First Visit / Scheduling | Fraser Valley Oral and Maxillofacial Surgery (2023)

We fully realize and empathize that there is always anxiety and apprehension involved when a potential surgical procedure is a possibility in your future. To make your experience as smooth and stress free as possible, we will coordinate your first visit to make sure you are fully informed about your experience and to reduce any stress and anxiety for your procedure.

Please assist us by providing the following information at the time of your consultation. This will save time and allow us to help you process any claims.

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  • Your surgical referral slip and any x-rays if applicable.
  • A list of medications you are presently taking.
  • If you have medical or dental insurance, bring the necessary completed forms or insurance information.

Your first visit will consist of the following:

1. Pre-appointment telephone greeting

2. Radiographs, diagnostic models and data collection

3. Review of health history

4. Explanation of anesthesia options

5. Explanation of diagnosis and treatment option

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6. Review of preoperative instructions and obtaining consent

7. Review and explanation of insurance benefits and fees

8. Scheduling

1. Preappointment telephone greeting

Prior to your first visit, our administrative team will gather most of your personal data, along with your information concerning your insurance and referral from your dentist. Our administrative team will set you up with an appointment time for your first visit and send you the appropriate paperwork to be completed prior to your visit. You may complete the form and email or mail it back to us prior to your first visit to save time or, alternatively, you can do it on your consultation date.

Please remember to bring your referral slip to the appointment, as this is an instruction for us by your dentist. Lastly, all patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit, since we will need consent for the procedure.

2. Radiographs, diagnostic models and data collection

If your dentist or physician has taken radiographs (x-rays), you may request that they forward them to our office. If your dentist has given you an x-ray, please bring it to your consultation visit. Frequently, smaller films will give extreme details about the tooth, but will only give a partial view of adjacent vital structures, such as nerves and sinuses. Therefore, we will often take another larger radiograph to visualize the entire upper and lower jaws in two or three dimensions. In most cases, we will take our own images to see a more recent view or to keep for our records. If the supplied x-ray is sufficient, our radiographs we take will be free of charge. Please keep in mind that all our x-rays are fully digital. Therefore, the amount of radiation exposure is minimal and only a fraction of the conventional dose.

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CT Scans

Our practice utilizes state-of-the-art, cone-beam CT (computed tomography) technology that provides highly accurate 3-D radiographic images for the diagnosis, planning and treatment for oral surgery. In fact, our unit provides the highest resolution in the dental industry. The cone-beam provides medical grade CT images at a fraction of the radiation exposure, especially since it is a focused field of view. This technology provides comprehensive, highly accurate 3-D radiographic images for the diagnosis, planning and treatment of complicated extractions, impacted teeth, dental implantology, corrective jaw surgery and other dental procedures. Undistorted, anatomically correct views of the jaws, teeth and facial bones along with cross-sectional, multiplanar and panoramic views are easily generated. Three-dimensional images enable a level of anatomical accuracy and patient care not possible with 2-D technologies. Furthermore, having additional information prior to surgery will allow a much less invasive technique to be employed. This means a faster recovery and a more predictable result. With the addition of cone-beam CT technology in our office, our practice is fully committed to providing the latest innovative, high-quality, patient care.

For complex esthetically demanding or major reconstruction cases, additional diagnostic information might be needed. If any presurgical planning models are required, impressions and molds will be completed at this visit. Any photographs and further imaging will also be taken as needed to give the comprehensive workup that your case deserves. For such complex cases, additional consultation visits may be required, since supplementary correspondences with multiple specialists might be needed for their expertise.

3. Review of health history

With any surgical procedures, co-existing medical conditions can have a profound effect on the outcome of the surgery. We will review your past medical history and adjust our treatment accordingly. Please alert the office if you have a medical condition that may be of concern prior to surgery. In addition to your accurate health history, please inform us if you have any of the following conditions:

  • Do you have artificial heart valves and joints that require antibiotic premedication
  • Are you currently taking any blood thinners (e.g. Aspirin, Plavix, Coumadin, Warfarin) or diabetic medications (eg. Insulin, Metformin, Acarbose, Actos, Avandia, Diamicron, Glyburide, Glucophage) ?
  • Are you currently taking any medications for your bones or osteoporosis? (e.g. Actonel, Fosamax, Boniva, Zometa, Aredia)?

