Before Intravenous Anesthesia Sedation

Before Intravenous Anesthesia Sedation

  • You may not have anything to eat or drink (including water) for eight hours prior to the appointment.
  • No smoking for at least 12 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery.
  • A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.
  • The patient should not drive a vehicle or operate any machinery for 24 hours following anesthesia.
  • Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes.
  • Contact lenses, jewelry, and dentures must be removed at the time of surgery.
  • Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.
  • If you have an illness such as a cold, sore throat, stomach or upset bowels, please notify the office.
  • If you take routine oral medications, please check with Drs. Pedroletti, Melzer or Layne prior to your surgical date for instructions.

Wisdom Tooth Removal

The removal of impacted teeth is a serious surgical procedure. Post-operative care is very important. Unnecessary pain and complications such as infection and swelling can be minimized if these instructions are followed carefully.

Immediately Following Surgery

  • The gauze pad placed over the surgical area should be kept in place for a half hour. After this time, the gauze pad should be removed and discarded.
  • Vigorous mouth rinsing and/or touching the wound area following surgery should be avoided. This may initiate bleeding by causing the blood clot that has formed to become dislodged.
  • Take the prescribed pain medications as soon as you begin to feel discomfort. This will usually coincide with the local anesthetic becoming diminished.
  • Restrict your activities the day of surgery and resume normal activity when you feel comfortable.
  • Place ice packs to the sides of your face where surgery was performed. Refer to the section on swelling for a more thorough explanation.

Bleeding

A certain amount of bleeding is to be expected following surgery. Slight bleeding, oozing, or redness in the saliva is not uncommon. Excessive bleeding may be controlled by first rinsing or wiping any old clots from your mouth, then placing a gauze pad over the area and biting firmly for thirty minutes. Repeat if necessary. If bleeding continues, bite on a moistened black tea bag for thirty minutes. The tannic acid in the black tea helps to form a clot by contracting bleeding vessels. To minimize further bleeding, do not become excited, sit upright, and avoid exercise. If bleeding does not subside, call our office for further instructions.

Swelling

The swelling that is normally expected is usually proportional to the surgery involved. Swelling around the mouth, cheeks, eyes, and sides of the face is not uncommon. This is the body’s normal reaction to surgery and eventual repair. The swelling will not become apparent until the day following surgery and will not reach its maximum until 2-3 days post-operatively. However, the swelling may be minimized by the immediate use of ice packs. Two baggies filled with ice, or ice packs, should be applied to the sides of the face where surgery was performed. The ice packs should be left on continuously while you are awake. After 36 hours, ice has no beneficial effect. If swelling or jaw stiffness has persisted for several days, there is no cause for alarm. This is a normal reaction to surgery. Thirty-six hours following surgery, the application of moist heat to the sides of the face is beneficial in reducing the size of the swelling.

Pain

For moderate pain, one or two tablets of Tylenol or Extra Strength Tylenol may be taken every 3-4 hours. Ibuprofen (Advil or Motrin) may be taken instead of Tylenol. Ibuprofen bought over the counter comes in 200 mg tablets: 2-3 tablets may be taken four times daily, not to exceed 3200mg daily for an adult. Consult our practice for individuals under 18. Do not take the two medications at the same time.

For severe pain, the prescribed medication should be taken as directed. Do not take any of the above medication if you are allergic to them or have been instructed by your doctor not to take it. Do not drive an automobile or work around machinery. Avoid alcoholic beverages. Pain or discomfort following surgery should subside more and more every day. If pain persists, it may require attention and you should call the office.

Diet

After general anesthetic or IV sedation only, liquids should initially be consumed. Drink from a glass and do not use straws. The sucking motion can cause more bleeding by dislodging the blood clot. You may eat anything soft by chewing away from the surgical sites. A high calorie, high protein intake is very important. Our staff can provide suggested diet instructions. Nourishment should be taken regularly. You should prevent dehydration by taking fluids regularly. Your food intake will be limited for the first few days. You should compensate for this by increasing your fluid intake. At least 5-6 glasses of liquid should be taken daily. Try not to miss any meals. You will feel better, have more strength, less discomfort and heal faster if you continue to eat.

