Patient Instructions
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INSTRUCTIONS FOR DAY OF SURGERY OR CONSULTATION
1. FOR PROCEDURES WITH IV SEDATION-
* No food or drink, including water, for 6 hours prior to your appointment unless instructed otherwise. You may take your daily medications with a small amount of water.
* A family member (over the age of 18) or responsible adult (of the same gender for female patients) should accompany the patient to the office for homeward transportation and care.
* Following anesthesia or sedation, patients should not drive an automobile or operate machinery for 24 hours.
* Please do not wear nail polish, shellac, dip polish, and/or acrylic nails on your fingers.
* All rides must be present and, in the building, when the patient checks-in. The ride must stay in the building for the duration of the appointment.2. Wear clothes with loose fitting neck and sleeves.
3. Patients under the age of 18 must be accompanied by a parent or legal guardian to all appointments.
4. If prior to surgery, you develop a cold, fever, or become ill, please contact our office.
5. If the patient has history of rheumatic fever, heart murmur, joint replacements or they should be on antibiotic, please contact our office for more information.
6. If the patient has a heart valve replacement, please notify our office for further instructions.
7. Bring a complete list of medications that you are taking, both prescription and over the counter medications.
8. We collect what insurance is estimated not to cover on the day of the procedure, if you have not been given an estimate, please contact our office.
9. If you have any questions, please call (605) 225-9362 or 1-800-547-6516.
IF YOU HAVE INSURANCE COVERAGE FOR THIS PROCEDURE
* Please bring, insurance cards (medical and dental), policy holder’s name, date of birth, social security number, ID number and group number.
* If patient does not have insurance or is only covered under medical insurance, the total charges are due at the time of service.
* We have opted out of Medicare, due to this we cannot submit to Medicare or any Medicare supplements, and neither can you as the patient.
* The only insurance company we are in network with is Delta Dental (excluding Medicare Advantage). -
INSTRUCTIONS FOR DAY OF SURGERY OR CONSULTATION
1. Wear clothes with loose fitting neck and sleeves.
2. Patients under the age of 18 must be accompanied by a parent or legal guardian to all appointments.
3. If prior to surgery, you develop a cold, fever, or become ill, please contact our office.
4. If the patient has history of rheumatic fever, heart murmur, joint replacements or they should be on antibiotic, please contact our office for more information.
5. If the patient has a heart valve replacement, please notify our office for further instructions.
6. Bring a complete list of medications that you are taking, both prescription and over the counter medications.
7. We collect what insurance is estimated not to cover on the day of the procedure, if you have not been given an estimate, please contact our office.
8. If you have any questions, please call (605) 225-9362 or 1-800-547-6516.
IF YOU HAVE INSURANCE COVERAGE FOR THIS PROCEDURE
* Please bring, insurance cards (medical and dental), policy holder’s name, date of birth, social security number, ID number and group number.
* If patient does not have insurance or is only covered under medical insurance, the total charges are due at the time of service.
* We have opted out of Medicare, due to this we cannot submit to Medicare or any Medicare supplements and neither can you as the patient.
* The only insurance company we are in network with is Delta Dental (excluding Medicare Advantage). -
Surgery of the mouth is similar to surgery in other parts of the body and requires careful attention to post-operative instructions. Only by doing so will there be a minimal amount of aftereffects.
1. DO NOT DISTURB THE WOUND WITH FINGERS OR BY SUCKING ON IT. Bite on the gauze for one hour without changing it. Don't rinse your mouth or spit forcefully the day of surgery. This can loosen the blood clot. The day AFTER surgery you may rinse you mouth gently with Peridex OR ½ teaspoon salt in a glass of warm water twice a day. Start brushing as soon as possible. Start using syringe one week after surgery on lower sockets.
2. SWELLING. It’s common to experience a temporary swelling of your cheeks and an inability to open your mouth wide. In an attempt to minimize the swelling which may occur, use an ice bag 1/2 hour on an 1/2 hour off for the first twenty-four hours following surgery. Ice may be used only for the three days following surgery. Thereafter, swelling will slowly subside. The sutures in the lower wisdom tooth area may appear to be attached to the cheek. Do not worry, they are in the correct position, and they will come out on their own.
