Do I need to have a consultation if I had one at my dental office?
Yes. Everyone requiring surgery is required to have a consultation prior. This is for many reasons. Firstly, Dr. Vigna needs to assess if surgery is required. Your medical history needs to be thoroughly reviewed since any surgery is a medical procedure. Dr. Vigna will review your anesthetic options which include:
1. general anesthesia
2. sedation with intravenous
3. nitrous oxide sedation
4. local anesthesia alone (single tooth extraction can usually be done same day with local anesthesia and/or nitrous oxide sedation).
Dr. Vigna needs to determine if the procedure can be performed in the office or if the Hospital may be a better option for you. Instructions for surgery need to be given such as need for escort and when to stop eating and drinking prior. You may need antibiotics prior to surgery if you have an infection in your mouth or if you have certain heart conditions such as prosthetic heart valves. The consultation also allows for a proper informed consent process.
Should I stop the medication that I am currently taking?
No, continue taking your current medications until you are advised by your family doctor or Dr. Vigna. We will work directly with your family doctor to determine what is best for you.
Will I be okay to drive after I have my tooth/teeth removed?
Yes, if you have had a simple extraction you will be okay to drive yourself home. However, if having multiple extractions it is best to have a driver with you. If having General Anesthetic you will ALWAYS need to have someone to drive you home.
Are you wheelchair accessible?
Yes, we are wheelchair accessible. We have a side entrance with a ramp leading to our ground floor suite.
Is the initial consult covered by OHIP?
No, OHIP does not cover consultations in our office.
What is my recovery time after an extraction?
Everybody is different, typically when having a routine extraction you can expect to be uncomfortable for 2-3 days. With wisdom teeth extractions you may require 3-4 days of recovery time.
Is there parking and do we have to pay for it?
Yes, there is plenty of free parking.
When will I be able to go back to work?
With a routine single tooth extraction you will be able to return to work the next day.
Will I be in pain?
Pain is variable with all patients. Medication will be given to keep you comfortable.
When can I eat?
You can start eating soft foods the same day. It is advised to eat on the opposite side of extraction site for a few days.
How long will I be frozen?
Freezing will last 2-3 hrs following a procedure. With wisdom teeth removal the freezing typically lasts 6-8 hrs following the procedure.
Will I remember anything after General Anesthesia?
No, you will be fully asleep and comfortable with no recall of the surgery. You will wake up frozen with no pain.
How long before I have teeth if I am getting dental implants?
Teeth can be permanently screwed in the same day of surgery (All on Four) if all the teeth are being replaced. If a single tooth is being replaced, typically 3 to 4 months is required.
Will the procedure be done the same day as my consult?
Typically if you need a single tooth removed the procedure can be done the same day as your consultation unless you are medically compromised. When needing your wisdom teeth removed it will never be done the same day.
What is the difference between General Anesthetic and Intravenous Sedation?
During a General Anesthetic you are fully asleep monitored by a medical anesthesiologist. With Intravenous Sedation you may or may not be aware of the procedure.
Will I have nausea after my surgery?
Nausea occurs less frequently today with modern medications but can occur after having a general anesthetic. This can be treated with gravol.
Will I have nausea from my medications?
Occasionally medications can cause severe nausea. If this happens discontinue the medication and contact our office.
How do I keep my mouth clean after surgery?
It is important to keep your mouth clean with gentle brushing with a soft toothbrush. Allow for bleeding to stop. The day after surgery you can start rinsing with warm salt water rinse which will aid in healing and also commence brushing. A clean mouth is less likely to become infected.
What if I lose a stitch?
The stitches normally dissolve internally and then fall out. If you lose a stitch early it does not need to be re-stitched.
Will I have swelling?
Swelling can be common and is normal after surgery. Swelling usually peaks on the 3rd day following the surgery. Using an icepak for 20 minute intervals will reduce swelling. Refer to instruction sheet.
Will I have bleeding?
It is normal to have some bleeding for 4-6 hours after surgery. However it can be prolonged. If severe bleeding occurs contact our office immediately. If Dr. Vigna is unavailable go to your nearest hospital.
How long is the wait for surgery?
If having surgery in our office it can be done quickly. Hospital surgery is based on hospital time, however we do our best to prioritize children and people who are in pain.
Do you accept dental insurance?
We work with your insurance company. You are responsible to pay the difference that is not covered.
I don't have a family dentist. Can I still come to your office?
Yes, no referral is needed. Dr. Vigna will treat your concerns and help you find a dentist.
What is 'All on Four' and how does it work?
All on Four means all 12 teeth are secured to only four implants immediately at the time of surgery. This is a technique for the total rehabilitation of the edentulous patient. It provides a permanent screw retained, same day replacement of all teeth. The four implants act as pillars to the bridge that supports the prosthetic teeth. This technique takes advantage of the available remaining bone and avoids painful and unpredictable bone grafting procedures. The back two implants are placed at an angle to gain anterior to posterior spread between the implants and to avoid vital structures; such as nerves. The All on Four treatment provides stable teeth that are easy to maintain and eat with. In addition, you will have a great new smile.
What is a 'Zygoma' implant?
A Zygoma implant is a long titanium dental implant used in the upper jaw (maxilla). It is used when bone is lacking in the posterior aspect of your upper jaw and bone grafting is not desired. The Zygoma implant is placed through the upper jaw bone, passes through the maxillary sinus and is secured to the Zygoma (cheek) bone of your face. This provides the anchorage and stability to the new teeth. This implant is used for the All on Four or All on Six total rehabilitation of the upper jaw. This implant requires immediate cross arch stabilization and is used in the Teeth the Same Day technique. The Zygoma implant can not be used as a isolated locator attachment due to its angle of insertion. In cases where the upper (maxilla) bone is severely resorbed, a Quad Zygoma – 4 Zygoma implant technique is used for immediate upper jaw rehabilitation. Teeth are secured the same day with screws to these 4 implants. Dr. Vigna will analyze your bone and review the cone beam CT images and recommend your treatment options.
Who makes the teeth for the Teeth in a Day treatment?
My team of denturists fabricate the initial denture teeth that are converted to permanent teeth on the day of surgery. These are worn 3 to 6 months before the final teeth are made. The final teeth are framework supported and can be either acrylic or porcelain. The final teeth are permanently screwed in. You never go without permanently screwed in teeth at any stage of the procedure. These teeth typically never need to be removed for professional cleaning sessions.