New Patient Information – Katy, TX
How to Prepare for Your First Visit
If your dentist has recommended that you undergo oral surgery, or you’re interested in learning more about how our services could benefit your health and appearance, you are always welcome to give us a call and schedule a consultation. To make sure that you’re prepared for this visit, we’ve shared all the information you need to know below. If you have any questions after looking it over, feel free to contact us, and we’ll be happy to help.
What to Expect at Your First Appointment
Your first appointment will primarily consist of our team and your doctor getting to know you to learn about your situation and goals. This will typically involve you receiving a thorough exam and having a conversation with your doctor about what you would like to accomplish.
To help make this process as efficient and productive as possible, we ask that you provide us with the following information:
- Your referral slip and any X-rays from your dentist
- A list of your current medications, including dosages
- Insurance information to assist us in filing your claim
- Medical records, especially if you have a complex history
If you choose to receive any treatment, your procedure will likely be scheduled at a later date, though we will make exceptions for emergencies. It is often necessary for preparatory procedures to be completed before a desired treatment (like extractions or bone grafts so the mouth can receive implants, for example), and this will be made clear to you at your initial consultation.
Patient Registration Forms
To help you save time in our surgical office, please download our forms below and fill them out ahead of your appointment. Bringing us completed forms will allow us to check you in quickly and maximize your time with your doctor.
Medical & Dental Insurance Information
Both dental and medical insurance can be used to cover part of the cost of oral and maxillofacial surgery. Piney Point Oral & Maxillofacial Surgery of Katy/Cypress is able to accept plans from many PPO, HMO, and POS providers, and our team will always work to maximize your benefits and file your claims to make the process as seamless as possible. It should be noted, however, that most procedures will incur some out-of-pocket cost for the patient, and our team will make sure you are fully aware of any expense you will be responsible for before we apply any treatment. We accept all forms of payment and are willing to make arrangements with patients to ensure they can get the care they need without enduring financial stress.
- Your mouth and teeth should be well cleaned immediately before your appointment.
- It is essential that you bring a responsible adult with you who can drive you home. We ask that this person be present in the oral surgery office prior to surgery and remain until the patient is dismissed from the oral surgery office.
- If the surgery is in the morning, you should have nothing by mouth after midnight the night before surgery. If the surgery is to be in the afternoon, you may have liquids for breakfast and then nothing by mouth until after the surgery. YOU SHOULD NOT HAVE ANYTHING TO EAT OR DRINK FOR AT LEAST SIX HOURS PRIOR TO SURGERY. If the doctor has given you medication to take one or two hours before surgery, it should be taken with only a sip of water.
- If the patient is a child or legally a minor, it is essential for at least one parent or legal guardian to be with the patient.
- You should wear loose-fitting clothing, preferably with short sleeves. Do not wear a tight collar or necktie. No jewelry should be worn during surgery.
- The profound effects of the sedation will wear off 30 to 45 minutes following surgery, after which you will be discharged from the oral surgery office. However, because of the residual effects of the medication, you should plan to go home and remain in bed for the remainder of the day.
Fractured Jaw & Osteotomy Surgery Care Instructions
Keep pressure over the extraction (surgery) site with gauze for forty-five minutes. If bleeding continues, place a fresh gauze pad over the extraction (surgery) site and bite hard, applying pressure to the area at forty-five-minute intervals until the bleeding stops. It is not unusual for saliva to be slightly blood-tinged for several days following surgery.
Take pain medication as instructed by the doctor. The first dose should be taken with a clear liquid such as tea or Seven-up. After the initial dose, do not take pain medication with just water on an empty stomach. Take the second dose as soon as you feel discomfort after you have had something substantial to drink (soup, milkshake, etc.).
Avoid smoking for at least forty-eight hours following surgery.
Avoid all rinsing for at least six hours after surgery. Beginning the day after surgery you should rinse gently with mouthwash (Chloraseptic, Cepacol) several times daily, especially after eating.
You should have a LIQUID DIET ONLY on the day of surgery and the day following surgery. It is important that you maintain a high fluid intake (malts, juices, soup, etc.) for several days following surgery. Liquids may be taken beginning three hours after surgery. Beginning forty-eight hours after surgery, you may eat soft foods. After that, you may progress to anything that you feel you can eat unless given other specific instructions by the doctor. No alcoholic beverages should be consumed for at least twenty-four hours following surgery, or as long as you are taking pain medications.
Ice packs should be used for the first forty-eight hours following surgery. It is not unusual to have more swelling on the second postoperative day than was present on the first postoperative day. Beginning seventy-two hours after surgery (the third day), a heating pad or moist heat should be used for relief of swelling, bruising, and stiffness. Heat should be continued for thirty-minute intervals, three or four times daily until the symptoms subside.
If any unusual symptoms should occur, you may reach the doctor twenty-four hours a day by contacting our surgical office. Proper care following oral surgery will hasten recovery and prevent complications. You should experience progressive improvement in symptoms three to four days after surgery, although tenderness for several days is not unusual. If severe throbbing pain or pain unrelieved by medication persists beyond the third or fourth postoperative day, please notify our oral surgery office. You should also return to this surgical office for your postoperative follow-up visit five to ten days following surgery.
Postoperative Care - Day of Molar Surgery
To control bleeding following surgery, firm, consistent pressure should be applied to the surgical site(s) for one hour. This is accomplished by biting down on the sterile gauze sponges that were placed over the site(s) during surgery. These gauze sponges may be removed after one hour. If bleeding continues, the sterile gauze should be re-applied for one-hour periods until the bleeding has been controlled. However, it is not necessary to continue using the gauze for slightly blood-tinged saliva which may continue for several days.