3. PAIN. Discomfort is usually the greatest the first night after surgery. Nausea may occur if medications are taken on an empty stomach. The first tablet should be taken before the anesthesia disappears. If you are able to take ibuprofen, start taking 600 mg by mouth every 6 hours and 1000 mg Tylenol every 6 hours.
4. BLEEDING. Some oozing of blood is normal following all procedures for 24-48 hours. Place a sterile gauze or a dry tea bag over the wound. Hold firmly by biting on gauze for 1 hour. This controls excessive bleeding by helping a blood clot to form in the tooth extraction socket. It is important not to disturb the clot so that it can heal normally. If heavy bleeding does not subside, call me for further instructions. Don’t smoke after surgery. It can create a suction that could also loosen the protective blood clot and cause dry socket.
5. MISCELLANEOUS. Pain in the ear, difficulty in swallowing, difficulty in opening and closing the jaw and bruising of the skin are additional symptoms which occur with varying frequency. These findings are normal. If the corners of the mouth are stretched, they may dry out and crack. Your lips should be kept moist with a cream or ointment.
6. DIET. Drink plenty of liquids but avoid using a straw. It can create a suction that may loosen the blood clot protecting the socket. Eat soft foods which can be chewed and successfully swallowed such as soups, blenderized meals, and gelatin desserts. Avoid hard foods such as rock candy, hard nuts, popcorn and chips for 6-8 weeks. No carbonated beverages for first 24 hours following surgery. It is important to maintain a good diet.
7. ACTIVITIES. Keep physical activity down to a minimum. Plan to take off from work or school because your routine may be disrupted for a few days after surgery.
8. PROLONGED NUMBNESS OF THE LOWER LIP. After certain procedures, such as removal of the lower wisdom teeth, removal of cyst of the jaw, etc., the nerve in the lower jaw becomes unavoidably bruised. It may take several weeks to several months for feeling to return to the lips. In some cases, numbness can be permanent.
9. BONY EDGES. After teeth are extracted, the patient may feel hard, sharp projections in the mouth and think they are roots. This is usually the hard, bony partition which surrounds the roots of the teeth. Do not be alarmed.
10. When intravenous or general anesthetic medications are used, these medications, drugs and/or anesthetics may cause drowsiness and lack of awareness and coordination. Because of this DO NOT operate any vehicle or hazardous device for twenty-four (24) hours after being released from surgery. DO NOT drive yourself home after surgery. Have a family member or a responsible adult drive you home.
11. Feel free to contact the office at 605-225-9362 if any doubt arises as to your progress and recovery.
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Surgery of the mouth is similar to surgery in other parts of the body and requires careful attention to post-operative instructions. Only by doing so will there be a minimal amount of after effects.
1. DO NOT DISTURB THE WOUND WITH FINGERS OR BY SUCKING ON IT. Bite on the gauze for one hour without changing it. Don't rinse your mouth or spit forcefully the day of surgery. This can loosen the blood clot. Start taking prescribed antibiotic the day of surgery, keep taking it until it's gone. Three days after the surgery start rinsing with the prescription mouthwash called Peridex. Start brushing the day after your surgery, take your flipper/partial out while cleaning the area. Keep area as clean as possible.
2. SWELLING. It's common to experience a temporary swelling of your cheeks and an inability to open your mouth wide. In an attempt to minimize the swelling, which may occur, use an ice bag 10 minutes on and 10 minutes off for the first twenty-four hours following the surgery. Ice may be used for three days following surgery. Thereafter, swelling will slowly subside.
3. PAIN. Discomfort is usually moderate the first night of surgery. Ibuprofen is the pain reliever of choice, if tolerated by the patient. If Ibuprofen doesn't take care of the pain then proceed to take the prescription pain medication. The tablets given by prescription should be taken only as directed. The prescription may make your drowsy. Do not do any activities that require mental alertness while on the prescription pain medication. Nausea may occur if medications are taken on an empty stomach. The first tablet should be taken before the anesthesia disappears. Don't drink alcohol while you're taking any prescribed pain medication. If you experience continual pain, please call.
4. BLEEDING. Some oozing of blood is normal following all procedures for 24-48 hours. Place a sterile gauze over the wound and hold light pressure for one hour by closing your teeth. This controls excessive bleeding by helping a blood clot form. It is important not to disturb the clot so that it can heal normally. If heavy bleeding does not subside, call for further instructions.
