PREPARING FOR YOUR SURGERY

Pre-Operative Instructions for Oral & Facial Surgery

Proper preparation before your surgery is essential for optimal outcomes and a smooth recovery. These general pre-operative instructions apply to most oral and facial surgical procedures. You will also receive specific instructions tailored to your particular surgery during your consultation. Please read these carefully and contact our rooms if you have any questions.

Medical History & Medications

Inform Us of Any Changes

Please notify our office immediately if there are any changes to your medical history, medications, or health status between your consultation and surgery date. This includes new illnesses, infections, pregnancy, or any concerns about your health.

Medication Management

  • Blood Thinners: Medications such as aspirin, warfarin, clopidogrel (Plavix), or other anticoagulants may need to be stopped or adjusted before surgery. Do not stop these medications without consulting both A/Prof Freudlsperger and your prescribing physician, as some conditions require careful management.

  • Anti-inflammatory Medications: NSAIDs such as ibuprofen or naproxen should typically be stopped 5-7 days before surgery as they can increase bleeding risk.

  • Herbal Supplements: Many herbal supplements and vitamins can affect bleeding or interact with anaesthesia. Discontinue all herbal supplements at least two weeks before surgery unless specifically advised otherwise.

  • Regular Medications: Continue taking all other regular medications unless specifically instructed otherwise. Bring a complete list of all medications, including dosages, to your pre-operative appointment.

  • Diabetes Medications: Special instructions will be provided for managing diabetes medications around surgery.

Allergies

Inform us of any allergies to medications, latex, or other substances. This includes previous reactions to local anaesthetics or antibiotics.

Fasting Instructions

For Procedures Under IV Sedation or General Anaesthesia

Fasting is essential to prevent serious complications during sedation or general anaesthesia:

  • For GA: No food for at least 6 hours before your scheduled surgery time

  • No milk, juice, or other drinks for at least 6 hours before surgery

  • Clear fluids only (water, black tea, black coffee without milk or sugar) up to 2 hours before surgery

  • For IVS: Nothing to Eat 4 Hours before your Surgery and Nothing to Drink in the 2 hours immediately before your procedure

Failure to follow fasting instructions may result in your surgery being postponed for your safety.

For Procedures Under Local Anaesthesia Only

You may eat and drink normally before procedures using only local anaesthesia. However, avoid heavy meals immediately before your appointment and ensure you're well-hydrated.

Personal Preparation

What to Wear

  • Wear loose, comfortable clothing with sleeves that can be easily rolled up

  • Avoid tight clothing around the neck or face

  • Wear flat, comfortable shoes

  • Remove all jewelry, including facial piercings, before arriving

  • Do not wear contact lenses (bring glasses if needed)

  • Avoid wearing makeup, nail polish, or artificial nails (these can interfere with monitoring)

  • Tie long hair back away from your face

What to Bring

  • Your prescription for post-operative medications (if provided in advance)

  • Photo identification and any medical cards

  • List of current medications with dosages

  • Any forms that need to be completed

  • Insurance or payment information

  • A responsible adult to drive you home (required for sedation or general anaesthesia)

  • Comfortable, loose-fitting clothing to go home in

Lifestyle Considerations

Smoking: Smoking must be stopped at least 4 weeks before surgery and throughout your recovery period. Smoking dramatically increases complications including infection, poor healing, tissue death, and implant or graft failure. If you need support to stop smoking, please discuss this with us or your GP. Nicotine replacement products (patches, gum, vaping) also impair healing and should be avoided.

Alcohol: Avoid alcohol for at least 48 hours before surgery. Alcohol can interfere with anaesthesia and increase bleeding risk.

Recreational Drugs: All recreational drugs must be avoided. These can cause dangerous interactions with anaesthetic medications and compromise your safety.

Medications on Surgery Day

Take your regular medications with a small sip of water on the morning of surgery unless specifically instructed otherwise. Diabetic patients should follow the specific instructions provided.

Oral Hygiene

Before Surgery

  • Brush and floss your teeth thoroughly the night before and morning of surgery (if fasting rules allow)

  • Rinse with an antiseptic mouthwash if provided

  • Maintain excellent oral hygiene in the days leading up to surgery

  • If you develop a cold sore, mouth ulcer, or any oral infection before surgery, contact our office immediately

Dental Work

Complete any necessary dental work (cleaning, fillings, etc.) at least 2 weeks before your surgery, unless otherwise advised.

Health Considerations

Illness or Infection

If you develop any illness, cold, flu, cough, fever, or infection in the week before your surgery, contact our office immediately. Surgery may need to be postponed to ensure your safety and optimal healing.