CAUTION: If you suddenly sit up or stand from a lying position you may become dizzy. If you are lying down following surgery, make sure you sit up for one minute before standing.

Keep the mouth clean

No rinsing of any kind should be performed until the day following surgery. The day after surgery you should begin rinsing at least 5-6 times a day, especially after eating, with a teaspoon of salt mixed into one cup of warm water.

Discoloration

In some cases, discoloration of the skin follows swelling. The development of black, blue, green, or yellow discoloration is due to blood spreading beneath the tissues. This is a normal post-operative occurrence, which may occur 2-3 days post-operatively. Moist heat applied to the area may speed up the removal of the discoloration.

Antibiotics

If you have been placed on antibiotics, take the tablets or liquid as directed. Antibiotics will be given to help prevent infection. Discontinue antibiotic use in the event of a rash or any other unfavorable reaction and contact our office immediately. Call the office if you have any questions.

Nausea and Vomiting

In the event of nausea and/or vomiting following surgery, do not take anything by mouth for at least an hour, including the prescribed medicine. You should then sip on coke, tea, or ginger ale. You should sip slowly over a fifteen-minute period. When the nausea subsides, you can begin taking solid foods and the prescribed medicine.

Other Complications

  • If numbness of the lip, chin, or tongue occurs there is no cause for alarm. As reviewed in your consultation, this is usually temporary in nature. You should be aware that if your lip or tongue is numb, you could bite it and not feel the sensation. Call Drs. Pedroletti, Melzer or Layne if you have any questions.
  • Slight elevation of temperature immediately following surgery is not uncommon. If the temperature persists, notify the office. Tylenol or ibuprofen should be taken to reduce the fever.
  • You should be careful going from the lying down position to standing. You could get light headed from low blood sugar or medications. Before standing up, you should sit for one minute before getting up.
  • Occasionally, patients may feel hard projections in the mouth with their tongue. They are not roots; they are the bony walls which supported the tooth. These projections usually smooth out spontaneously. If not, they can be removed by our Doctors.
  • If the corners of your mouth are stretched, they may dry out and crack. Your lips should be kept moist with an ointment such as Vaseline.
  • Sore throats and pain when swallowing are not uncommon. The muscles get swollen. The normal act of swallowing can then become painful. This will subside in 2-3 days.
  • Stiffness (Trismus) of the jaw muscles may cause difficulty in opening your mouth for a few days following surgery. This is a normal post-operative event which will resolve in time.

Finally

Sutures are placed in the area of surgery to minimize post-operative bleeding and to help healing. Sometimes they become dislodged. This is no cause for alarm. Just remove the suture from your mouth and discard it. The sutures will be removed approximately one week after surgery. The removal of sutures requires no anesthesia or needles. It takes only a minute or so, and there is usually no discomfort associated with this procedure.

The pain and swelling should subside more and more each day following surgery. If your post-operative pain or swelling worsens or unusual symptoms occur, call our office for instructions.

There will be a void where the tooth was removed. The void will fill in with new tissue gradually over the next month. In the meantime, the area should be kept clean, especially after meals, with salt water rinses or a toothbrush.

Your case is unique, no two mouths are alike. Discuss any problems with the trained experts best able to effectively help you. Our Doctors are happy to answer your questions.

Brushing your teeth is okay – just be gentle at the surgical sites.

A dry socket is when the blood clot gets dislodged prematurely from the tooth socket. Symptoms of pain at the surgical site and even pain near the ear may occur 2-3 days following surgery. Call the office if this occurs.

If you are involved in regular exercise, be aware that your normal nourishment intake is reduced. Exercise may weaken you. If you get light headed, stop exercising.