5. BONE GRAFT. If a bone graft is placed you may experience some gritty material from the surgical site, it's just some of the graft.
6. DIET. Drink plenty of fluids but avoid using a straw. It can create suction that may loosen the blood clot protecting the area. Eat soft foods which can be chewed and successfully swallowed such as soups, blenderized meals and gelatin desserts. Avoid hard foods such as rock candy, hard nuts, popcorn and chips until instructed otherwise. Avoid chewing over the surgical site by chewing on the opposite side of your mouth. No carbonated beverages for the first 24 hours following the surgery. It is important to maintain a good diet.
7. ACTIVITIES. Keep physical activity down to a minimum the day of your surgery. Most patients are back to normal activities the next day.
8. When intravenous or general anesthetic medications are used, these medications, prescription pain medication, drugs and/or anesthetics may cause drowsiness and lack of awareness and coordination. Because of this DO NOT operate any vehicle or hazardous device for twenty-four (24) hours after being released from surgery. DO NOT drive yourself home after surgery. Have a family member or a responsible adult drive you home.
9. Feel free to contact the office at 605-225-9362.
10. Return to our office for treatment and suture removal as instructed.
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INSTRUCCIONES PARA EL DÍA DE LA CONSULTA O CIRUGÍA
El registro de pacientes en línea debe completarse antes de su cita. Si no lo hace, su cita tendrá que ser reprogramada.PARA PROCEDIMIENTOS CON SEDACIÓN IV
No comer ni tomar nada (incluyendo agua) 6 horas antes de su cirugía, a menos que el doctor le indique lo contrario. Puede tomar sus medicamentos con una pequeña cantidad de agua.
Un miembro de la familia o adulto responsable mayor de 18 años (una persona del mismo género en caso de pacientes mujeres) debe acompañar al paciente al consultorio para llevarlo de regreso a casa.
Después de la sedación o anestesia, los pacientes no deben conducir automóviles ni manejar maquinaria pesada durante las siguientes 24 horas.
Por favor no traer las uñas pintadas, uñas acrílicas o ningún tipo de gel semipermanente en las uñas.
Todos los acompañantes deben estar presentes en el consultorio cuando el paciente se registre y permanecer en el edificio durante todo el tiempo de la cirugía.
Vestir ropa con cuello y mangas holgadas.
Los pacientes menores de 18 años deben ser acompañados por un padre o tutor legal a todas las citas.
Si antes de la cirugía desarrolla un resfriado, fiebre o se enferma, por favor llame al consultorio.
Si el paciente tiene historial médico de fiebre reumática, soplo cardíaco, reemplazo de alguna articulación o requiere tratamiento antibiótico, por favor comuníquese con el consultorio para más información.
Si el paciente se somete a un reemplazo de válvula del corazón, por favor comuníquese con el consultorio para más información.
El paciente debe presentar una lista de todos los medicamentos que está tomando, tanto recetados como de venta libre.
El consultorio recolecta el monto estimado que el seguro no cubre. Si su seguro no le ha dado un estimado, por favor comuníquese con el consultorio.
Si tiene alguna duda o pregunta, por favor comuníquese al consultorio a los números (605) 225-9362 o 1-800-547-6516.
SI TIENE COBERTURA DE SEGURO PARA ESTE PROCEDIMIENTO
Por favor traiga consigo la tarjeta del seguro (médico y dental), nombre del titular de la póliza, fecha de nacimiento, número de seguro social, número de identificación y número del grupo.
Si el paciente no cuenta con seguro o solo tiene seguro médico y no dental, el cobro total del procedimiento se realizará al momento del servicio.
El consultorio ha optado por no participar en Medicare, por lo que no podemos presentar reclamaciones a Medicare ni a ningún suplemento de Medicare, y usted como paciente tampoco puede hacerlo.
La única compañía de seguros con la que estamos dentro de la red es Delta Dental (excepto Medicare Advantage).
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INSTRUCCIONES POST-OPERATORIAS
Las Cirugias en la boca son similares a las cirugias en otras parte del cuerpo y requieren cuidadosa atencion en las instrucciones post-operatorias.
