Please follow these instructions to prepare for oral surgery with IV sedation

1. You may not have anything to eat or drink including water for 8 hours prior to the appointment.
2. A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.
3. The patient should not drive a vehicle or operate any machinery for 24 hours following anesthesia.
4. Please wear loose-fitting clothing with sleeves that can be rolled up past the elbow and low-heeled shoes.
5. Contact lenses, jewelry, and dentures must be removed at the time of surgery.
6. If you have an illness such as a cold, sore throat, or upset stomach or bowels, please notify the office.
7. If you take routine oral medications, please check with the surgeons before your surgery date for instructions. Please also bring the name and dosage of your medication to the office on the day of the appointment.
8. You should plan on resting the remainder of the day following your surgery.
9. Someone should be available to check on you throughout the day and provide assistance at night, if necessary.
10. Please feel free to contact us if you have any questions regarding your planned anesthesia and surgery procedures.

POST –OPERATIVE INTRAVENOUS (IV) SEDATION FOR THE ESCORT:

All patients must be accompanied in recovery. Patients may sleep, but must be watched for at least 6 hours after treatment. Following sedation, a responsible adult, over 18 years old (with valid government issued identification), must escort the patient home. A responsible adult should remain with the patient for the next 24 hours.

A parent or legal guardian must accompany minors home.

Following IV SEDATION, patients should refrain from driving a vehicle or engaging in any activity that requires alertness for the next 24 hrs. The patient cannot drive home. The Patient is prohibited from going up and down stairs unattended until fully recovered.

Please escort the patient from the vehicle to the house by supporting them under the arm.

The patient must be conscious and aware before any additional pain medication can be given. Wait at least 6 hours, or as directed by your doctor.
The patient needs to drink plenty of liquids as soon as possible.

Please call the surgeon with the phone number list on the bottom of the instruction if you have any questions or difficulties.

The removal of wisdom teeth is serious surgery procedure

Unnecessary pain and the chance of complication can be minimized if instructions are followed carefully

1. 1. BLEEDING: You should expect some bleeding following dental extractions.  Bleeding will slow as the extraction sites clot.  Immediately after your surgery, gauze wedges will be placed in the extraction areas.  Please change these wedges with setril cotton gauze every 20-30 minutes until light pink in color.  Once light pink, DO NOT place more gauze.  If bleeding starts again, resume 20-30 minute gauze packing until it slows again.  If bleeding does not slow with normal cotton gauze pressure application, you can place a warm, damp tea bag at the site and bite down gently, applying pressure for 20 minutes.  If bleeding does not slow and tea bag application does not help, please contact the surgeon for further assistance.
   2. PAIN: A certain amount of pain is to be expected following any surgical procedure.  If you have been provided pain prescriptions, please take them as directed.  If the pain persists or increases, please contact the surgeon.  If you experience any itching, rashes or difficulty breathing with the medications provided, please stop taking them immediately and call the surgeon. Discomfort following surgery may increase on the second or third day following the procedure and then should improve each day after that. If pain persists or worsens after 4 days, please notify our office as it may require attention.
   3. SWELLING/BRUISE: 
      1. SWELLING: Swelling is a normal part of the surgery and healing process. Swelling is a normal part of the surgery and healing process.  If you experience any swelling you can apply ice or cold packs at 5 minute intervals (5 on/5 off).  Sleeping with your head elevated can reduce swelling.  Refrain from physical exertion while experiencing swelling.
      2. BRUISING: The development of black, blue, green, or yellow discoloration is due to blood oozing and spreading beneath the tissues of the mouth and face. This is a normal post-operative occurrence that may occur 2-3 days after the procedure and tae 1-2 weeks to gradually fade away.
   4. RINSING/BRUSHING: Please do not brush or isne for the first 24 hours after surgery.  After 24 hours, you may brush gently but avoid the surgical areas.  If you are given a rinse, please use it as directed daily.  You may also rinse with warm salt water several times a day to keep the area clean and promote healing.
   5. EATING/DIET: Please do not smoke for the first 3 days after surgery.  Tobacco smoke and additives can irritate and prevent proper healing of the surgical area and leave complications.  For the first 24 hours please eat soft, temperature moderate foods.  Hot foods can lead to burning eh mouth or extraction site, especially while numb from surgery.  Easy to chew foods should be used for the first few days after surgery to allow the sites to begin healing and leave clots in place
   6. SUTURES: If sutures were used your surgeon will tell you if you need to return to have them removed.  More often they will dissolve in 7-14 days.  Do not pull on the sutures.  If you experience pain, irritation or observe discharge, please contact the office to be seen.
   7. ACTIVITIES: Restrict your activities the day of surgery and resume normal activity when you feel comfortable. Resume normal activities a day or so after surgery. It is best to avoid strenuous activity for 2-3 days following surgery. Please keep physical activities to a minimum immediately following surgery.
   8. If you have any questions or have an emergency, please call the surgeon with the phone number located at the bottom of your post -operative instruction.

Following Surgery:

1. Do NOT smoke for 3 days
2. Do NOT drink through a straw for 7 days
3. Do NOT rinse or spit for 24 hours
4. Do NOT drink carbonated or alcoholic beverages for 24 hours
5. Do NOT exercise heavily for 7-10 days
6. Do NOT eat crunchy or spicey food for 7 days
7. Do NOT blow nose and try to sneeze with mouth open
8. Bleeding: You should expect some bleeding following implant surgery. Bleeding will slow down as the site clots. Immediately after your surgery gauze wedges will be placed in the surgical site. Change the wedges with sterile gauze every 20-30 minutes until light pink in color. Once gauze is light pink, do NOT place more wedges of gauze. If bleeding starts again, resume 20-30 minute gauze packing until it slows down again.
9. Pain: A certain amount of pain is to be expected following any surgical procedure. If you have been provided pain prescriptions please take them as directed. If pain persists or increases please contact the surgeon. If you experience any itching, rash, or difficulty breathing with the medications provided, stop taking them and immediately call the office.
10. Swelling: Swelling is a normal part of the surgery healing process. Sleeping with your head elevated can reduce swelling. Refrain from physical exertion while experiencing swelling.
11. Rinsing and Brushing: Do not rinse for the first 24 hours after surgery. After 24 hours, you may rinse with warm salt water daily to keep the area clean and promote healing.
12. Diet: For the first 24 hours, eat soft and temperature moderta foods. Hot foods can lead to burning of the mouth or surgical site, especially while still numb from surgery. Easy to chew foods should be used for the first few days after surgery to allow the site to begin healing.
13. Sutures: If sutures were used, you will return to the office in 1-2 weeks to have them removed. Do NOT pull on the sutures or attempt to remove them. If you experience pain, irritation or observe discharge please contact the office to be seen.