What our patients say

Fred Pedroletti, D.M.D
4.9
Based on 119 reviews
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Gladys Caram
Gladys Caram
18:26 05 Jun 20
The entire experience was smooth and professional. My son had all his wisdom teeth removed and since no one in our... family had had them removed, I was not familiar with the procedure, Dr. Pedroletti was amazing with us he was informative and very patient as he explained in detail the procedure. The team was caring and professional and showed patience with me ( the mom) and weren't bothered to answer ALL my questions.read more
Mariana Pegoretti
Mariana Pegoretti
14:18 02 Jun 20
I highly recommend this clinic. I had an appointment with Dr. Fred Pedroletti, where he clarified my doubts and... explained everything about my condition. I set a date for my tooth extraction, and naturally, I was a bit nervous about it. On the day, the first thing the doctor did was play a Jack Johnson cd on the background. He assured me that it will be fine, and explained the process again. I started to feel confident and relaxed. After the surgery, I received messages to check if I was recovering fine. I'm really grateful for his professionalism and care.read more
Mully C
Mully C
20:26 18 May 20
The office has patient parking so no pay by phone is needed. It is very easy to find and I like the location because... its quiet and safe. The front staff were very professional and friendly. The office is very clean and organized. I love the decor and colors. Dr. Pedroletti is very knowledgeable and professional. I would highly recommend the place and so glad to find them for my oral surgery procedure.read more
Marisabel Trastoy
Marisabel Trastoy
18:26 08 May 20
Dr. Layne is amazing. Various family members have had surgeries with him and all have been successful. He is caring and... always takes the time to call patients himself the night of the surgery.read more
Ed Wilburn
Ed Wilburn
12:57 05 Feb 20
Dr. Pedroletti and his team were awesome. I was sedated for my extraction and it went very smoothly. The after care has... been great, too. I highly recommend their services!read more
Karina Corrales
Karina Corrales
00:59 25 Jan 20
I got four teeth extracted by Dr. Pedroletti and I can say that the doctor and his team do an incredible job at making... you feel comfortable and informed. They are all professional, knowledgeable and kind. I went in feeling nervous and worried but they quickly put my mind at ease. You can tell they are very experienced and that they love their patients and what they do. My recovery has been much better than I could of ever expected all thanks to an amazing job done by the doctor and his team. I am so thankful to be able to say I have found an oral surgeon who makes me feel like I can accomplish all of my goals with my mouth that I have in mind. I used to be so scared of the dentist but this experience has definitely made me feel more positive about going to the dentist and confident in my path to having a beautiful mouth. Dr. Fred Pedroletti was referred to me by Dr. Cecil Abraham which is also an amazing dentist who I am thankful to know. Thanks again team, you guys rock!read more
Susan Kaufman
Susan Kaufman
13:06 08 Jan 20
I was very pleased to meet and be treated by Fred. The office was great and he saw me as an emergency. He was very... knowledgeable and was thorough. He gave me several options and was very reassuring. I would highly recommend him and his practiceread more
Mignna Garate
Mignna Garate
19:59 02 Jan 20
My son required Oral surgery to remove 4 wisdom teeth and 1 additional tooth. Not only was it during the Holidays but... the week of Christmas no less. Dr. Pedroletti and his complete staff was extremely accommodating and helpful.The complete procedure was quick and pain-free. Even the recuperating period was quick and after following Dr. Pedroletti's instructions everything was a complete success. His office was very nice and clean and professional. I totally recommend this D.M.D. as an exceptional Dr.read more
Maria Tenreiro
Maria Tenreiro
19:21 19 Dec 19
Doctor Fred’s attention to detail and care for my mother was amazing. He explained every step of the process multiple... times in order for us to completely understand what the procedure required. I recommend him to anyone looking for a new dentist.read more
Elena Karplus
Elena Karplus
09:51 22 Nov 19
I visited your office for a consultation with Dr. Layne who was referred to me by my dentist Dr. Luger. The process of... booking the appointment, the kind reminders and the actual experience of visiting the office was quite exceptional. I did not have to wait because I was able to complete my medical history online so I was shown in for x-rays and to meet Dr. Layne immediately. I found all the personnel at the office to be very professional and courteous. Dr. Layne himself was very informative, professional and very pleasant. While I still have to decide between the options that he gave me and actually have a procedure done in your office, I feel confident that whatever I decide, it will be done in the best possible way by Dr. Layne and his staff. Thank you for a very satisfying first office experience. Copy to clipboardread more