1. No toque la herida ni con los dedos ni con la lengua, (no la chupe). Muerda la gaza durante una hora sin cambiarla. No se enjuegue la boca ni escupa con fuerza el dia de la cirugia, esto puede hacer que el coagulo de sangre se desprenda. El dia DESPUES de la cirugia puedes enjuagar tu boca cuidadosamente con Peridex o ½ cucharadita de sale un vaso con agua tibia dos veces al dia. Comienza a lavar tus dientes lo antes posible. Comienza a usar la jeringa una semana despues de la cirugia en la parte inferior de la boca.
2. Hinchazon: Es comun experimentar una hinchazon temporal en los cachetes o dificultad para abrir la boca grande. Para minimizar la hinchazon que puede ocurrir, use una bolsa de hielo cada media hora durante las primeras 24 horas posteriores a la cirugia. El hielo puede ser utilizado durante los primeros 3 dias posteriores a la cirugia. Despues la hinchazon disminuira gradualmente. Las suturas en las terceras molares inferiores podrian parecer que estan unidas a las mejillas. No se preocupe, estan en la posicion correcta y saldran por si solas.
3. Dolor: La incomodida suele ser mayor la primera noche despues de la cirugia. Pueden ocurrir nauseas si se toman los medicamentos con el estomago vacio. La primera tableta se debe tomar despues de que los efectos de la anestecia desaparezcan por completo. Si puedes tomar ibuprofeno, comienza tomando pastillas de 600mg via oral cada 6 horas y 1000mg de Tylenol cada 6 horas.
4. Sangrado: Es normal que supure un poco de sangre en todos los procedimientos en las primeras 24-48 horas despues de la cirugia. Coloca una gaza esteril o una bolsa de te seca sobre la herida. Sujetala firmemente mordiendola durante 1 hora. Esto controla el exeso de sangrado ayudando a que se forme un coagulo de sangre en el alveolo. Es importante no alterar el coagulo para que pueda sanar normalmente. Si el sangrado abundante no sede, llame a la oficina dental para tener mas instrucciones. NO fume despues de la cirugia pues esto puede crear irritacion que podria aflojar el coagulo y causar un alveolo seco.
5. Varios: Dolor de oido, dificultad para tragar, dificultad para abrir y cerrar la mandibular y moretones en la piel son sintomas adicionales que pueden ocurrir en variada frecuencia. Estos sintomas son normales. Si la esquina de la boca se estiende esta se puede secar y agrietarse. Tus labios se deben mantener humectados con una crema o balsamo labial.
6. Dieta: consume muchos liquidos pero sin usar popote. El popete puede hacer succion que puede desprender el coagulo de sangre que proteje el alveolo. Come comida blanda que puede ser masticada y tragada facilmete como sopas, licuados y gelatinas. Evita alimentos duros como caramelos duros, cacahuates, palomitas y chips durante 6-8 semanas. No consumas bebidas carbonatadas las primeras 24 horas despues de la cirugia. Es muy importante mantener una Buena dieta.
7. Actividades: manten una actividad fisica de baja a minima. Planea ausentarte del trabajo y la escuela, tu rutina se puede ver afectada algunos dias por la cirugia.
8. Entumecimiento prolongado del labio inferior: Despues de ciertos procedimeintos, como la extraccion de la muela del juicio inferior, la extraccion de un quiste en la mandibular etc. el nervio en la mandibular inferior se magulla inintencionalmente. Esto puede tomar varias semanas hasta varios meses para que la sensibilidad de los labios regrese. En algunos casos el entumecimiento puede ser permanente.
9. Bordes oseos: Despues de la extraccion de dientes, el paciente puede sentir bordes duros en la boca y pensar que son raices dentales. Esto es usualmente la parte dura del hueso que rodea la raiz de los dientes. No te alarmes.
10. Cuando se usa intravenosa o medicamentos para anestesia general, estos medicamentos, drogas y/o anestesicos pueden causar somnolencia, y falta de conciencia y coordinacion, por eso es importante que no conduzcas ningun vehiculo o maquina que pueda hacerte daño durante 24 horas despues de la cirugia. Encuentra a una miebro de tu familia que conduzca por ti a casa despues de la cirugia.
11. Sientase libre de llamar a los numeros de la oficina que estan en la parte de arriba de esta hoja si tienes alguna duda sobre tu progreso y recuperacion.