Pre & Post Op
Pre & Post Operative Care
Preparing for your surgery and careful care of your surgical site post-surgery are important factors in the success of your treatment. We have prepared this thorough guide for you. Please read these instructions and ask us any questions you may have, we are here to help.
- Relieving Anxiety
- Sedation/General Anesthesia
- Pre-Operative Care
- Post-Operative Care
- Relaxation and Pain Mitigation
Our goal is to help calm your anxiety or fear about your visit from the very first phone call to us. Dr. Kur has set the tone for your entire experience with his approach to his work, our staff, office design, and the process and pace of your treatment plan.
Dr. Kur will inform you of your anesthesia options during your consultation. We recognize and appreciate this is can be a source of anxiety for some patients. All surgical staff members are trained in assisting with Intravenous (IV) sedation or outpatient general anesthesia in our state-of-the-art office setting. We also have a trained registered nurse (RN) to assist in surgery.
Prior to Sedation
- You may not have anything to eat or drink (including water) for eight (8) hours prior to the appointment.
- No smoking at least 12 hours before surgery. Ideally, cut down or stop smoking as soon as possible prior to the day of surgery.
- A responsible adult must accompany the patient to the office, remain in the office during the procedure, and drive the patient home.
- The patient should not drive a vehicle or operate any machinery for 24 hours following the anesthesia experience.
- Please wear loose fitting clothing with sleeves which can be rolled up past the elbow, and low-heeled shoes.
- Contact lenses, jewelry, and dentures must be removed at the time of surgery.
- Do not wear lipstick, excessive makeup, or nail polish on the day of surgery.
- If you have an illness such as a cold, sore throat, stomach or bowel upset, please notify the office.
- If you take routine oral medications, please check with Dr. Kur prior to your surgical date for instructions.
For most procedures, patients are administered local anesthesia and/or given adjuncts such as IV sedation/general anesthesia and nitrous oxide. Dr. Kur will discuss these options with you ahead of time. For your safety, it’s critical to follow the instructions carefully.
For all surgeries, please wear comfortable, loose-fitting clothing and make sure your sleeves can be rolled up above the elbow easily. Please remove nail polish and wear as little makeup as possible. For your comfort, you can listen to your own music during the procedure using small earbuds, not “Beats”- type headsets.
If you have any questions regarding Dr. Kur’s use of IV Sedation and other anesthesia, please call us: 914-592-0440, or email [email protected]
You will always be given local anesthesia for your surgery, but you may choose any of those listed below as a supplement. Each choice requires different preparation on you part, and for your safety it is important that you read and follow the instructions carefully. If you are unclear about anything, please ask Dr. Kur.
For all surgery, please wear comfortable, loose-fitting clothing. Tops/shirts should have sleeves that are easily drawn up above the elbow. You will be awake and recall the surgery, but there should be no significant discomfort.
ORAL PREMEDICATION: is medication taken by mouth; this may be prescribed as a a supplement to local anesthesia.
- Take the medication at the time directed before your surgery.
- Have a light meal a few hours prior to surgery unless you are also having intravenous or general anesthesia.
- It is not safe to drive after taking sedative drugs, and you MUST have someone drive you to and from surgery.
- Plan to rest for the remainder of the day. Do not operate power tools, machinery, etc., for 24 hours after surgery.
NITROUS OXIDE is known as “laughing gas.” You will be relaxed and somewhat less aware of your surroundings, but will recall most of the surgical event. Nitrous oxide is generally used in conjunction with local anesthesia, but may also be used to supplement the anesthetic below.
INTRAVENOUS SEDATION: Medications are given through a vein in your arm or hand, which will cause total relaxation. Although you will not actually be unconscious, you will recall very little, (if any) of the events surrounding surgery.
- Do not eat or drink anything (including water) for six (6) hours prior to surgery. However, it is important that you take any regular medications (high blood pressure, antibiotics, etc.) or any pre-medication prescription that we have provided, using only a small sip of water.
- For morning appointments, skip breakfast.
- For afternoon appointment, eat a light breakfast seven (7) hours before your appointment, and skip lunch.
- Take any regular medications with only enough water to get the pill down.
- You MUST have someone drive you home. The driver MUST remain on premises during procedure.
