- What do I bring with me on my first visit?
- Should someone come with me?
- How long should I stop eating before my appointment?
- Should I take my usual medications?
- What will happen before my surgery appointment?
- What can I expect when I wake up?
- What can I expect after my surgery?
- What can I expect at home?
- Why do I need my wisdom teeth removed?
- What if my child has treaty status?
Your initial visit will consist of a consultation explaining your diagnosis and treatment options. Please assist us by providing the following information at the time of your consultation:
- your referral slip if you have been referred
- any xrays (if your dentist has taken xrays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office otherwise we will need to take new ones)
- list of medications you are presently taking
- your Alberta Health Care card
- your dental insurance card or information
Please arrive a few minutes early to fill out paperwork. You can also fill out the paper in advance from home. You can find the required forms under patient forms.
IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian.
If you are planning to have your future dental treatment under General Anesthetic or IV Sedation, a pre-operative physical examination is mandatory and will be given to you at time of consultation.
For all General Anesthetic and IV sedation appointments, you must make arrangements for a responsible adult to bring you to your appointment and take you home after treatment. You will not be allowed to drive yourself or go home alone in a taxi because you are legally impaired for 24 hours. It is strongly suggested you have a responsible adult stay with you for the first 24 hours. These instructions are important for your safety. If you do not have a ride home, we will have to cancel your appointment.
You must stop eating at midnight the night before your General Anesthetic or IV sedation appointment. You can review our preoperative instructions here.
Some medications should be taken and some should not. Please contact our office as everybody’s preoperative medical has been reviewed by our anesthetist and we can guide you with this step.
You will meet our anesthetist on day of surgery. He will review your medical history with you and answer any questions you may have. You will then discuss your treatment with the dentist. Monitoring devices will be attached such as blood pressure cuff, EKG, and other devices for your safety. If at all possible, please wear loose comfortable clothing and stable footwear.
After you wake up, you will continue to be monitored closely by the anesthetist and our team of Registered Nurses, who will keep you comfortable. After a short period of time, the nurses will review discharge instructions with you and your ride and prepare you to go home. You may leave only after the anesthetist indicates it is safe.
In most cases, the recovery period lasts only a few days. Take painkillers as prescribed by your dentist The following tips will help speed your recovery.
- If you are bleeding, apply firm biting pressure to gauge pads placed over the extraction sites for 45 minutes at a time until bleeding has stopped.
- While your mouth is numb, be careful not to bite the inside of your cheek or lip, or your tongue.
- Do not lie flat. This may prolong bleeding. Prop up your head with pillows. Try using an ice pack on the outside of your cheek for the first 24 hours. Apply the ice pack in 20 minute intervals (20 minutes, 20 minutes off)
- Relax after surgery. Physical activity may increase bleeding.
- Eat soft foods, such as gelatin, pudding, or a thin soup. Gradually add solid foods to your diet as healing progresses.
- Do not use a straw for the first few days. Sucking on a straw can loosen the blood clot and delay healing.
- After the first 48 hours, gently rinse your mouth with warm salt water several times a day to reduce swelling and relieve pain.
- Do not smoke for at least 7 days after your surgery. The sucking motion can loosen the clot and delay healing. In addition, smoking decreases the blood supply and can bring germs and contaminants to the surgery area.
- Avoid rubbing the area with your tongue or touching it with your fingers. Continue to brush your teeth and tongue carefully.
- The Dentist will be calling you the evening after your surgery to ensure you have everything you need and that they are no post operative problems.
- For a more detailed post operative instruction, please read our discharge form here.
Be prepared to go home and finish your recovery there. Patients often experience minor after-effects following ambulatory anesthesia such as drowsiness, muscle aches, a sore throat and occasional dizziness or headaches. Nausea may also be present, but vomiting is less common. These side effects decline rapidly in the hours following surgery, but may take several days before they are gone completely. The majority of patients do not feel up to their typical activities the next day, usually due to tiredness or surgical discomfort. Plan to take it easy for a few days until you feel back to normal. Know that a period of recovery at home is common and to be expected.
A wisdom tooth is extracted to correct an actual problem or to prevent problems that may come up in the future. When wisdom teeth come in, a number of problems can occur:
- Your jaw may not be large enough for them, and they may become impacted and unable to break through your gums.
- Your wisdom teeth may break partway through your gums, causing a flap of gum tissue to grow over them. Food and germs can get trapped under the flap and cause your gums to become red, swollen, and painful. These are signs of infection.
- More serious problems can develop from impacted teeth, such as infection, damage to other teeth and bone, or a cyst.
- One or more of your wisdom teeth may come in at an awkward angle, with the top of the tooth facing forward, backward, or to either side.
During your dental visit with Dental Service Group, it is sometimes preferable to do alternate procedures to a tooth, rather than extract it. Unfortunately, the Department of Indian Affairs does not cover the costs associated with these procedures.
These procedures include a pulpotomy (the removal of the infected pulp of a tooth and the placing of medication) on a front tooth, “white crowns” on a front tooth instead of the placement of a silver one, as well as space maintainers when a back tooth is removed.
As a parent or guardian, you would be responsible for paying the costs associated with these procedures, if you choose to have them done. An estimate would be provided to you at the time of the appointment, and payment is expected at the end of your scheduled visit. If you require more information, please feel free to contact our office.