Jason Caballero
Jason Caballero
03:22 22 Nov 19
Fred was the best doctor I have honestly ever visited. He was very thorough with his explanation about the whole... process and completely put me at ease to have surgery with him. I would highly recommend him to anyone that is looking for Oral surgery. All the staff in the front desk was super nice and helpful. I’m super happy with the way my surgery came out and would give this team 6 ⭐️‘s if I could.read more
ThunderStrike 13
ThunderStrike 13
02:42 19 Nov 19
Excellent service! The entire staff really goes above and beyond to ensure your needs are met. Extremely patient in... making sure you understand all options available to allow you make the best decision. Very few clinics strive to uphold the standard achieved within this office!read more
Nancy Romero
Nancy Romero
14:36 16 Oct 19
Dr. Pedroletti is Brilliant! His professionalism his bedside matters, like no other! Very considerate of his patients... and his follow ups like no other. What doctor calls you at home after your procedure to find out how you are? I loved him and his staff as equally amazing. Thank you all for your attention. Have a wonderful Holiday Seasonread more
Jose Martinez
Jose Martinez
16:13 10 Oct 19
I had my lower left wisdom tooth removed this morning. It literally was next to painless and took less than 45 minutes... from prep to finish. Dr. Jerry M. Layne and his assistants during the procedure were very professional, pleasant, and comforting . I plan on getting the my last wisdom tooth removed with them very soon.read more
George Levine
George Levine
18:21 08 Oct 19
Excellent and friendly staff. Dr. Fred Pedroletti is an excellent Oral Surgeon that I highly recommend. He well... deserves six stars.read more
Olivia Burke
Olivia Burke
15:31 03 Oct 19
The staff was incredibly kind and helpful. Dr. Pedroletti kept me calm and informed. I cannot recommend them highly... enough.read more
Mariana Schreiber
Mariana Schreiber
22:45 16 Aug 19
Magnificent specialist! I'm so thankful I was referred to Dr. Fred, it surprised me that he took the time to carefully... listen to me and explain everything in so much detail, he was objective, friendly, easy to talk to and he really cares about the patient. Very hard to find professionals like him in Miami. Congratulations to him and his team.read more
Melissa Wall
Melissa Wall
15:51 26 Jul 19
Once again, the staff and Dr. Pedroletti are truly incredible. Very professional, helpful and more than anything... caring. I wouldn't take my children anywhere else for dental surgery! Always a great experience.read more
Angelica Courel
Angelica Courel
02:14 12 Jul 19
So happy I chose Dr. Pedroletti for my wisdom teeth surgery! Amazing bedside manner and the staff is incredibly nice... and helpful. The day of my surgery, I felt so much better than I thought I would and he made sure to follow up later that evening to make sure everything went well. Definitely recommend 🙂read more
Josh Young
Josh Young
14:17 05 Jul 19
My 16 year old son needed to have his wisdom teeth removed. I didn't know Dr. Pedroletti but I chose him because of his... excellent reviews. I can confirm that he is truly OUTSTANDING -- as a doctor and a human being. He even called me the night of the procedure to check on my son and left his cell phone number in case we had any questions! I could not recommend him more highly or enthusiastically! Great person and great professional.read more
Mary Aparicio
Mary Aparicio
18:16 13 Jun 19
From the minute you walk into the office you feel valued as a patient! From the front desk, to the staff and... assistants, paying your bill, and having an actual conversation with Dr. Pedroletti makes you feel important. As a parent, I felt at ease with the plan, treatment procedure, and actual day of surgery. You are not rushed through the process, and all questions are answered with complete professionalism. Thank you!read more
Boss Charlie
Boss Charlie
12:50 05 Jun 19
Fantastic care and treatment. Dr. Pedroletti is very informative in regard to the procedure he did for me and even... called me later in the evening to make sure I was feeling well and to answer any questions I may have. Highly recommend.read more
Rafael Lopez de Azua
Rafael Lopez de Azua
02:33 25 May 19
Our son had to get 2 teeth removed and Dr Pedroletti and his staff were wonderful. They took a very nervous 11 year old... and got him through the procedure. A couple of hits later he was back to his regular self.read more
Kellie Henley
Kellie Henley
17:32 12 May 19
Dr. Pedroletti's team is great! I also appreciated his manner. Very professional and compassionate. Texted me later... in day to check up and make sure all was going as expected. He welcomed questions.read more
Joan Anderson