COVID-19 and Infectious Diseases

Please notify us if you:

  • Have tested positive for COVID-19 or other infectious diseases

  • Have been in close contact with someone diagnosed with an infectious disease

  • Are experiencing any symptoms of illness

Pregnancy

Inform us immediately if there is any possibility you may be pregnant, as this affects anaesthesia and medication decisions.

Women's Health

Surgery is generally not scheduled during menstruation when possible, particularly for extensive procedures. Please inform us of your menstrual cycle when scheduling.

Mental and Emotional Preparation

Understanding Your Procedure

Ensure you fully understand your procedure, expected outcomes, and recovery process. Write down any questions and contact our office before your surgery date.

Anxiety Management

It's normal to feel anxious before surgery. If you're experiencing significant anxiety:

  • Discuss sedation options with A/Prof Freudlsperger

  • Practice relaxation techniques in the days before surgery

  • Ensure you get adequate rest

  • Avoid excessive research online that may increase anxiety

  • Reach out to our team with concerns

Realistic Expectations

Review the information provided about expected outcomes, recovery timeline, and potential risks. Realistic expectations contribute significantly to satisfaction with results.

Home Preparation

Prepare Your Recovery Space

  • Arrange a comfortable place to rest with pillows for head elevation

  • Stock your refrigerator with soft foods and drinks

  • Fill prescriptions before surgery so medications are ready when you get home

  • Prepare ice packs or frozen peas wrapped in towels

  • Have clean towels and face cloths available

  • Set up entertainment (books, movies, music) for your recovery period

Arrange Help

Arrange for assistance at home for at least the first 24-48 hours, particularly after procedures involving sedation or general anaesthesia. You'll need help with:

  • Transportation

  • Meal preparation

  • Medication management

  • Household tasks

  • Childcare if applicable

Transportation and Accompaniment

  • Sedation or General Anaesthesia: You MUST arrange for a responsible adult to drive you to and from your appointment, remain at the facility during your procedure, and stay with you for at least 12-24 hours after surgery. You will not be permitted to drive, take public transport alone, or use a taxi/rideshare service unaccompanied.

  • Local Anaesthesia Only: While you can generally drive yourself, we recommend having someone accompany you for support, particularly for longer or more complex procedures.

Time Off Work or Study

Plan adequate time off from work, school, or other commitments. Recovery times vary by procedure, and specific guidance will be provided for your surgery.

Financial and Administrative Considerations

Payment and Insurance

Ensure all financial arrangements are completed before your surgery date. Bring any necessary insurance documentation or referrals.

Consent Forms

All consent forms should be completed and any questions resolved before the day of surgery. Don't hesitate to ask for clarification about anything you don't understand.

Final Checklist - Night Before Surgery

  • Confirmed transportation and support person arrangements

  • Prescriptions ready to be filled or already filled

  • Discontinued all required medications (blood thinners, anti-inflammatories, supplements)

  • Removed all jewelry and nail polish

  • Prepared comfortable recovery area at home

  • Stocked soft foods and drinks

  • No smoking or alcohol for appropriate period

  • Understand fasting requirements

  • Know what time to arrive

  • Have emergency contact numbers

On the Day of Surgery

  • Follow all fasting instructions precisely

  • Take only approved medications with a small sip of water

  • Perform thorough oral hygiene (if fasting allows)

  • Wear comfortable, loose clothing

  • Arrive at the scheduled time (usually 15-30 minutes before procedure)

  • Bring your support person

  • Leave valuables at home

  • Bring photo ID and any required documentation

Questions or Concerns?

If you have any questions about these instructions or any aspect of your upcoming surgery, please don't hesitate to contact our rooms. It's better to ask than to be uncertain.

We're here to ensure your surgical experience is as safe, comfortable, and successful as possible.

Contact Our Rooms:

Phone: (09) 529-5061
Email: info@oralandfacialsurgery.co.nz

Please note: These are general pre-operative instructions. You will receive specific instructions tailored to your particular procedure. In case of any conflict between these general instructions and your specific procedure instructions, follow the specific instructions and contact our office for clarification.

BOOK YOUR APPOINTMENT

Oral & Facial Surgery Auckland

Whether you need wisdom teeth removal, dental implants, corrective jaw surgery, or specialist assessment of oral pathology, A/Prof Christian Freudlsperger brings world-class expertise to your care.

With over 18 years of experience from one of Germany's leading university hospitals and current consultant positions at both Middlemore and Auckland City Hospitals, you can trust you're in expert hands.