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Pre- Visit (Operative)

Why do I have to come in for a consultation when I‘ve already seen my Dentist for this tooth/problem?

It is necessary for our doctors to do a complete evaluation including a health history on every patient prior to treating them.  This is not only for your safety but it is the law.  On occasion we will choose to do a consult and surgery in the same day.  This is only on approval by the doctors and is much more an exception than a rule.

When will my consultation and surgery appointments be scheduled?

Consultations and post-operative visits are scheduled in the afternoon between 2PM – 5PM Monday thru Thursday of most weeks.  Surgeries are scheduled in the mornings between 8:10AM – 1PM Monday thru Friday of most weeks.

Will you use the X-Ray from my dentist?

We will try to use your Dentists X-Ray if:

  • We have the X-Ray at the time of the consultation appointment.
  • We can see the appropriate anatomy on the X-Ray provided.
  • The X-Ray is current (less than 6 months old).

What do I need to bring to my consultation appointment?

Please Bring:

  • Insurance Cards
  • Registration paperwork if it has been sent to you.
  • ID
  • Form of Payment
  • X-rays & referral from Dentist (if they did not send it over)
  • A smile and happy attitude

How early should I come to my consultation/surgery appointment?
If you have not registered on our website, click the “Online Registration” button at the top of the page to complete the online registration. If your registration is complete, please be here 5-10 minutes early.

Should I brush my teeth prior to surgery?

Yes, you may.  Fresh, minty or cinnamony breath is a plus for us!

Should I take all my regular medication prior to surgery?

Yes, in almost all cases.  The doctors will tell you during your consultation appointment if they want you to skip something.
What do I need to know if I am going to be sedated for surgery?

Please see this LINK for the instructions about being sedated.

Do you take emergencies or “My tooth is hurting; can I get in to be seen today?”

We will do our best to get you seen as soon as we have an available time slot.  We do make special exceptions at times for severe facial trauma and severe infections.

Can I get pain medicine before being seen?

No.  Our Doctors will not prescribe any medication prior to a consultation appointment.  We do not prescribe any narcotic pain medication prior to rendering a treatment (i.e extraction/implant/jaw wiring etc.)  They may choose to give a prescription for an NSAID (i.e. Ibuprofen, Tylenol) or an antibiotic at the consultation visit.

Can I receive my prescription prior to my surgery appointment?

No.  You will receive this once the procedure is completed.

Should I stop taking my daily Aspirin or other blood thinner prior to the surgery appointment?

No, unless one of our Doctors told you to do so.

Financial Section

Please see this LINK for a copy of the WYOMS FINANCIAL POLICY

Do you bill insurance?

Yes.  We bill most insurance carriers for you.

How does dental insurance work?

Insurance is a device to help offset the cost of healthcare.  Most dental insurances have a maximum benefit per year and will only pay on care given until that is met.  You will always be responsible to pay part of the treatment costs.  They either cover the treatment that you will need or not.  There is not a way to dispute the coverage as this is determined by your plan.  You will be responsible to pay for all out of pocket costs at the time of surgery.

Do you have a payment plan?

Yes.  We use a service called Care Credit and you can apply online at www.carecredit.com or over the phone at 1-800-677-0718.  We do not offer in-house financing.

When do you require payment for my consultation/procedure?

All payments are due at the time of your appointment.  This will be taken following your consultation appointment or prior to being taken back for surgery.

What forms of payment do you take?




American Express

Discover Card

Care Credit

Personal Check  *Note: You will need a Driver’s License to use a check!

Will you take a post-dated check?


Do you offer a cash discount?


If I am filing insurance, when will you know what my estimate is?

Written estimates from your insurance take around a month to get back.

We can get a verbal estimate, but it is important to understand that this is not a guarantee of coverage or payment from your insurance company.

Do you take Medicaid/title 19 insurance.


Do you take Medicare insurance?

No.  They do not cover the procedures we offer.

Treatment Section

What types of treatment do you provide?

