Objective To analyze the effect of refined oral nursing on dental implant restoration and abutment bleeding index. Methods A total of 90 patients with dental implant restoration admitted to our hospital from January to November 2021 were selected and randomly divided into two groups. 45 cases in the control group were given routine nursing, and 45 cases in the study group were given refined oral nursing on the basis of the control group. The repair effect, abutment bleeding index and satisfaction were compared between the two groups. Results The success rate of planting in the study group was 93.33%, which was higher than 75.56% in the control group, and the difference was statistically significant (P＜0.05). The bleeding index of abutment teeth in the study group was lower than that in the control group, and the recovery time of oral function was shorter than that in the control group, the difference was statistically significant (P＜0.05). The nursing satisfaction of the study group was 91.11%, which was higher than 77.78% of the control group, and the difference was statistically significant (P＜0.05). The incidence of complications such as oral inflammation, soft tissue edema and discomfort in the study group was lower than that in the control group, and the difference was statistically significant (P＜0.05). The scores of psychological function, emotional function, physiological function and social role in the study group were higher than those in the control group, and the difference was statistically significant (P＜0.05). Conclusion Refined oral nursing can improve the success rate of implant denture patients, improve oral health, and improve their satisfaction.