar year.
Typically, medical insurance will cover implant/tooth replacement procedures related to the following types of conditions: 1) trauma, say you lose your front teeth after a car accident, 2) loss of teeth due to a medical condition, 3) if teeth are lost in the course of tumor treatment, 4) a congenitally missing tooth.
Are anesthesiologist's fees billable to medical insurance?
At EON Clinics the oral surgeon administers the anesthesia, which is included in the fee.
General
I am sure that the best post-operative care will depend on giving up smoking. Do you have any comments with regard to drugs to assist in accomplishing this, Chantix in particular?
Chantix has the best rate of success with regards to quitting. It should be started with physician monitoring prior to the operative date.
What type of cleaning is required? At home? Professional?
Both at home and professional cleaning are required. The tissue surrounding an implant can become chronically inflamed as a result of poor hygiene and lead to peri-implantitis. This can cause the implant to fail. Single unit implants should be flossed and brushed, where as an implant supported bridge should be brushed as per protocol.
How often do I need to return for maintenance, cleanings?
Regardless of the number of implants placed, we prescribe 6 month recall visits for maintenance and cleaning.
Will xrays/CT scans be used to assess for potential problems?
CT scans are used throughout the procedure to assure proper healing.
Will the implants need replacing (outside of extreme circumstances i.e. physical injury)?
Under normal conditions, implants will last a lifetime and in the rare case of failure, EON Clinics will replace the implant and associated bridge work at no charge to the patient for life. A lifetime guarantee.
How long can the temporary bridge remain? When is permanent bridge placed? Is this a surgical procedure?
The provisional bridge (referred to as the provisional implant supported bridge) is designed to last 6 months under normal wear. At that point, the final bridge (referred to as the definitive implant supported bridge) will be placed and is designed, under normal wear and following a maintenance and checkup routine, to last a lifetime.
Are there any additional costs/fees to expect?
All fees will be discussed prior to surgery, during the consultation appointment. You will be given a thorough examination to help determine your immediate needs, concerns, and to give you enough information to make an informed decision regarding the best possible treatment for the best possible outcome. One cost will be presented, and that is the cost.
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