We are an Oral and Maxillofacial surgery office.  Our Doctors are not General Dentists.  We provide the following:


Wisdom Teeth Extractions

Dental Implants

Bone Grafting

Sinus Lifting

Jaw Surgery

Jaw or Facial Fractures

Cosmetic Facial implants

Head and Neck Pathology

**We offer Sedation and General Anesthesia for all procedures

Can you do a filling, root canal or crown?

No.  We do not provide any procedures of General Dentistry including fillings, root canals, crowns, veneers, lumineers, cleanings, Invisalign, bleaching, etc.

What age is right to have my wisdom teeth removed?

It is best to have your wisdom teeth removed as a youth, ages 12-18.

How do dental implants work?

Please see our section on dental implants HERE.

Will you extract an infected tooth?

Yes.  Removing an infected tooth will help the body fight the infection.

Will my procedure take place at your office?

Yes.  Every procedure takes place in our Operating Rooms here at the office.

The exceptions are a jaw surgery or jaw/facial fracture, which will be either at the Casper Surgical Center or the hospital.

Is General Anesthesia safe?

There are risks with all procedures including General Anesthesia.  General Anesthesia is safe depending on your health. We feel that it is a very safe procedure and is a great way to have your oral surgery done. A healthy individual has a risk of mortality of 1.4:1,000,000.

*Of note, approximately 1:7,000 is the risk of General Anesthesia in the hospital with a medical anesthesiologist.

Do you offer breast implants?


Post-operative Care

Please see our section HERE for all post-operative instructions

Should I eat or drink with the gauze in my mouth?

No.  You should remove it before eating or drinking.

When will my stitches come out?

We use resorbable suture and it generally falls out between day 4-14.  If it falls out early, it is normally ok.

How come all the teeth didn’t get stitches?

The doctors make the determination whether to place sutures at the time of surgery.  If you don’t have sutures in one or more sites, don’t worry, you will heal just fine.

How long will I be bleeding?

It is normal to have some bleeding during the first few days following surgery.  You may have small amounts of blood come from the sockets for several weeks following surgery.

How do I stop the bleeding?

Pressure stops bleeding.  Place a wad of gauze over the site large enough so that your teeth do not touch easily when you first bite down.  Keep it in there for 20-30 minutes at a time.  You can also place gauze and press with your finger for 20-30 minutes to add pressure if it is being stubborn to clot.  Biting on a wet tea bag may help as well.

When can I start my workout routine?

You will want to wait 1-2 days before you resume vigorous exercise after most procedures.  If it hurts or throbs badly when you start back up, take it easy for a little longer.  If you have had a fracture repair or Jaw surgery please do not do any vigorous exercise until the doctor releases you.

Can I use mouthwash or hydrogen peroxide after surgery?

No.  Please wait at least 2 weeks before using commercial/OTC mouth rinses and you shouldn’t be using Hydrogen Peroxide to rinse with.  We may recommend that you rinse with salt water during the healing period.

How long will it hurt?

If you came to us, then you had a surgical procedure.  Everyone has a different rate of healing and pain tolerance.  Removing teeth causes nerves to die and the sites will be sore for at least a week in kids/teenagers.  It may take 1-2 weeks or longer in adults.  We can give you specifics for your procedure at the consultation appointment.

How do I know if I have a dry socket?

A dry socket is really called an Alveolar Osteitis, which means that the bone that housed the tooth is irritated.  A dry socket is actually quite uncommon.  It is more common in people that are smoking afterward. It will normally occur about day 4-5 after the extraction.  The pain will get worse instead of maintaining level or getting better.  We can treat this by packing the site with a piece of gauze with medicine soaked in it.

Do I have an infection?

It is very rare to have an infection in the first few days following surgery unless you had a raging infection prior to the surgical procedure and your doctor would have discussed this with you.  Common signs of infection are redness, swelling, heat, fever and pus.  You may have leaking of fluid or blood out of sockets for a few days afterward.  This is almost never infection.  If you have a bad taste in your mouth following surgery, this is most likely food that has lodged in the socket.  Cleaning this out will help.

I had a bone graft; what are the granules in my mouth?

It is normal after most bone grafting procedures to have a few grains of graft material come out.  If you have a large chunk fall out, please give us a call.

What if my lip, chin, cheek or tongue is still numb?

Please give us a call and we will discuss this with you.