MyCenters is committed to helping each patient with individualized care, attention and support for their oral & cosmetic surgery needs. In this section, we’ll answer some of the common questions asked by patients like you.
About Carolina’s Center For Oral & Facial Surgery
Oral and maxillofacial surgery requires an additional 4-6 years of hospital-based surgical and anesthesia training after graduation from dental school. As an oral and maxillofacial surgeon, our doctors manage a wide variety of problems relating to the mouth, teeth and facial regions. They practice a full scope of oral and maxillofacial surgery with expertise ranging from dental implant surgery and wisdom tooth removal to corrective jaw surgery. This also includes techniques designed to rebuild bone structure with minimal surgical intervention and optimal patient comfort. We can also diagnose and treat facial pain, facial injuries, and fractures.
The surgical staff are experienced, certified oral and maxillofacial surgical assistants, who assist in administration of IV sedation and surgery. We also have a trained registered nurse (RN) to assist in surgery. All staff are informed administrative personnel, well-versed in health and insurance policies, and are CPR certified.
Your initial consultation appointment will consist of a thorough examination and an explanation of your diagnosis and treatment options. Occasionally, surgery can be performed the same day as the consultation. However, a complex medical history or treatment plan will require an evaluation and a second appointment to provide treatment on another day.
Please assist us by providing the following information at the time of your consultation:
- Your surgical referral slip and any x-rays if applicable.
- A list of medications you are presently taking.
- If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.
IMPORTANT: All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.
A preoperative consultation and physical examination is mandatory for patients undergoing IV anesthesia for surgery. Please have nothing to eat or drink eight hours prior to your surgery. You will also need an adult to drive you home.
Please alert the office if you have a medical condition that may be of concern prior to surgery (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are currently taking any medication (i.e., heart medications, aspirin, anticoagulant therapy, etc.).
If your dentist or physician has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.
The Carolina’s Center for Oral and Facial Surgery is open from and Consultation appointments are usually in the afternoon as the morning appointments are reserved for our surgical patients. We will make every attempt to schedule your appointment in a timely and convenient manner.
Our doctors maintain daily schedules, which consist of in-office as well as hospital-based procedures. Emergency cases can also arise and cause delays. Should this occur, we appreciate your understanding and patience.
During the summer months and at Christmas Break, wisdom tooth consults come in high volumes of demand because of school vacation. If calling to schedule your consultation, please have several dates in mind for your surgery in order to help us accommodate your schedule.
When you call our office to make an appointment we will make every effort to accommodate your schedule, but please understand we have guidelines we follow in order to maintain efficiency and keep our fees as low as possible. If you would like to schedule an appointment you will need the items listed below, or your can click here to fill out a request form and someone from our office will contact you within two business days.
In order to schedule your appointment promptly, please give the following information:
- Patient’s first and last name
- Home, cell or work number
- Date of birth
- Have you been seen previously by any of our doctors?
- Type of consultation
- Office location
- Name of doctor you are requesting to see, if you have a specific request
- Referring dentist or orthodontist (referral slip and x-ray)
- Medical and/or dental insurance information
Financing & Insurance
At this time we are preferred providers with:
- Aetna Dental PPO & Aetna Discount Plan
- BCBS Dental
- BCBS Dental Grid Network
- BCBS Medical
- CIGNA Dental PPO / CIGNA Dental PPO Advantage
- CIGNA Plus Savings/CIGNA Dental Network Access (DISCOUNT PLAN)
- DELTA Dental PPO & DELTA Dental Premier
- Most DENTEMAX Dental AND DENTEMAX Discount Plans
- Guardian Dental
If you have insurance with any other carrier we will still be glad to file your claim for you. We find that many dental insurance plans do not require that you stay within a network. If your claim will be filed to medical you may have out of network benefits.
After your consult visit we will gladly request a pre-determination of benefits from your insurance company. For some plans, we are able to obtain this information on-line and give you an estimate of benefits while you are in the office. If your plan does not participate with this feature we can mail a request. Please allow four to six weeks for a response by mail.
Please feel free to contact us if you have specific questions regarding your insurance benefits
At Carolina’s Center For Oral & Facial Surgery we provide the highest quality care available and we will be glad to assist you with payment options to make your care affordable. Many insurance plans provide benefits for oral surgery but often do not cover the entire amount. For this reason we have several payment options available to assist you in planning for your care.
