Your First Visit to Ocoee Oral & Maxillofacial Surgeons

On the day of your pre-surgical consultation, bring your medical and dental insurance cards. If there is a recent panoramic x-ray (less than six months old), please bring it with you as well.

If the patient is under 18 years of age, they must be accompanied by an adult parent or guardian.

If you did not receive our paperwork in the mail, please be 10-15 minutes early for your appointment to allow yourself time to fill out the paperwork accurately.

A fee will be due at the time of this pre-surgical consultation. For your convenience, we accept cash, checks and credit cards, including CareCredit. Payments made by check are processed electronically and will be deducted from your bank account immediately.

**To reduce the possibility for an extended wait time, please call the office two days in advance to confirm your appointment time.**

Thank you for your assistance with this necessary paperwork.

Medical History

If you have an extensive medical history, it will help us with your first visit if you provide this information BEFORE the actual appointment. This will allow us to review pertinent information and make any necessary contacts with other medical providers that need to be considered before sedation and oral surgery.

Sending paperwork to our Cleveland, TN office before your appointment may save you a second preoperative visit if your physician is not readily available.

If you have:

Previous heart attack or stroke
Diabetes
Seizures or Epilepsy
Presently being treated for heart or respiratory disease
Cancer treatments or radiation

Pain Management

Blood thinners, such as aspirin, Coumadin or Plavix
Medication for Osteoporosis
Diabetes Medication
Long term steroids

Please fill out the paperwork that was mailed to you, and bring it or mail to our Cleveland, TN office prior to your actual appointment with us, with all physician’s names and phone numbers so we can reach them.

Bring a full list of all medications/vitamins you are presently taking.

X-Rays

X-rays are necessary to determine root structure of teeth in question, look for any abnormalities, look for infection, nerve placement, and many other pertinent factors involved before agreeing on any surgical procedure.

If you have recent x-rays, feel free to bring them. If they are current and diagnostic, we will not have to take new ones. If you have not had recent x-rays, we can take them at our office.

Day of Surgery

Arrive 15 minutes early– there is a consent form to read and sign. Make sure you have any necessary reading glasses with you.

You must not eat or drink for at least 6 hours prior to Oral or Maxillofacial Surgery. Any prescribed medications that are due the morning of your surgery can be taken with a few sips of water.

Remember to wear short sleeves for access to the IV site.

If you are being sedated, you must bring someone with you who will be capable of driving you home. This person should be prepared to remain at the office during your surgery. You cannot be “dropped off” to be picked up later. We will not begin any surgical procedure without your driver and vehicle present at the office. If your driver leaves, we will have to cancel your surgery, and reschedule for another day.

As with any surgery involving sedation, you should plan to recover for at least 24 hours. This means you should limit yourself after Oral or Maxillofacial Surgery, including no driving, operating heavy machinery, and even obtaining help when caring for small children.

Our commitment to your care does not end when you leave the office. We have an answering service available 24 hours a day to reach a staff member in case you have an emergency or concern.

After Surgery Care

These are your POST SURGERY INSTRUCTIONS and instructions for a BONE GRAFT PROCEDURE. Please follow these instructions carefully, and call us if you have any questions or concerns. Our support for you does not stop after your surgery is finished.

Day 1 (Day of Surgery)

  • Keep head elevated either in a recliner, or elevated on several pillows in bed.
  • Do not drive a vehicle, work, or operate heavy equipment for 24 hours.
  • Apply ice packs to the surgery area for approximately 7 hours, alternating 20 minutes on each side to minimize swelling.
  • Leave initial gauze in place for a minimum 90 minutes. Apply constant firm pressure– do not chew. It is not unusual to need to replace this gauze; however, each new gauze should be left in place with firm pressure for a minimum of 2 hours until bleeding is controlled. Take out to drink.
  • If bleeding is not controlled, a tea bag may be used in place of gauze. Place an ice pack over the face in this area. Remain quiet, lying with head elevated, or sit upright. If bleeding cannot be brought within normal limits, call the office.
  • If not allergic to ibuprofen, take 1-2 tablets three times a day. This is regardless of pain level, but is for the anti-inflammatory properties of the medication. If allergic, take 1 extra-strength Tylenol three times a day. Prescribed pain medication should be taken as needed.
  • Consume liquids only. Take care not to bite lip or cheek area while numb. Avoid carbonated drinks, and do not use a straw. Avoid alcoholic beverages.
  • Do not smoke. Smoking is the #1 cause of pain following surgery. It leads to irritation of the surgical site, causing severe pain and poor healing.
  • Do not rinse mouth on day one.
  • An episode of nausea and vomiting is not uncommon on the day of surgery. If this becomes excessive or continues to following day, please call. Stay on liquid diet until stomach has settled.
  • If an immediate denture is inserted, do not remove it for 24 hours. Then rinse with warm salt water, clean the denture and re-insert it.

Day 2

  • Do not use ice packs on the surgery area.
  • A soft diet can be started. Take ibuprofen every 6 hours.
  • Do not smoke. Avoid alcoholic beverages.
  • Begin gentle, warm salt water rinses (1/4 tsp of salt with a glass of water), 2-3 times per day.

Day 3

  • Do not smoke.
  • Continue gentle, warm salt water rinses. Take ibuprofen three times a day.

Day 4

  • Do not smoke.
  • Continue gentle, warm salt water rinses. Take ibuprofen three times a day.

Day 5

  • Do not smoke.
  • Take ibuprofen three times today.

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