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Post-Operative Instructions: Zygomatic Implants



  • If you are medically able, take ibuprofen (Advil®, Motrin®) and Acetaminophen (Tylenol®). Start with 600mg ibuprofen and alternate with 500mg acetaminophen every three hours so that each medication is taken on its own 6-hour schedule.
  • If you are given stronger pain medication, please take it as directed in addition to the ibuprofen and acetaminophen.
  • Writing down the medication taken, dose, and time assists in limiting confusion.
  • Start taking the first ibuprofen dose as soon as possible after the procedure.


  • Do not swish, spit, or use straws for 24 hours following your procedure.
  • Bite down with firm pressure on the gauze that is placed over the surgical site. Change every 45 minutes as needed.
  • As the gauze turns pink, it can be removed. Call our office if bleeding does not stop/is filling your mouth rapidly with blood after several gauze changes.
  • Remove gauze when eating/drinking and replace as needed if bleeding still occurs at the surgical site.
  • Do not sleep with gauze in your mouth.
  • Bloody nose can occur after the procedure for the first two weeks.

Swelling and Bruising

  • Swelling can be expected to increase during the first 48 hours after the procedure and peaks in 48–72 hours with a gradual reduction over a week. Swelling may include around the cheeks/eyes.
  • Apply ice to the surgical site for the first 48 hours if needed, 20 minutes on and 20 minutes off. Be sure to place a towel or barrier between the skin and the ice pack so the skin is not burned.
  • Elevating the head with pillows when sleeping is helpful during the first 2–3 days.
  • Bruising of the eyes can appear for approximately 10 days–2 weeks.

Sinus Precautions

  • Limit nose blowing for 3 weeks. If you must sneeze, do so with your mouth open. This will equalize the pressure between the mouth and the nose and reduce unintended airflow through the surgical site.


  • Soft food, non-chew diet for 3 months following the procedure. Do not eat hard, crunchy, chewy foods during the healing process.

Oral Hygiene

  • Resume normal brushing and oral hygiene the day after surgery.
  • Begin gentle rinsing 24 hours after the procedure after meals with regular tap water or salt water. If you were given a medicated mouth rinse, use this morning and evening for one week starting 24 hours after the procedure.
  • Avoid smoking as it limits and delays healing.


  • If you were given an antibiotic, take it as prescribed until completed.


  • Limit strenuous activity following the procedure and gradually increase as you feel more comfortable.
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