Steps to Prepare for an Oral Surgery Procedure

Do you have an upcoming oral surgery scheduled? If so, you are probably wondering what steps to take to prepare for your procedure and if there is anything you can do at home to improve your post-operative recovery experience. Our best oral surgeon, along with our compassionate team, offers some helpful tips for preparing for oral surgeries.

If you are preparing for an oral procedure for TMJ therapy, craniofacial or jaw surgery, or require surgical sleep apnea treatment, you should be aware of how your dietary habits and lifestyle can affect your procedure and recovery. In addition to nutritional concerns, medications you take may also affect your recovery.

Foods and Beverages to Avoid

Many common beverages should be avoided prior to surgery. Patients should abstain from alcohol for at least two weeks prior to their procedure. Energy drinks such as Red bull or 5-Hour Energy should be avoided for this same amount of time as well. Because dairy products contribute to mucous production and sinus congestion, milk and cheese should not be ingested at least one week before your procedure. Intake of sugary foods and beverages should be limited as well because sugar is a natural food source for oral bacteria. Patients should also drink at least 64 ounces of water everyday—especially during the two weeks prior to oral surgery.

Other beverages and substances to avoid before your procedure:

  • Coffee
  • Tea
  • Sodas
  • Chocolate
  • Tobacco products of all kinds (for at least three months before surgery)
  • Aspirin-based or anti-inflammatory drugs

Healthy Habits to Incorporate Before Surgery

Strengthen your immune system by eating a balanced diet with whole grains, lean proteins, and plenty of fruits and vegetables. Be sure to receive adequate rest since sleep is important to rejuvenating the body and its tissues. In addition to eating healthy meals and drinking plenty of water, our oral surgeon urges patients to practice thorough oral hygiene. Your teeth should be brushed at least twice a day for a minimum of two minutes each time and flossing should be conducted once a day.

If you have questions or would like to schedule an appointment, please contact Dr. Larry Wolford’s office using our online contact form or call 214-828-9115

Condylar hyperplasia (CH) is a generic term describing enlargement of the condyle.  There are a number of different condylar pathologies that enlarge the mandibular condyle, with subsequent adverse effects on the morphology and function of the TMJ and mandible.  This may result in the development or worsening of a dentofacial deformity such as; mandibular prognathism (symmetric or asymmetric), and unilateral enlargement of the condyle, ramus, and body, facial asymmetry and malocclusion. 

Wolford has developed a simple, but encompassing classification that will allow the clinician to better understand the nature of the various CH pathologies, progression, and treatment options that have proven to eliminate the pathological process and provide optimal functional and esthetic outcomes.  The classification (Table 2 and Figure 29) also begins with the most common occurring form of CH and progresses to the least common occurring form.

CH Type 1:  This condition develops during puberty, is an accelerated and prolonged growth aberration of the normal condylar growth mechanism, is self-limiting but can grow into the 20’s, and can occur bilaterally (CH Type 1A) or unilaterally (CH Type 1B).

CH Type 2:  These condylar pathologies can develop at any age (although 2/3s develop in the 2nd decade), are unilateral condylar vertical and/or horizontal over-growth deformities, and are the most common occurring mandibular condylar tumors; osteochondroma (CH Type 2A) and less common osteoma (CH Type 2B).

CH Type 3:  These are other rare benign causing condylar enlargement. 

CH Type 4:  These are malignant conditions that can cause condylar enlargement.

The more common forms of CH (Types 1 and 2) will be presented relative to the clinical and radiographic findings, growth characteristics, effects on the jaws and facial structures, histology, and treatment considerations that are highly predictable in the elimination of the pathology and provide optimal treatment outcomes. 

FIGURE 29 Description

A-C) normal TMJ with balanced joint spaces.
D-F) CH Type 1 with relatively normal condylar shape, elongated condylar head and neck, and narrow joint space related to thin articular disc or displaced disc.  In the coronal view the condylar head is more rounded.
G-I) CH Type 2Av; an osteochondroma with a vertical growth vector without significant horizontal condylar enlargement or exophytic horizontal growth. This is a “young” osteochondroma with only about 3 years of growth.
J-L) CH Type 2Ah; an osteochondroma with horizontal (as well as vertical) enlargement of the condyle and exophytic outgrowth of the tumor. This tumor has been present for 6 years. Notice the significant increased vertical height of the mandibular body and ramus.

FIGURE 29