- Plan to rest for the remainder of the day. Do not operate power tools, machinery, etc., for 24 hours after surgery.
Medications are given through a vein, which will result in total loss of consciousness, complete lack of recall of the event and usually a longer recovery time. General anesthesia has an excellent safety record as an office procedure, but may, if desired, be provided in a hospital setting. (Your health insurance may not cover you unless there is a bona fide medical reason for hospitalization).
- The same instructions offered above for intravenous sedation apply for general anesthesia.
If you prefer to listen to your own music, feel free to bring small earbuds.
Our goal is to provide you with a safe, pleasant, and effective anesthetic To do this it is imperative that we have your full cooperation. Please feel free to as,k or call about any questions concerning your surgery or anesthetic.
If you have just had an oral surgery procedure, the following information will help you in your recovery. The initial healing period typically takes from one to two weeks, gum tissue takes about three to four weeks to heal and complete healing of the bone can take about six months depending on your care of the area. Some discomfort, bleeding, and swelling should be expected in the next 24 hours as your mouth heals. You can promote faster healing and avoid complications by following these instructions.
IN CASE OF EMERGENCY, CALL 914-592-0440
If you are experiencing an emergency emergency, please call our answering service. All calls are forwarded to the surgeon on call.
In doing so you may invite irritation, infection and/or bleeding. The healing process begins immediately after surgery as your body sends blood to the tooth socket. Biting on a piece of gauze with slight pressure will help control the bleeding and also help a blood clot to form over the socket. It is normal for some blood to ooze from the site for 8-12 hours after surgery. You will be given an extra packet of gauze to take home in case the bleeding continues. The gauze should be changed every 30-40 minutes until the bleeding has stopped completely.
To prevent dislodging of the blood clot you should not brush or rinse for the first 24 hours following surgery. After the first 24 hours it is important to keep the area as clean as possible. You may use a soft toothbrush around and across the surgical site or carefully wipe the area with a clean, wet gauze pad or cloth. Warm salt water rinses starting after the first24 hours are strongly encouraged. Rinsing after every meal will help flush out any debris and is recommended for up to one week after surgery. Regular over the counter mouth wash may burn or irritate the area until the gum tissue has fully closed.
There is no spitting (forcefulness out) and no drinking through a straw (forcefulness in) for 72 hours. This could dislodge the blood clot from the surgical site and promote bleeding.
To prevent swelling, apply an ice packet or cold towel to the outside of your face near the surgical area during the first 24 hours after surgery. Apply alternately, 20 mins on and then 20 mins off. After 24 hours, a warm compress can be applied to promote circulation with the same alternating schedule.
For the first 24-48 hours after surgery you should maintain a soft food diet such as Jello, pudding, applesauce, eggs, soup, pasta, etc. Food with small pieces or that crumbles easily should be avoided so it does not lodge in the area. Avoid eating or drinking anything hot, as it can cause irritation. Room temperature or cool is best. Eating immediately following a procedure is not recommended. When the numbness has worn off you may eat. Return to normal diet as tolerated.
Increased activity could lead to increased bleeding. No physical activity is recommended for at least 24 hours after surgery. No bending or heavy lifting for two or three days; and do not play any wind instruments for a period of 10-14 days.
When a local anesthetic is used, your lip, tongue, and cheek will be numb for several hours following surgery. While the area is still numb you must be careful not to bite, chew, pinch, or scratch this area. This could all lead to soft tissue trauma. If you have chosen to have IV sedation you cannot drive within the first 24 hours following surgery. The medications given make you groggy and impair your ability to drive.
Relaxation and Pain Mitigation
In addition to anesthesia for your procedure, we have several options that will make your time in the office more comfortable. We offer nitrous oxide that allows you to relax during your treatment while still being aware of your surroundings. We also administer topical anesthetic to numb your gums prior to injecting anesthetic. You can also listen to music during your procedure. Always, Dr. Kur will explain the procedure to you every step of the way, so that you know what he will do next. If you’d prefer silence, please let him know.
