Everything for a smoother visit

Oral surgery feels easier when you know what to expect. This patient resource center brings together preparation, payment details, home-care instructions, and scheduling guidance.

Schedule online

Begin appointment planning online, then call if your appointment type is not listed or you have questions.

Patient payments

Pay your balance securely online through the patient payment portal.

Home care

Recovery guidance by procedure type, including anesthesia, implants, extractions, wisdom teeth, and bone grafting.

Preparing for your appointment

Bring referral information, insurance details, current medications, and any questions you want answered before care begins.

FOR PATIENTS & REFERRING PROVIDERS

Preoperative guidelines

These general guidelines help you prepare for oral surgery. Always follow the specific instructions provided by your surgeon, and coordinate with your prescribing physicians before changing any medication.

Bone Density Medications (Antiresorptives: Bisphosphonates, Denosumab)

On oral bisphosphonates under 4 years without additional risk factors: surgery proceeds without alteration, with informed consent about the low but present risk of medication-related osteonecrosis of the jaw (MRONJ) and regular follow-up.
On oral bisphosphonates 4 years or longer — or under 4 years with corticosteroids or antiangiogenic agents: a drug holiday of at least 2 months before surgery may be considered if systemic conditions permit, not restarting until osseous healing is confirmed.
On high-dose antiresorptives for malignancy: elective surgery is avoided when possible. If urgent, care is coordinated with the oncology team and risk is assessed individually.
Conservative surgical technique, primary closure, and perioperative chlorhexidine rinses are used, with perioperative antibiotics considered in high-risk cases.

History of Radiation Therapy (Head & Neck)

Elective dental surgery is avoided during active head and neck radiation. For prior radiation, the total dose and field are documented — the risk of osteoradionecrosis increases with doses above 50 Gy — and planning includes assessment of vascularity and healing potential.
For prior radiation above 50 Gy, adjunctive measures such as hyperbaric oxygen and multidisciplinary planning may be considered.

Weight-Loss Drugs (GLP-1 Agonists)

GLP-1 agonists are typically held on the day of surgery to reduce the risk of perioperative nausea, vomiting, and aspiration, and resumed afterward once oral intake is established.

Blood Thinners (Anticoagulants / Antiplatelets)

For most minor oral and maxillofacial procedures, anticoagulant and antiplatelet therapy is continued, because the risk of a clot generally outweighs the risk of surgical bleeding.
For patients on warfarin, the INR is confirmed within the therapeutic range (under 3.5) before surgery. For direct oral anticoagulants, surgery may be timed at trough drug levels when possible.
Care is coordinated with the prescribing provider for complex regimens (dual or triple therapy) or high bleeding risk.

Immunosuppressants

Infection risk and wound-healing capacity are assessed. When feasible, elective procedures are scheduled during periods of lowest immunosuppression, and prophylactic antibiotics may be considered in select cases.
Care is coordinated with the prescribing provider regarding any perioperative dose adjustments.

Pain Management Contracts

Your current pain-management agreement and opioid regimen are confirmed, and the perioperative analgesic plan is shared with your pain-management provider.
Multimodal, non-opioid analgesia is preferred whenever possible.

Questions before your visit?

Most procedures require a referral from your dentist or physician. Please provide insurance information before your consultation or surgery appointment so the team can verify coverage.