Joan Anderson
19:27 25 Apr 19
I am 58 years old and had my wisdom tooth removed yesterday. I drove over two hours to see Dr. Layne as he took great... care of my husband a few years back for his dental procedure. This Dr. is amazing. He truly cares about his patients. You don't often see the combination of a highly skilled surgeon with incredible bedside manners. He truly cares about his patients. I felt comfortable with my procedure as I knew I was in the best of hands. I am truly grateful to Dr. Layne and his staff as the procedure was a breeze and I felt very little pain afterwards. His assistant was so pleasant and informative. My appointment was at 1:15 and we were driving home by 2:30. On top of that I got a call that evening to see how I was doing. My only wish is that all medical practices were run as efficient as this one.read more
Angela Hatfield
Angela Hatfield
15:34 19 Apr 19
Just left the office with my daughter after having her wisdom teeth removed. What a wonderful experience, again! Bravo,... front desk staff and nurses. This visit was the second time with Dr. Pedroletti. Different daughter, 2 years later. He has a pleasant, relaxed, professional manner. Thank you for such a wonderful experience! Well done. Smiles all around.read more
Kim Headley
Kim Headley
10:35 10 Apr 19
Consultation for wisdom teeth extraction was highly informative. The doctor's bedside manner and knowledge are both... refreshing and impressive. The staff is equally as competent and informed. I would recommend this doctor to anyone who needs his services and to anyone who is a bit on edge around dental professionals. My teenager was comfortable as the patient and I was just as at-ease as the parent.read more
Tom Cromer
Tom Cromer
22:37 26 Feb 19
Dr. Pedroletti and his staff did a wonderful job extracting my wisdom teeth. I felt no pain and everything went exactly... as they said it would. The office is friendly & efficient. I was a bit anxious about having this done, but it worked out really well. I felt secure and that I was in good hands. I don't usually write reviews, but these people deserved it.read more
Francisco Urrea
Francisco Urrea
23:05 09 Feb 19
Great customer service! The office staff made me feel at ease before, during, and after my wisdom teeth were removed.... Dr. Pedroletti personally followed-up. Recommend investing the $20 for the ice pack sling - kept my swelling down a minimum.read more
Ruben K Cantillo
Ruben K Cantillo
13:34 14 Jan 19
Dr Layne and most of his staff I would recommend completely. Dr Layne is a professional who does great work and has... great follow-up care as well. However the woman in the front (I believe her name is Patti) is rude and does not appear to assist with insurance benefits. They did not want to follow what my insurance company asked for them to provide which was data that procedure was to be medically necessary and instead choosing to charge me full price for a procedure that could have been covered. If issue gets resolved I will amend the review but for now I don't believe they were looking out for patient benefit, only to charge more up front.read more
Gilbert Yurubi
Gilbert Yurubi
20:36 26 Dec 18
If you need oral surgery this is the place to go. As soon as you walk in the door you get a sense of professionalism... and trust worthiness. The doctor and staff were excellent. Every step in the procedure was explained and the love and care thyey had with taking care of my son was outstanding. I highly recommend this place for all of your oral surgery needs.read more
Milka Jurado
Milka Jurado
23:03 13 Dec 18
Dr. Pedroletti is the best at what he does, I went for my wisdom teeth removal and he was so polite. I was nervous and... his staff made feel comfortable.read more
Maria Teresa
Maria Teresa
01:20 09 Nov 18
My son had 4 impacted wisdom teeth removed. This office was amazing. Professional, on time, courteous, knowledgeable... and went above and beyond with my son. Dr. Pedroletti was awesome. He explained before and after procedure thoroughly. He even called later that night to check up on him and to let us know he is available to answer any questions at anytime. Who does that these days? I just can’t say enough of the attention we received. So highly recommend this Dr. and staff. THANK YOU! And God bless you all.read more
Aimee Gonzalez
Aimee Gonzalez
21:23 19 Oct 18
We had a great experience with both staff and the doctor. The staff was wonderful, despite the fact that I came in... unprepared and had not completed their online forms . They were patient and efficient with practically no wait time at all. The doctor explained everything, was kind, thorough and patient. He answered all of our questions patiently. We were able to get a follow up appointment easily and they explained all in detail.As a physician myself I really admire and appreciate when an office is so well run. I fully recommend Dr. Pedroletti and his staff.read more
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