4. Explanation of anesthesia options

Any surgery is an experience that invokes anxiety to varying degrees. Everyone is unique in their anxiety levels and past traumatic experiences can further exacerbate the apprehension. The primary goal of our team is to make sure you have a smooth, safe, comfortable experience for your procedure. After your examination by your doctor, he will determine the degree of difficulty of your procedure and make recommendations of the type of anesthesia. These are only recommendations and the type of anesthesia for the surgery will ultimately be decided by you. The anesthesia options are:

  • Awake and numb with “Novocaine” (Local Anesthesia)
  • Sedated with relaxing tablets and numb with “Novocaine” (Oral Sedation)
  • Asleep (Intravenous Sedation)

5. Explanation of diagnosis and treatment option

Your initial appointment will consist of a consultation with your doctor explaining your diagnosis and treatment options. For routine procedures, this should not take more than 15 minutes.

Occasionally, for special circumstances and if allowed by our schedule, 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.

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For complex reconstruction cases requiring multiple implants and grafting, two or more visits might be required in order to coordinate and discuss the treatment plan with your restorative dentist and possibly other specialists. For such cases, the first visit will be utilized for gathering information, clinical examination, radiographs and models.

If you would prefer to be asleep during the procedure, it is always best to have a consultation visit first, then have the procedure performed during the following visit. Since there are precautions to take when undergoing general anesthesia, for your safety, it is generally not prudent to perform the surgery on the first visit. A preoperative consultation and physical examination is usually mandatory for patients undergoing IV sedation for surgery. You must have nothing to eat or drink eight hours prior to your surgery. You will also need an adult to drive you home.

For extenuating circumstances (for example, if you are traveling from far distances or have limited time on your schedule) we will gladly make exceptions and accommodate our schedule to have everything performed in one visit. However, your patience is appreciated since we will have to coordinate a large amount of information over the phone prior to the visit.

6. Review of preoperative instructions and obtaining informed consent

Our surgical team will discuss the things that you should and should not do on getting ready for the day of the surgery and answer any further questions about the procedure. Informed consent is a permission for us by you to have the proposed procedure performed at a future date. This consent cannot be signed by a patient under the age of 18 and must have a parent or guardian present to give written informed consent. If the guardian has a power of attorney, please be sure to bring it with you on the consultation visit.

7. Review and explanation of insurance benefits and fees

Our administrative team will present the costs, estimated insurance coverage and scheduling for the proposed treatment. The costs of the treatment will be given in writing that outlines the estimated insurance coverage and your portion prior to the surgery. Please note that the estimates are relayed information given to us by your insurance company. Sometimes we are given erroneous or inaccurate information concerning your coverage, which is reflected in your estimate. At the time service is rendered you will be responsible for paying our office the amount of the cost that is not covered by your insurance, the balance will be billed directly to your insurance company. If the insurance company does not cover the full amount after we submit the claim, we will invoice you accordingly. Payment is due upon receipt of the invoice.

8. Scheduling

Our offices are open Monday – Friday from 8 am until 5 pm and occasional Saturday mornings. We will schedule your appointment as promptly as possible. If you have pain or an emergency situation, every attempt will be made to see you the same day.

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We try our best to stay on schedule to minimize your waiting. Due to the fact that we provide surgical services, various circumstances may lengthen the time allocated for a procedure. Emergency cases can also arise and cause delays. We appreciate your understanding and patience.

FAQs

How do I prepare for oral and maxillofacial surgery? ›

12 Ways to Prepare for Oral Surgery
  1. Talk to Your Oral Surgeon & Follow All Preoperative Instructions. ...
  2. Discuss Sedation Dentistry Options. ...
  3. Discuss Dental Insurance & Financing Options. ...
  4. Don't Eat or Drink for Six Hours. ...
  5. Get to the Office Early. ...
  6. Make Sure to Brush & Floss. ...
  7. Bring A Friend or Family Member to Help with Recovery.
Apr 22, 2023

What is the best oral and maxillofacial surgery program in the world? ›

Best Oral/Maxillofacial Surgery colleges in the U.S. 2023
  • University of Illinois Chicago. ...
  • University at Buffalo. ...
  • University of Minnesota-Twin Cities. ...
  • Nova Southeastern University. ...
  • Tufts University. ...
  • The University of Texas Health Science Center at Houston. ...
  • University of Southern California. ...
  • Loma Linda University. Loma Linda, CA.

In which two settings would a patient receive oral surgery? ›

Sometimes, oral surgery is performed in a dental office as an outpatient procedure. Your surgeon may offer sedation options for your comfort, including nitrous oxide, oral medications or intravenous (IV) moderate or deep sedation. In other cases, oral surgery may be completed in a hospital under general anesthesia.