- Antibiotics: Antibiotics should be started 4 hours after surgery following the first liquid meal and continued until the entire prescription has been taken.
- Anti-inflammatory: If an anti-inflammatory medication (i.e., NSAID, Motrin) has been prescribed, it should also be started 4 hours after surgery following the first liquid meal. It should be taken every 8 hours for 3 days and may be continued after the third day to control mild pain as necessary. Anti-inflammatory medications reduce swelling and pain without causing drowsiness. If adequate pain control is achieved with anti-inflammatory medication, narcotic pain medication may not be necessary. However, the anti-inflammatory medication and the pain medication may be taken at the same time, if necessary, to control discomfort.
- Oral Pain: Medication for pain control may have been administered by the doctor following the surgical procedure. Therefore, narcotic pain medication should not be given unless pain is experienced. This may not occur until several hours after surgery. If necessary, the pain medication may be taken every 3 to 4 hours. These medications may cause drowsiness, so driving or the use of hazardous equipment should be avoided.
Smoking should be avoided for at least 48 hours after surgery.
Ice packs should be used continuously for 36 hours following surgery.
A liquid diet may be started 3 hours after surgery and should be continued for 48 hours. It is important to maintain a high fluid intake (juice, soup, malts, etc.) for several days following surgery.
You may begin rinsing 6 hours after surgery with a half Chloraseptic and half water rinse. Rinse after meals and before bedtime.
First Day After Oral Surgery
Antibiotics, anti-inflammatory, and pain medications should be continued as directed
Ice packs should be continued throughout the day and may be discontinued at bedtime. It is not unusual to have increased swelling on the first day after surgery.
A full liquid diet should be continued throughout the day.
You may begin brushing your teeth in front the first day after surgery, avoiding the surgical sites until after your postoperative checkup.
Second Day After Oral Surgery
Antibiotics, anti-inflammatory, and pain medications should be continued as directed
Ice packs should not be used the second day after surgery.
A soft food diet may be started including scrambled eggs, mashed potatoes, and items of similar consistency.
Third Day After Oral Surgery
Antibiotics should be continued until the entire prescription has been taken. Anti-inflammatory medication may be discontinued unless needed for relief of discomfort. Pain medication should be taken only if full relief of discomfort is not achieved with the anti-inflammatory medication.
If symptoms of swelling, bruising, or stiffness are present, apply a heating pad or moist heat to the affected area 3 or 4 times daily for approximately 20 to 30 minutes each time. Heat should be continued until the symptoms subside, which may take several days.
A regular diet may be resumed although sharp or chewy items should be avoided for a few more days.
If any unusual symptoms occur, you may reach the doctor 24 hours a day by calling our oral surgery office.
Proper care following oral surgery will hasten recovery and prevent complications. Although tenderness is not unusual for several days, the patient should feel progressively better every day starting 3 to 4 days after surgery. If severe throbbing pain or pain unrelieved by medication persists, please notify the oral surgery office.
Regular postoperative visits are scheduled 5 to 10 days following surgical procedures. This is an important part of comprehensive care. If you are unable to keep this appointment, please contact our surgical office to reschedule as soon as possible.
Fractured Jaw & Osteotomy Surgery Care Instructions
- Just as a cast immobilizes other bones for healing, immobilization of the jawbones is necessary when it is broken and surgically repositioned. Wiring of the teeth and immobilization with splints and rubber band traction may be used to position the jawbones for healing. If internal rigid fixation with screws and plates is utilized, movement of the jaw is allowed.
- The usual healing time is 6-8 weeks. Appliances are removed shortly thereafter.
- Initially, you may have pain. Take prescribed medications as needed. The pain will gradually diminish. Do not attempt to move or open your jaws. This action only increases the pain, may delay healing, and may cause muscle spasms in your jaw muscles.
- Adequate nourishment is important during this period. Your diet will consist of milkshakes, soups, and juices. Many liquid food supplements are also available, such as Sego, Metrecal, Sustagen, Boost, and others. A blender or food processor is useful to puree solid food for intake. Five or six small feedings each day are usually easier than three larger ones. Your oral intake should be at least 8-10 cups of fluid each day. A general rule is to maintain a minimum of 2,000 calories per day to avoid losing weight. It is important to keep well hydrated as well.
Oral cleanliness is of the utmost importance while the teeth are wired together. Rinsing the mouth 4-5 times each day, especially after eating, is a necessity. A small child's toothbrush is also handy for cleaning. An oral irrigation device (Water Pic) is extremely useful following meals. The following mouthwashes should be used separately at each cleansing period:
- Hydrogen peroxide, 3% - 1/2 strength
- Chloraseptic, Listerine, or Cepacol mouthwash
- Peridex oral rinses
- If severe nausea or vomiting occurs, cut the rubber bands or wires between the upper and lower teeth. If your jaws are fixed together, have a pair of scissors or wire cutters on your person at all times. Call the oral surgery office for replacement immediately.
- Frequent oral surgery office visits and periodic postoperative x-rays are necessary.
- Following initial recovery (1-2 weeks), a moderate schedule may be resumed. No swimming or contact sports are allowed. You may bathe and wash your hair.
- If wires begin to irritate cheeks or lips, wax can be placed over these sharp areas temporarily. Vaseline or other lip lubricants will aid in comfort. If any problem arises, such as a shifting of your bite, fever, or excessive swelling or bleeding, call the oral surgery office.