🦷 Oral & Maxillofacial Surgery Aftercare

    Bone Graft (Jaw) Aftercare Instructions

    A day-by-day recovery guide for bone graft (jaw): what to expect, how to care for yourself, and when to call. Free to read and print.

    Typical recovery: about 30 daysOral & Maxillofacial Surgery

    What to expect

    Bone Graft Healing

    • •Bone regeneration is a slow process, 3-6 months
    • •The graft provides scaffolding for your body to grow new bone
    • •Smoking reduces graft success by up to 50%

    Bone Graft (Jaw) recovery, day by day

    Day 0

    Bleeding & Protection

    • Bite on gauze for 30-60 minutes
    • Some small granules of bone graft material may come out; this is normal in small amounts
    • Do NOT spit, use straws, or rinse forcefully for 24 hours

    Swelling & Pain

    • Ice packs: 20 min on, 20 min off for 48 hours
    • Take prescribed pain medication before numbness wears off
    • Sleep with head elevated on 2-3 pillows
    Days 1-14

    Critical Healing Period

    • Do NOT put any pressure on the graft site
    • Soft foods only; chew on the opposite side
    • No brushing at the graft site for 2 weeks
    • Gentle salt water rinses starting day 2

    Activity

    • No strenuous exercise for 7-10 days
    • No smoking, dramatically reduces graft success
    • Avoid blowing your nose forcefully, upper jaw grafts
    Days 15-30

    Bone Integration

    • The graft integrates with your natural bone over 3-6 months
    • Follow-up X-rays will monitor bone growth
    • Do not schedule implant placement until bone is mature
    • Continue excellent oral hygiene

    When to call your provider or 911

    • •Call your care team today if you notice: Fever above 101°F that doesn't respond to medication
    • •Call your care team today if you notice: Uncontrolled bleeding lasting more than 4 hours despite gauze pressure
    • •Call your care team today if you notice: Severe pain not relieved by prescribed medication
    • •Call 911 now if you notice: Difficulty breathing or swallowing
    • •Call your care team today if you notice: Numbness that persists beyond 24 hours
    • •Call your care team today if you notice: Foul taste/odor indicating possible infection
    • •Call your care team today if you notice: Pus or discharge from the surgical site
    • •Call your care team today if you notice: Large amounts of graft material coming out
    • •Call your care team today if you notice: Graft membrane becomes exposed

    When in doubt, call your clinic. For a medical emergency, call 911.

    Recovery milestones

    1. Day 7

      Swelling Resolves

      Most swelling gone by day 5-7

    2. Day 14

      Recovery Progress Check

      Notice what is improving, unchanged, or worsening. Contact the care team if symptoms are getting worse or the next step is unclear.

    3. Day 30

      Bone Maturation Begins

      Graft integrating with natural bone, 3-6 month process

    4. Day 30

      Ready for Implant Evaluation

      Follow-up imaging to assess bone density

    For clinics

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