Many of our patients take advantage of our payment plans available through CareCredit. With this plan you may qualify for a six month interest free plan or low monthly payments on an extended payment plan. In addition, your CareCredit can be used at any participating medical office. This can be very helpful if your treatment requires coordination with other dental providers. More information can be found on the web at www.carecredit.com or you may apply now by clicking this link: www.carecredit.com/apply/index.html
You can also contact us by telephone with any questions you may have regarding payment options.
Surgical Care Instructions
- Bleeding: If given gauze, change it as directed every 20-30 minutes until active bleeding has subsided (usually 2-3 hours).
- Make sure to apply good pressure to the gauze.
- You may remove gauze to begin drinking, but return fresh gauze to surgery site(s) if bleeding is still present.
- It is normal to experience light bleeding for up to 24 hours. If there is severe bleeding follow instructions at the bottom of the form under “Excessive Bleeding”
- Do not brush your teeth, rinse your mouth or spit.
- Do not drink through a straw.
- Swelling: Ice packs may be used to reduce swelling. Rotate ice pack on & off or side to side every 30 minutes for 24 hours.
- If sedated, once home, begin to drink. Start first with clear liquids, and then gradually advance to soup, and soft foods.
- Driving: If sedated do not drive for 24 hours following surgery.
- Smoking/Alcohol: Avoid alcohol or smoking today and for a week following surgery.
- Numbness: You will probably remain numb for several hours after surgery, so it is recommended that you begin to drink fluids, and take pain medication (Over the Counter or Prescribed) before the anesthetic wears off (or when you begin to feel a tingling sensation).
- Medications: You have been given the following medications:
- Pain medicine: should be taken as needed. You may take ibuprofen (400-600mg every 6 hours) in addition to or instead of your prescription pain medication. While taking prescription medication, do not drive or operate heavy machinery. Be sure to eat something prior to taking pain medicine to reduce nausea.
- Antibiotic: should be taken as directed until gone. Be aware that some antibiotics can reduce the contraceptive effect of birth control pills. Please contact your gynecologist or pharmacist if you have concerns.
- Nausea medicine: should be taken as needed. You may take the nausea medication in conjunction with the pain medication to help with discomfort. While taking this medication, do not drive or operate heavy machinery.
- Mouth rinse: use as directed on the bottle.
*No prescriptions will be called in after hours. If you anticipate the need for a refill on your medication or a new prescription, please contact our office during regular business hours. Please have your pharmacy phone number available before you call.
- If you wear an immediate denture, partial or flipper leave it in your mouth until return visit or visit with dentist.
- After hours: There is a doctor on call 24 hours a day. If a situation develops after our office hours that is a medical emergency, you may call our office, follow the prompts, and a doctor will be paged. It is only necessary to leave name and phone number on the message. Please be aware that the doctor will return your call as soon as possible. Most calls are returned within 30 minutes, but if the doctor is in the emergency room or in surgery, the response may be delayed.
- Hygiene: Return to your normal brushing routine, being very careful around surgery site(s).
- Avoid using full-strength mouthwashes for 2 weeks.
- Begin using a warm salt-water rinse (1/4 teaspoon salt in a glass of warm water) every 2-3 hours for 3 days.
- Pain and swelling is normal and expected, and may last for 10-14 days. Don’t be alarmed if the third day is the worst.
- Continue eating soft foods. You may begin to gradually return to your normal diet as tolerated.
- Avoid spicy foods and drinks for 2 weeks.
- Sutures/Stitches: You may have sutures placed in your mouth to control the bleeding & hasten healing. They will dissolve on their own over 7-14 days.
- If swelling is still present on the 4th or 5th day following surgery, then begin using a warm moist compress for the next several days.
- Rinse mouth with cool water & gently wipe away blood clots with a clean piece of gauze or a tissue.
- Take a large amount of gauze or 2 tea bags moistened with water & place over bleeding area & close mouth, applying constant pressure.
- Remain quiet & in a sitting position for 20-30 minutes.
- Repeat steps 3 & 4 until bleeding is controlled.
- After these directions have been followed in detail & excessive bleeding persists, you should call our office.