After All-On-X

After All-On-X

1. Bleeding
  • Light oozing is normal for the first 24-48 hours.
  • Bite on thick, folded gauze for 30 minutes; replace as needed.
  • Avoid: spitting, rinsing vigorously, using straws, or touching the surgical area.

2. Swelling & Bruising
  • Swelling increases for 48–72 hours, and should gradually resolve after the 3rd day.
  • Use ice packs for the first 24 hours: 20 minutes on, 20 minutes off.
  • Use a warm compress/wash cloth after the first 24 hours.
  • Keep your head elevated on 3-4 pillows when resting.

3. Pain Control
  • Take prescribed pain medication as directed.
    • We recommend 800mg ibuprofen every 8 hours, with Tylenol 500-1000mg at the “4 hour mark” in between ibuprofen doses, and setting a schedule for the first 3 days.
  • Do not wait until the pain is severe to take your medication.
  • Take medications with food to avoid stomach upset.

4. Antibiotics
  • If prescribed, take the full course exactly as directed.

5. Avoid Smoking & Alcohol
  • No smoking or vaping for at least 12 weeks — it dramatically increases the risk of implant failure.
  • No alcohol for 72 hours, and none while on pain medications or antibiotics.

6. Diet (VERY Important)

Your temporary bridge is attached to healing implants — it is not meant for chewing hard foods.

For the first 4 months: SOFT DIET ONLY

Foods you can eat:

  • Scrambled eggs, yogurt, applesauce
  • Mashed potatoes, oatmeal, pasta
  • Soups, smoothies (no straws)
  • Soft fish, steamed veggies

Avoid:

  • Hard, crunchy, or chewy foods
  • Raw vegetables, nuts, seeds, chips
  • Tough meats
  • Biting directly into anything

This protects the implants during osseointegration (healing).

7. Oral Hygiene

First 24 hours:

  • Do NOT rinse, spit forcefully, or brush near the surgical area.

After 24 hours:

  • Rinse gently with warm salt water 3–5 times daily, especially after meals/snacks.
  • Brush the teeth of the prosthesis gently with a soft brush.
  • Do NOT brush the gumline around the surgical sites.
  • Avoid water flossers or electric flossers until your surgeon approves (usually after 2-week visit).

8. Caring for the Temporary Prosthesis
  • This is a temporary prosthesis — the final bridge will be stronger and more precise.
  • Avoid heavy biting or clenching.
  • Expect slight pressure on gums at first.
  • Speech may be altered temporarily and will improve.

9. What to Watch For — Call Your Surgeon If:
  • Heavy bleeding that does not stop
  • Pain not relieved by prescribed medications
  • Fever over 101°F (38.3°C)
  • Increased swelling after day 3
  • Foul taste or drainage suggesting infection
  • The prosthesis feels very loose or breaks
  • Sudden “popping” or unusual movement in the bridge

10. Follow-Up Appointments

Typical schedule:

    • 2 weeks: healing check with surgeon
    • 1 month: soft tissue and prosthesis evaluation with surgeon
    • 3-4 months: implant evaluation with surgeon, impressions for the final prosthesis with dentist
    • 4–6 months: delivery of final bridge with dentist