Instructions for Intravenous Sedation for out of town patients

When unable to have a pre-surgical consultation, please follow these instructions if you are going to be sedated for surgery to make your visit to our office as comfortable and easy for you as possible.

  1. Do NOT eat or drink ANYTHING (not even water) for at least 8 hours prior to your appointment. Prescribed medications, however, may be taken with a small sip of water.
  2. You must be accompanied by a responsible adult who can remain in the office during surgery, drive you home following surgery, and be with you for the remainder of the day. A parent or legal guardian must accompany minors.
  3. USE OF ILLEGAL SUBSTANCES 24 HOURS PRIOR TO YOUR SURGERY WILL RESULT IN CANCELLATION OF YOUR TREATMENT.
    Wear comfortable, loose-fitting, short-sleeved clothing. Do not wear jewellery or contact lenses.
  4. Call our office if you develop a cough or cold
  5. 24 hours prior to sedation,
    1. Rinse twice daily with Listerine.
    2. Take 3, 200 mg Ibuprofen (Advil, Motrin) tablets every 6 hours. 
    3. DO NOT TAKE ASPIRIN OR TYLENOL.
  6. Refrain from smoking the day of your surgery.
  7. Please arrive 5-10 minutes prior to your scheduled appointment time in order to complete the paperwork required
  8. EMLA patches can be purchased at your local pharmacy to ease discomfort during needle insertion. The patch should be placed on the inside of the elbow, usually on the left arm.

Failure to comply with any of these instructions could result in a delay of your surgery and a cancellation fee may apply.

Following intravenous sedation or general anesthesia, it takes a considerable period of time for the full effects of the drugs to subside.

  1. You MUST be accompanied home by a responsible adult, who can either drive you home by car or take you home by taxi, but not by public transportation. A responsible adult must stay with you for the rest of the day and that night.
  2. You MUST remain quietly resting at home for the remainder of the day.
  3. If you feel dizzy you MUST immediately lie flat until the dizziness is gone.
  4. You MUST NOT leave your home on the evening of your surgery.
  5. You MUST NOT consume alcohol or smoke for 48 hours after surgery.
  6. You MUST NOT operate motor vehicles, power tools, firearms, or machinery for 24 hours.
  7. You MUST NOT operate or be responsible for aircraft for 5 days.
  8. You MUST NOT sign or enter into any legal contract for 48 hours.

Instructions Following Oral Surgery

It Is Essential That You:

  • Maintain continuous firm pressure on gauze pads placed over wounds for 30-60 minutes.
  • Take pain medication before anesthesia (freezing) wears off.
  • Do not spit, suck on straws or brush teeth today.
  • Do not smoke for 7 days.
  • Do not engage in excessive physical activity.

Bleeding

Minor oozing is to be expected for the first 48 hours following surgery. If bleeding is more than slight, place a fresh damp gauze roll or tea bag directly over the bleeding site, bite firmly for 30-40 minutes and lie quietly with your head elevated. If bleeding is not decreasing after three successive attempts, please call our office.

Mouth Rinses

Beginning tomorrow, rinse your mouth every 4-6 hours with warm, slightly salted water (1/2 teaspoon to a tall glass of water) for one week. If you were given an irrigating syringe, start to use it gently 2-6 days after your surgery. If you were given a prescription mouth rinse, continue to use it until finished. Begin brushing your teeth gently the day following surgery, as per the regular regimen recommended by your dentist/hygienist. You may lubricate your lips with ointment if desired.

Swelling, Bruising, Discomfort

Swelling, bruising and discomfort are expected following surgery and is completely normal. The swelling will increase for 2-3 days, then gradually subside over the following 7-10 days. Most discomfort is generally resolved in about 5 days. Upon reaching home, place an icepack on the face for the first 24 hours. Apply on and off for periods of up to 10 to 20 minutes each hour. Swelling, bruising and discomfort may be greater on one side.

Nausea

Nausea may occur following administration of an anesthetic, or as a result of the use of some medications. Should this occur, Gravol may be purchased without a prescription. Follow the instructions on the package. Flat cola, 7-UP and ginger ale also help with nausea.

Limited Jaw Opening

This is a normal protective mechanism caused by the accumulation of fluid in the jaw muscles to help healing. It will usually subside within 10-14 days.

Smoking and Alcohol

Smoking and alcohol delay healing and may lead to complications. Do not drink alcohol for at least 48 hours following surgery, and do not smoke for at least 7 days following surgery.

Medications

Take your prescribed medications as directed on the bottle. Discomfort following surgery is to be expected. Your pain medication should keep you relatively comfortable and is best taken with fluid or food in your stomach. Pain medications may cause some dizziness, therefore, do not drive. Antibiotics should be taken until the full prescription has been completed. If a rash develops, stop taking the medication and call our office. Patients taking oral contraceptives should be aware that certain antibiotics can decrease the effectiveness of oral contraceptives and consequently, alternate means of birth control should be practiced for the remainder of the cycle.

Sutures

The sutures usually placed are the dissolving type and will dissolve in 7-14 days. Do not try to remove them yourself. If another type of suture material is indicated, you will be scheduled for a subsequent appointment for their removal. Again, do not try and remove them yourself.

Diet

Because your jaw may be stiff, your throat sore, and your mouth tissues tender, it may be difficult to eat following oral surgery. You may experience this for 1-2 weeks. As a result, you may wish to take a multivitamin supplement. You will be able to drink and may be able to eat soft food. Drinking should begin on the same day as your surgery. Drink soups such as chicken or beef broth, water, fruit and vegetable juices, and food supplements such as Ensure or Instant Breakfast. Drink as much as you are able. Small amounts should be taken frequently. Straws should not be used for the first few days, as the "suction" that they create in your mouth can stimulate bleeding. More solid foods can be introduced to your diet as soon as they can be comfortably managed. Avoid eating/drinking very hot and very cold foods/liquids, as extremes of temperature, will be uncomfortable on your healing tissues.

Additional Information

Following intravenous sedation or general anesthesia, it takes a considerable period of time for the full effects of the drug to subside.

  1. You MUST be accompanied home by a responsible adult, who can either drive you home by car or take you home by taxi, but not by public transportation. A responsible adult must stay with you for the rest of the day and night.
  2. You MUST remain quietly resting at home for the remainder of the day.
  3. If you feel dizzy you MUST immediately lie flat until the dizziness is gone.
  4. You MUST NOT leave your home on the evening of your surgery.
  5. You MUST NOT operate motor vehicles, power tools, firearms, or machinery for 24 hours.
  6. You MUST NOT operate or be responsible for any aircraft for 48 hours.
  7. You must not sign or enter into any legal contract for 48 hours.

Should you have any problems or questions, please do not hesitate to contact our office. After office hours, please call Dental Emergency at 563-2470 should you have any concerns.

 

Lakewood Dental
4122 - 15th Avenue
Prince George, BC
Canada
V2M 1V9

Telephone
(250) 614-1828

Toll Free
1-866-614-1828

Facsimile
(250) 614-1898

9629 100th Avenue
Fort St John, BC
V1J 1Y2

Telephone
(250) 787-1848

Horizon Dental
4663 Park Avenue
Terrace, BC
V8G 1V9

Telephone
(250) 635-1213

Toll Free
1-800-549-5594