Oral Surgery FAQs

Are the rules for Orthognatic Surgery different from tooth extractions or dental implant placement?

Yes, very different. Orthogenetic surgery is performed by a referral to an oral and maxio-facial surgeon and is usually done in a hospital operating room. Like other surgeries they will ask you not eat several hours before surgery and they might alter doses of any medications you take. You will be asked to discontinue smoking for before and after the surgery. With some surgeries you can go home the same day, with others you might have to stay in the hospital.

Do I need to avoid certain medications?

It is important to discuss all medication with Dr. Weisz during your pre-surgical consultation. In most cases medication should be continued unless specifically instructed to withhold them. Typically Plavix, Aspirin, Coumadin and other types of blood thinners can also be continued. When necessary Dr. Weisz will consult with your physician to safely manage your medications.

How is the anesthesia administered?

Depending upon your treatment a local anesthesia such as will be administered. For a more involved treatment, Nitrous Oxide, an oral sedation or intravenous sedation might be recommended.

How long is the on-site recovery before I can leave the office?

Plan to stay with us for at least 20 minutes if sedation was involved, or until the Doctor is satisfied that you are recovered sufficiently to go home. If your procedure required sedation you must be completely alert before leaving the office for home. You must have a ride home. You may not drive yourself. It is recommended that you do not drive for a minimum 24 hours after surgery.

How long will I be off of work/out of school?

It depends on the type of surgery involved. For routine extractions or gum surgery, you will probably be able to resume work and a normal life style by the next day. For complex wisdom teeth extractions, you will probably experience pain, swelling and bleeding that may require a few days off the rest and recover..

For all extractions, smoking is not recommended as it increases the likelihood of dry socket (a painful complication.)

How long will the surgery take?

The length of surgery depends on your treatment. Some surgery's are less than 30 minutes, while other procedures may take considerably longer. Dr. Weisz will provide you with the estimated time of surgery at your pre-surgical consultation.

Is there a food and drink restriction prior to surgery?

If treatment calls for the patient to be sedated then yes there are food and/or drink restriction. The patient must not consume anything, including water for 6-8 hours prior to surgery.

What do I need to be aware of before intravenous sedation?

You may not have anything to eat or drink (including water) for eight (8) hours prior to the appointment. No smoking at least 12 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery. A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home. The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience. Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes. Contact lenses, jewelry, and dentures must be removed at the time of surgery. Do not wear lipstick, excessive makeup, or nail polish on the day of surgery. If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office. If you take routine oral medications, please check with Dr. Weisz prior to your surgical date for instructions.

Will anesthesia be used?

Dr. Weisz will discuss your anesthesia options. Our goal is to provide minimal discomfort as possible.

Will antibiotics be prescribed prior to surgery?

Depending on health situations, compromised individuals may require antibiotics to kill bacteria found the mouth.

Will my vital signs be monitored during and after treatment?

Dr. Weisz and his assistants will continuously monitor your vital signs during surgery.

Will there be a lot of bleeding with a tooth extraction?

It's important for a blood clot to form to stop the bleeding after a tooth extraction. You will be asked to bite on a damp gauze pad for 2 hours immediately after the extraction. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times. After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws, smoke, drink alcohol or brush teeth next to the extraction site for 72 hours. These activities will dislodge or dissolve the clot and retard the healing process. Limit vigorous exercise for the next 24 hours as this will increase blood pressure and may cause more bleeding from the extraction site.

Will there be swelling or facial bruising?

After the tooth is extracted, you may feel some pain and experience some swelling. An ice pack or an unopened bag of frozen peas or corn applied to the area will keep swelling to a minimum. Take pain medications as prescribed. The swelling usually subsides after 48 hours. In some treatments there may be some bruising. For teeth removal or jaw procedures, women and/or very light skinned patients may experience slight bruising. Taking blood thinner will increase the chance of bruising. It is, however, not uncommon to have a black eye or discolored cheek or neck following extensive procedures. Dr. Weisz will discuss what bruising if any would be related to your procedure treatment.

Will you prescribe antibiotics and pain medication?

Procedure and patient health are determining factors of what antibiotic and/or medication will be prescribed. Call the office if the medication does not seem to be working. If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone. Drink lots of fluid and eat nutritious soft food on the day of the extraction. You can eat normally as soon as you are comfortable. Dr. Weisz will discuss what, when, how long and dosage with you in both the pre-surgery and post surgery interviews.

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