Things You Need To Do Prior to Surgery

SCHEDULE APPOINTMENTS

Patients choosing general anesthesia must schedule an initial appointment for preparation and evaluation followed by a surgical appointment.Parents of small children and diabetic patients taking medication should plan on morning appointments.If you develop a fever not related to a dental problem, sore throat, severe cold or flu symptoms prior to your appointment, it is best to reschedule.If at all possible, please notify the office of cancellation at least twenty-four {24}hours before the scheduled appointment.Should any facial swelling occur prior to theappointment, notify our office immediately.It is not always necessary or advisable to wait until the swelling resolves before removing the infected teeth.

Questions regarding insurance coverage and/or methods of payment should be discussed with office personnel at the time of scheduling.If you fail to notify the office of cancellation, we may only be able to reschedule on a 24 hour notice or space available basis.

PREOPERATIVE VITAMIN THERAPY

It has been proven that positive healing factors such as Vitamin C and Zinc aid in the healing process and shorten recovery time.Consequently, they reduce the incidence and severity of dry sockets after surgery and make them easier to treat.For these reasons, we request you begin taking Zinc supplements daily and Vitamin C {1000 mg.} three days prior to surgery.Vitamin C tablets or capsules and Zinc supplements are available at most pharmacies without a prescription.However, if you are prone to have cold sores or fever blisters, do not start on Vitamin C or natural sources such as orange juice and fresh tomatoes, as these may trigger an outbreak of the herpes virus which could cause cancellation and rescheduling of your surgery.

WATCH YOUR DIET

If you are undergoing local anesthesia with or without nitrous oxide analgesia, you may eat a light meal and clear liquids prior to the appointment.This should not include greasy foods, milk products, orange juice or a large amount of solid food or liquids due to the potential for nausea.General anesthesia or modified general anesthesia patients may not eat or drink anything for six hours before surgery.Failure to adhere to the dietary restrictions may result in rescheduling of the procedure.If you are undergoing general or modified general anesthesia, take only the medications our doctor approves.

MEDICATIONS

Ifyou are currently taking blood pressure or heart medications, take the normal amount as usual before surgery with just enough water to swallow the pills.Diabetics undergoing local anesthesia with or without nitrous oxide analgesia should eat a good breakfast and take their regular medication dosage before surgery.If you are a diabetic and are undergoing an extensive procedure which will interfere with eating a normal diet or modified general anesthesia, you will need to reduce your morning dosage of insulin to avoid low blood sugar levels.Please check with your general care physician for the correct dosage of insulin to take.If you are currently taking Coumadin, Lovenox or Plavix blood thinners, never discontinue taking these medications without first checking with the physician monitoring your medications.Blood thinner medications may need to be modified or stopped before surgery.You may need to have a protime blood test conducted by your physician before surgery.

Because of special medical conditions, you may require pre-medication before surgery.Pre-medication with antibiotics is necessary if you have implanted devices{such as a pacemaker, brain shunt, joint replacement prosthesis, or mechanical heart valve prosthesis} or a history of high risk heart defects or valvular heartdisease.If you are on steroid therapy, you may require additional medication before surgery.

BEFORE SURGERY CHECKLIST

1. Begin taking Vitamin C and Zinc three days prior to your scheduled appointment.If you are having a modified general anesthetic, do not take these medications the morning of surgery.

2. Adhere to the proper diet for your type of anesthesia (See Watch Your Diet}

3. Ladies, remove nail polish or use clear nail polish on your left hand.

4. Wear loose-fitting, non-restrictive comfortable clothing.Wear a short-sleeved shirt with an open neck.In cooler weather, wear a jacket or sweater which can be easily removed before surgery.Please avoid wearing pull-over sweaters, long-sleeved sweat shirts or dresses with long or tight sleeves.Due to cooler temperatures in the treatment area of our office, we recommend that you have your legs covered by wearing comfortable pants.

5. Please wear low-heeled shoes

6. Remove all jewelry such as large earrings, necklaces, watches, bracelets, and tongue or lip rings.

7. Remove glasses, hats, contact lenses, partial or complete dentures.

8. Clean your mouth by brushing and rinsing with a mouthwash or water.Caution:Do not swallow the water !

9. Do not self-medicate with sedatives, alcohol, sleeping pills prior to surgery.Never use illegal drugs before surgery as these can cause severe adverse reactions including death.

10. If you are having anesthesia other than local anesthesia, be certain to bring someone to drive you home after the procedure and care for you until you are able to do so yourself.

11. Make sure to empty your bladder prior to anesthesia.There is a bathroom in the treatment area of our office for your convenience.

 

SIGN CONSENT FORM

When you arrive the day of surgery, you will need to thoroughly read and sign a consent form giving us the authority to perform the surgery and administer anesthesia.The form includes most of the possible complications from the procedures we perform.Although always possible, major complications can generally be considered an uncommon to rare occurrence.Please ask questions if you do not understand.Patients under the age of 18 years must have a parent or guardian to sign the consent for surgery.