Pre-Operative Instructions for IV Sedation


  1. NPO (nothing by mouth) for 8 hours prior to your surgery.  You are not allowed to eat or drink anything, not even water, for those 8 hours preceding surgery.  You should brush your teeth, but don’t swallow any water.
  2. Wear comfortable, loose fitting clothes.  No tight jeans or belts.
  3. Don’t wear any jewelry and remove all facial piercings, especially tongue rings.  Don’t wear any nail polish on your hands.
  4. Wear comfortable, closed toed shoes that don’t come off your feet.  No flip flops.
  5. Prepare for after surgery by having ice packs made (ice cubes in ziplock bags), plenty of water, soups, ice cream, pudding, yogurt, oatmeal, and eggs are a few of the foods you may choose to eat for the first 2 days after surgery.
  6. Make sure you bring an escort with you.  This person must be an adult of at least 18 years of age and he/she is expected to wait for you in the office for the entire procedure. You are not permitted to drive a vehicle in the immediate post operative period. Also, you are not to be left alone for the remainder of the day.  You need to have someone with you at home for at least the first 12 hours after surgery.
  7. If you think you may have a chance of being pregnant, take a pregnancy test within 24 hours of surgery.  General anaesthesia is teratogenic, which means if can cause severe birth defects and put you and your child at risk.
  8. Do not take any medications at least 12 hours before surgery, unless there are specific medicines that the surgeon has instructed you to take.  The doctor will instruct on the medicines you have to stop or continue.  If you have any questions please call before your appointment for clarification.
  9. If for any reason you cannot keep your appointment, please call us at least 48 hours before your appointment.  No shows or same day cancellations will have a $100.00 broken appointment fee assessed to their account.  Such fees will not be covered by any dental insurance plan.
  10. Bring government issued photo identification to your appointment.



Instructions for Post-Surgical Care – Please Read Carefully


Swelling, Bruising and Discomfort

Swelling, bruising and discomfort commonly occur following oral surgery. Considerable facial swelling can occur. Swelling typically increases for the first 48 hours, then plateaus and gradually subsides over about one to two weeks. Bruising of the face and neck may also occur. Ice packs may be used for the first 24 hours in 20 minute on/off cycles. Discomfort is normal following surgery and can be controlled with over-the-counter pain medication (Tylenol, Advil) or pain medication that your doctor prescribes to you. Do not combine over-the-counter pain medication with prescribed pain medication.



Stitches are used to control bleeding and re-approximate tissue. Most stitches dissolve on their own within 4-10 days. Stitches that do not dissolve will be removed by your surgeon in 1 to 2 weeks.



A small amount of red mixed with saliva is normal following surgery. If there is a constant flow of bright-red blood from the surgical site:

  1. Place a gauze pad over the surgical site and bite on it firmly for 20 minutes. If the flow of blood does not cease;
  2. Place a moistened tea bag wrapped in gauze over the surgical site and bite on it firmly for 20 minutes. If the flow of blood does not cease;
  3. Please contact our office or go to the nearest emergency department.


Once the bleeding has stopped, remove the gauze and do not replace.


Temperature Elevation

Please contact our office if your body temperature increases to 38.6 C (101.5 F) or higher.


Spitting or Using Straws

Please refrain from splitting or using straws for the first 48 hours post-operatively.



Please refrain from smoking for at least the first 72 hours following surgery. Smoking should be avoided after surgery because it can complicate the healing process. Therefore we do not recommend smoking until the surgical sites have completely healed.



Nausea can be a side effect of some anesthetic agents used or medicines prescribed. Should this occur, over-the-counter Gravol may be purchased at your pharmacy and used to alleviate symptoms. Follow the instructions printed on the bottle.


Please note that it is important to maintain your fluid intake despite nausea. If you do not continue to consume fluids you risk becoming dehydrated. We recommend drinking small amounts of fluid frequently.



We recommend a soft, non-chew diet immediately following surgery. You should drink fruit or vegetable juices, water, soda or liquid nutritional supplements. You will be able to eat foods such as ice cream, Jello, yogurt, apple sauce, scrambled eggs, ramen noodles and mashed potatoes. We also recommend drinking luke-warm soups such as chicken or beef broth. Avoid hot-temperature food and drinks for approximately 48 hours after surgery.


Oral Hygiene

Gentle mouth rinsing with either salt water or a prescription mouthwash should be started in the evening following surgery. If rinsing with salt water, mix 1/2 teaspoon of salt with a glass of warm water and rinse 5 to 6 times per day. If rinsing with a prescription mouthwash, follow the directions printed on the bottle.

Start brushing your teeth 24 hours following surgery. Avoid vigorous brushing close to the surgical sites.


General Anaesthesia and IV Sedation

It is normal to be drowsy and poorly coordinated for several hours after surgery. We recommend that you stay home and rest for the remainder of the day. Please do not drive, drink alcohol, do any recreational drugs or sign legal documents for 24 hours following surgery.


Emergency Care

If you experience any post-operative concerns not mentioned in the attached pages please contact Etobicoke Oral Surgery immediately (416-232-9757). If an emergency develops after office hours please call TeleHealth Ontario (1-866-797-0000) or go to the nearest hospital emergency room.


Post-Operative Instructions For Intravenous Sedation                     DOWNLOAD PDF


  1. Patients cannot drive or operate any heavy machinery or potentially hazardous devices for 24 hours after sedation.
  2. A responsible adult should accompany the patient until the side effects of the sedation have fully worn off.  Immediately after leaving the office, patients should not be left alone; although patients may seem normal, the side effects of the medication used in IV sedation may last several hours after the appointment has ended.
  3. Patients should not overexert themselves significantly such as going up and down stairs unattended until the side effects of the sedation have fully worn off.  The attendant should always hold the patient’s arm, providing support when walking or going up and down stairs.
  4. Patients should consume plenty of fluids post operatively to avoid dehydration.
  5. Do not consume alcohol for 24 hours after surgery.


Kindly notify our office should you have any questions on the above or difficulties, post appointment.  Should you feel your symptoms warrant a physician and you are unable to reach our office, immediately go to your nearest emergency room.



250 The East Mall Suite 210, Etobicoke, ON M9B 3Y8 • 416.232.9757 •

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