What questions to ask before wisdom teeth removal? ›

Questions to ask

What type of anesthesia will I receive? How complicated do you expect the procedure to be? How long is the procedure likely to last? Have the impacted wisdom teeth caused damage to other teeth?

What should I do the night before oral surgery? ›

Make sure you have some cold packs at home, and your supply of over the counter pain medication. Apply ice packs to your face for 15 minutes on and then 15 minutes off to reduce swelling. Don't eat or drink anything, including water, after midnight of the evening before your surgery. Remember to dress comfortably.

What should you avoid before oral surgery? ›

Your dental surgeon will likely tell you to fast for eight to 12 hours before dental surgery, unless you're diabetic. That means no eating or drinking, not even water. Take any medications as you normally would, but try to only have a small sip of water.

What is the highest salary for a maxillofacial surgeon? ›

The salary range for an Oral And Maxillofacial Surgeon job is from $236,335 to $392,419 per year in the United States. Click on the filter to check out Oral And Maxillofacial Surgeon job salaries by hourly, weekly, biweekly, semimonthly, monthly, and yearly.

What is the acceptance rate for OMFS? ›

OMFS residency is also highly competitive, with only 48% of applicants getting accepted each cycle. Diversity in the field has historically been lacking with regard to gender.

Which hospital is best for jaw surgery? ›

Best Oral And Maxillofacial Surgery Hospitals in Bangalore
  • Cosmetic Dental Clinic, Bangalore. ...
  • Fortis Hospital, Bangalore (Bannerghatta Road) ...
  • Manipal Hospital (Old Airport Road) Bangalore. ...
  • Manipal Hospital Varthur Road formerly Columbia Asia Bangalore. ...
  • BGS Gleneagles Global Hospitals, Bangalore.

Are upper teeth easier to remove? ›

Upper wisdom teeth are often easier to remove than lower ones, which are more likely to be impacted. Your dentist will say whether the tooth should be taken out at the dental practice, or whether you should be referred to a specialist (oral surgeon) at a hospital.

How long does oral surgery take to heal? ›

Some procedures, like tooth extractions, are relatively simple and can heal in just a few days. Others, like bone grafts, are more complex and may take several weeks or months to heal completely. Generally, you can expect most oral surgery procedures to take anywhere from a few days to several weeks to heal fully.

What anesthesia is used for oral surgery? ›

Three main types of anesthesia are commonly used in oral surgery: local anesthesia, IV sedation, and general anesthesia. Always be sure to follow the proper preparation and aftercare instructions from your Oral Surgeon to ensure that you have a safe and successful procedure.

Do you say your secrets after wisdom teeth removal? ›

Unless you've done something you want to confess—something you're only barely holding back to begin with—it's not going to come out along with your wisdom teeth. That said, it's also completely normal and natural that you're feeling nervous about this.

What not to do the night before wisdom teeth surgery? ›

You may not have anything to eat or drink (including water) for six (6) 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.

What are red flags for wisdom teeth removal? ›

10 Signs of wisdom tooth removal infection
  • You experience difficulty in breathing or swallowing your food.
  • There's excessive bleeding in the surgical site.
  • The gums surrounding the extraction site is swelling.
  • You have bad breath or taste in the mouth even after you gargle with a saltwater rinse.
Aug 10, 2019

What should I eat the night before oral surgery? ›

Before Oral Surgery

In general, you should not drink or eat anything for at least six hours before your scheduled surgery. For instance, if you have an early morning appointment, you should stop eating and drinking by midnight the night before.

What is the recovery time for maxillofacial surgery? ›

Depending on the nature of the surgery, maxillofacial surgery on the jaws can take between nine to twelve months to heal fully. The first stage of healing is bruising, which will often resolve within one to two weeks. Swelling generally stays longer, possibly between four to six weeks.

Do you have to wear a gown for oral surgery? ›

You will be fitted with a surgical gown during the surgical procedure, so please wear a loose fitting shirt or blouse that can be easily removed and low-heeled shoes. Contact lenses, jewelry, and dentures must be removed at the time of surgery.

Why can't you drink water before oral surgery? ›

Interference With Anesthesia

Drinking water before Oral Surgery can interfere with anesthesia, an essential part of many Oral Surgery procedures. You are drinking too much water before Oral Surgery can cause your body to become oversaturated with fluids, which can interfere with anesthesia's effectiveness.

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