After Socket Bone Grafting

In addition to the general postoperative instructions, we would like to emphasize a few points.

The following information applies when grafting material has been placed into extraction sites to help preserve your jaw bone in preparation for possible implant replacement of the extracted tooth.

Your bone graft is made up of many particles. You may find some small granules in your mouth for the first several days. Do not be alarmed by these. It’s normal to have some of them come out of the graft site and into your mouth. There are some things you could do to minimize the amount of particles that become dislodged:

  • Do not disturb or touch the wound.
  • Avoid rinsing or spitting for 2 days (48 hours) to allow blood clot and graft material stabilization.
  • Do not apply pressure with your tongue or fingers to the grafted area, as the material is movable during the initial healing.
  • Do not lift or pull on the lip to look at the sutures. This can actually cause damage to the wound site and tear the sutures.
  • Do not smoke.
  • For mild discomfort, take Tylenol® or ibuprofen every 3–4 hours.
  • For severe pain, use the medication prescribed to you.

For the first 2 days, we would suggest letting the blood clot stabilize and not even rinse your mouth. Following the second day, gentle rinsing would be allowed but not too vigorously, as you can again disturb some of the bone graft granules. If a partial denture or a flipper was placed in your mouth, you may have to see your restorative dentist to have it adjusted and learn how to remove and replace it appropriately.

In Case of Problems

You should experience no trouble if you follow the instructions and suggestions as outlined. But if you should have any problems, such as excessive bleeding, pain, or difficulty in opening your mouth, call our office immediately for further instructions or additional treatment.