Pre & Post Oral Surgery Instructions - James P. Miller DMD

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Board Certified Oral Surgery

James P. Miller DMD - Oral & Maxillofacial Surgery
Corrective Jaw Surgery

1. You may not have anything to eat or drink (including water) for six hours prior to surgery. However, it is important that you take any regular medications or any premedication prescription that we have provided, using only enough water to get the pills down. This is to minimize the danger of nausea or vomiting while under anesthesia.


2. Patient must wear short sleeves so that we can get to both arms for blood pressure cuff and IV site. Also, wear loose clothing for placement of monitors.


3. A responsible person must come with you the day of surgery, stay during the procedure, and take you home.


4. Plan to rest the remainder of the day. Do not drive or operate any power equipment for 24 hours after surgery.


5. Upon arrival at the office, be sure to attend to bowel and bladder requirements.


6. Please refrain from wearing perfumes and colognes.


***Please do not wear any flip flops, sandals or any type of shoes that do not have a back or strap on to keep them on your feet.


Pre-operative sedation: Anesthesia instructions

Ensure that you're prepared for surgery and recovery

Post-operative anesthesia Instructions:

Because you have received intravenous drugs that may alter perception and reaction time, you should observe the following recommendations:


1. Do not take any sleeping or tranquilizing drugs for the next 24 hours.


2. Do not use alcoholic beverages for the next 24 hours.


3. Do not use any machinery or drive an automobile until tomorrow. This includes using a stove or any equipment that, though ordinarily safe, might represent a danger to one who has a slower reaction time.


4. Do not sleep on your back, sleep on either of your sides or your stomach. Remember that although you feel fine, residual drug effects may slow reaction time and we don't want you to hurt yourself or others.

Post-op instructions upon patient discharge

Sometimes the aftereffects of oral surgery are quite minimal, so not all of these instructions may apply, common sense will often dictate what you should do. It is our desire that your recovery be as smooth and pleasant as possible. Following these instructions will assist you, but if you have questions about your progress, please call the office where you had surgery. Please try to call during office hours; however, if an emergency exists, contact the doctors at home. Calling during office hours will afford a quicker response.

Post-operative instructions

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Apply warm compresses to the skin overlying the areas of swelling (hot water bottle, moist hot towels, heating pad) for 20 minutes on and 20 minutes off to help soothe those tender areas. This will also help decrease swelling and stiffness.

Hot applications

If you were given an irrigating syringe at your first office check-up visit, start using it the third day after surgery to keep sockets clean. Fill it with warm water and irrigate any open sockets gently, especially after eating.


Normal healing after tooth extraction should be as follows: The first day of surgery is usually the most uncomfortable and there is some degree of swelling and stiffness. The second day, you will usually be far more comfortable, and although still swollen, you can usually begin a more substantial diet. From the third day on, gradual, steady improvement should mark the remainder of your post-operative course. If a dry socket occurs (loss of blood clot from socket, usually on the third and fifth day), there is a noticeable, distinct, persistent throbbing pain in the jaw, often radiating toward the ear and forward along the jaw to cause other teeth to ache. If you do not see steady improvement during the first few days after surgery, don't suffer needlessly. Call the office and report symptoms, so you can be seen as soon as possible.

Dry sockets

Oral surgery

New Patient Registration Forms

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Getting surgery? Please read our Pre-Op and Post-Op instructions to ensure you are prepared for surgery and recovery.