Oral Surgery

Background Information

Oral and maxillofacial surgeons are dentists specializing in surgery of the mouth, face and jaws. After four years of dental school, surgeons receive four to seven years of hospital-based surgical and medical training, preparing them to do a wide range of procedures including all types of surgery of both the bones and soft tissues of the face, mouth and neck. We offer a full scope of oral and maxillofacial surgery with expertise ranging from dental implant surgery and wisdom tooth removal to corrective jaw surgery. This also includes techniques designed to rebuild bone structure with minimal surgical intervention and optimal patient comfort. Our Doctors can also diagnose facial pain, facial injuries and fractures.

Surgical Staff

Our staff at A Smile 4U are experienced and trained in assisting with Intravenous (IV) sedation or outpatient general anesthesia in our state-of-the-art office setting. Patients are continuously monitored during and after surgery. All staff are informed administrative personnel, well-versed in health and insurance policies, and are CPR certified.

Before Intravenous Anesthesia 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 our office prior to your surgical date for instructions.

Follow the Three S’s for 3-5 days after surgery to help increase healing and reduce the chances of dry-sockets:

  • No Straws
  • No Smoking
  • No Spitting

Wisdom Teeth

Wisdom teeth are the last adult teeth to erupt in the mouth. Occasionally, they contribute positively to one’s oral health, but in most cases wisdom teeth are misaligned and require removal.

Problems which can occur with wisdom teeth eruption and thus necessitate removal include crowding of adjacent teeth, recurring infections, decay on adjacent teeth, and even development of cyst and subsequent weakening of the jawbone.

The presence and position of wisdom teeth is best diagnosed by your general dentist and/or oral surgeon with the aid of a panoramic x-ray. This type of x-ray permits the dentist and oral surgeon to properly evaluate the development and eruption of the wisdom teeth. In selective cases, the three-dimensional CT scan may be necessary to discern the proper position of the wisdom teeth in your jaw.

In order to safely and painlessly remove your wisdom teeth our Doctors highly recommend all wisdom teeth extractions be done under general anesthesia. Once you are “asleep” a long acting anesthetic is administered to provide up to 6 hours of pain relief after surgery. Since you will be under general anesthesia it is required you have nothing to eat or drink after midnight the night before your surgery and a responsible adult to drive you to the office, stay there, and drive you home.

Most healthy young individuals recover from wisdom teeth removal without any significant problems. A few days of rest and following our instructions will go a long way toward an uneventful recovery. Common concerns related to your post-op recovery are covered in you post-op instructions. We will go over them in detail with your ride before your discharge.

Lastly, most dental and/or medical insurances will cover part or the entire fee for removal of the wisdom teeth. Please check with your policy to determine if wisdom teeth removal with anesthesia is a covered procedure of your policy and whether or not our office participates in the insurance plan.

First Visit

Your initial appointment will consist of a consultation explaining you diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.

Please assist us by providing the following information at the time of your consultation:

  • A list of medications you are presently taking.
  • If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.

A preoperative consultation and physical examination is recommended for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink eight hours prior to your surgery. You will also need an adult to drive you home.

Please alert the office if you have medical condition that may be of concern prior to surgery (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.)