I was scared and the boys were, too. Dr. Kur was very thorough with explanations as to what was going to happen during the procedure. His service felt very personal, thorough. He made you feel comfortable. ~ Joanne Ricchiardella
One of the finest practices. The office staff is dedicated to customer service and the doctor is of the highest caliber skill. Dr. Kur utilizes state of the art equipment. The doctor has great communication skills as well as superior surgical skills. The recommendation to Dr. Kur came from an ENT physician who was also a dentist. He told me that “Dr. Kur was the oral surgeon of choice for him and his family.”
“Dear Dr Kur and all the staff,
I just wanted to say thank you for giving for my daughter the upmost care and made it an easy procedure for her. I greatly appreciate the kindness and gentleness that you and staff showed 🙂
I recently had all 4 of my wisdom teeth extracted here by Dr. Guglielmi and I have to say, I haven’t had a more pleasant and comfortable experience in any doctors office in my whole life. Dr. G was so considerate and personable. I was so genuinely surprised by just how kind he was, a characteristic that has been lost to many doctors nowadays. After my surgery, he also called me multiple times to check up on how I was feeling. I would highly recommend this place to anyone. The staff is also very nice and they’re very efficient in scheduling appointments. Thank you so much for such a wonderful experience!
I had an amazing experience here. Dr. Guglielmi and the ENTIRE staff were very polite and helpful! I came in with severe pain and needing all wisdom teeth removed. The procedure was quick and easy! Before finding Dr. G I was searching and reviewing, and I was terrified, but I promise you will love your experience here!
The initial consult went well. I was very impressed with the presentation of the office and office workers. Everyone is well put together, the office and exam room were clean, smelled clean, because presentation can either make or break a professional setting. Additionally, the doctors are welcoming and had a good sense of humor when I told him about my dental fears. He explained the procedure that would be done, and why it would be a good idea for the surgical procedure. Overall, great first impression. A week later, I went for my wisdom teeth extraction and everything was a success! I was truly frightened about “going under”. And honestly, I would do it again. The follow up went smoothly, the doctor was very personable and his staff was still working hard to make all the small details count. I really believe it’s a great office. I would recommend this doctor to others.
Dr. Kur and his staff are beyond amazing. I am so grateful for all of the time and top-notch services he’s provided thus far. As this is an ongoing, emotional and complex treatment plan, I couldn’t have asked to be in better hands and am so excited for the final outcome. 100% recommend to anyone in need of surgical dental procedures.
Would highly recommend Dr. Kurs for any kind of dental surgery. I had a tooth implant done and the process was seamless. Very modern equipment and efficient staff, which i also feel is very important. Dr. Kurs is very confident of what he is doing and now I can confidently say that I would go by his recommendation for any procedures as well as follow up.
Great doctor. By far the best oral surgery experience I’ve had. I had all 4 wisdom teeth removed and didn’t even need painkillers.
Awesome practice, Dr. Kur, and the support staff are true professionals. It is so refreshing to be cared for in such a manner. Dr. Kur is extremely knowledgeable. He identified my problem and provided relief to an ongoing problem that I had been dealing with for almost two years. He is truly expert in his field. For the first time, I felt I got my money’s worth. Relief at last. I would recommend and will do so to anyone who needs an oral surgeon. FIVE STARS ARE NOT ENOUGH. Thank you, Dr. Kur and Staff.
I got two extractions and a post put in a couple months ago and it was so painless and the recovery was super fast and I didn’t need the pain meds at all! Even my regular dentist couldn’t believe I just got it done a week ago. Dr. Kur is fast friendly and to the point. I like that. He put me at ease on my concerns and even better he was right. Some say he’s a little pricey but he’s worth every penny. I believe in you get what you pay for and when I went to a cheaper place I ended up in a horror show and my recovery took forever. The place is clean. All the staff from the front desk to the back are friendly and professional and don’t make you feel like a number. Whoever you deal with there is great. Dr. Kur is awesome. If he runs for president I’m voting for him. If I wasn’t broke I’d mess up more of my teeth so he could fix them. Honestly, can’t say enough good things about him or his staff. Just go there, you won’t be sorry!!!!
I recommend Dr. Kur without reservation. Everyone on his team is highly professional and responsive. Every time I had a question or needed to make an appointment, my concerns were addressed immediately. Dr. Kur was very forthcoming about the procedure, leaving no questions or concerns unanswered. I never thought I would be describing dental surgery as a great experience.
