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PRE-OPERATIVE INSTRUCTIONS

If you have any concerns or questions about the surgery, please Text Dr. Ash (7342625890). 

  • If your medical history is complicated (Heart attack, Diabetes, taking Plavix and etc), we may need to consult with your physician before the surgery. Please ask Dr. Ash if it is needed for you or not.
  • It is very important to avoid smoking for a minimum of one week after the surgery. Smoking will absolutely result in direct and immediate failure of the surgery.
  • Unless specified, please keep taking your routine course of medications.
  • It is recommended to take one over-the-counter pain killer (e.g. Advil) one hour prior to the surgery.
  • Avoid white clothing on the day of surgery.
  • Avoid makeups.

Prescriptions

Ideally, your prescriptions should be called into your pharmacy or to be picked up prior to surgery. This will avoid any confusion or distress after the procedure and provides the immediate desired effect. Ask the front desk staff to call it in for you. If you have a specific medical history or breastfeeding please let the team know. If you develop any side effects, stop taking the medication, and let your physician and Dr. Ash know as soon as possible.

Dr Ash, in general, prescribes the following medication:

  • Antibiotic : Amoxicillin 500mg, 3 times a day for 7 days. If you are allergic to penicillin, make sure to report to Dr. Ash or staff to change your antibiotic to alternatives (Zpack, clindamycin and etc). Make sure to finish all your antibiotic pills.

 

  • Analgesics: Ibuprofen 600mg, every 4-6 hours. Most of the dental procedures are managed by ibuprofen, as it provides both analgesia and anti-inflammatory effects. For stronger effects, take one over the counter Tylenol along with ibuprofen to achieve the synergetic effect and reduce the discomfort. Opioids don`t reduce pain but alter pain reception.

 

  • Mouthwash: Peridex, or Chlorhexidine. This is a strong antibacterial mouthwash that is recommended to be used twice a day for at least 7 days after your surgery. You can continue to use Peridex for a total of 2 weeks or switch to warm salt water for the following week.

 

  • Corticosteroids: Medrol dosepack. If indicated and prescribed by Dr. Ash, follow the package instruction. This will bring down the inflammation and swelling. It may cause sleep disorders. Make sure to report to Dr. Ash if you are already receiving any other corticosteroids or have been advised against to receive them.

 

  • Anti-Nausea: Phenergan. Please let Dr. Ash know if you have glaucoma, liver disease, cancer, asthma, as this medication may interfere with your current medications.

 

If you are receiving IV sedation:

  • Do not eat for 6-8 hours, and 2 hours of liquid. If your surgery is in the morning, do not eat after midnight. If surgery is in the afternoon, a light breakfast around 6-7 am is suggested.
  • If you are receiving IV sedation, an adult companion should drive you to the office, remain during the entire procedure, and drive you back.
  • Do not wear clothing that restricts access to your arm and neck, or can be easily rolled up to the shoulder. Do not wear makeup and lipstick.
  • Take off your contact lenses
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