I had an excellent experience with Dr. Kur, and all of his staff. Very friendly, very professional, and very clean facility! I was recommended by my dentist to have some of my wisdom teeth removed, and they made it a priority to make sure I felt welcomed and was comfortable with every step of the procedure. I had some back and forth issues with my insurance company regarding my initial appointment, and they went the extra mile to work around those issues and explore alternative solutions. The go-to place for dental surgery, especially for first timers!
I had all four of my teeth extracted by doctor G. He was amazing!! It was very easy and I am a very anxious patient; he and his staff made me feel at ease and comfortable. He called me to check up on me and was very kind. 10/10!!!! Thank you!!!
About a month ago, I had all four of my wisdom teeth extracted along with an extra tooth. From start to finish the process was seamless! Every single person that works at the office was kind and answered all of my questions. Dr. Guglielmi did my surgery and I had no issues afterward. He’s very kind and thorough. I have already recommended them to people!
I had a tooth that imploded under the gum line. I had been told to just leave it alone by another dentist. I knew something was wrong, and my primary care physician referred me to Dr. Kur for a second opinion. Dr. Kur advised removal of the tooth and an implant. Everything was done in three appointments. I have had no problems. I completely trust Dr. Kur and would not hesitate to contact him in the future.
My husband had minor oral surgery about 2 months ago. There are no adequate words to describe our experience that was very positive. This office is the best Dr.s office we have been in our 63 years of life. The doctor was absolutely outstanding throughout the process. His office runs like a clock…just perfect. Every single person we dealt there was very professional and very efficient. We are very grateful for the outstanding service that we were provided with!
Dr. Kur is an amazing oral surgeon. He pulled one tooth and put in 2 implants. Mindful of my pain and my comfort, he reminded me of an artist enjoying his craft. As for his staff, nothing short of top notch. Professional and courteous. This is my oral surgeon forever!! As a matter of fact I am scheduled for more work in the near future. I would refer anyone who needs work done.
Dr. Kur removed all four of my daughters wisdom teeth. The entire process was stress free. Dr. Kur and his staff were wonderful.
Dr. Kur is a gentle, kind and thoughtful oral surgeon. I had 2 implants put in and he went the extra mile to prepare my mouth well for them, with a really good bone graft. And when he pulls a tooth, there is no pain in taking it out. I would highly recommend him to anyone.
When you’re not feeling well, (your tooth is throbbing in pain) and unexpectedly need surgery, this is the place to go to. From the caring office team, and staff, Dr.Kur’s expertise and care for his patients in insurmountable. Dr. Kur did everything possible and succeeded in saving my tooth from being extracted.
I had a very complex oral surgery performed by Dr. Kur. I was very anxious about having the work done, but quickly relieved after speaking with Dr. Kur and his staff. I could not be more pleased with Dr. Kur. He took the time to explain everything to me in detail before performing the many steps of my treatment. Along the way, he and his staff assisted me with all my questions and concerns. I am very happy with the outcome. Dr. Kur is extremely proficient and professional and I strongly recommend him as he is “the best of the best!”
Dr. Kur was nice, comforting, and made my extractions & implants as painless as possible. The office staff was equally as pleasant, making the paperwork as effortless as possible and were very welcoming. There is also a good payment plan available if you need it.
Dr. Kur and his staff are fantastic. Unfortunately, my son, age 6, had to have one of his molars removed. Not only did this procedure go extremely well, (and very quick) but there was no complaining of pain afterwards. I would highly recommend Dr. Kur to anyone looking for an Oral Surgeon. Great experience!
Dr. Kur is an amazing oral surgeon. I had implant surgery performed & I did not experience any discomfort at all. The surgery and healing process was painless. He made sure I was totally comfortable throughout the surgery. His staff was equally compassionate. Dr. Kur followed up with a phone call in the evening to make sure I was doing well. He is an excellent doctor and I would highly recommend him to anyone who is in need of oral surgery.
Dr. Kur and his staff made my experience truly wonderful. I was in such excruciating pain until I couldn’t function. They performed an emergency extraction on my wisdom tooth. I felt much better after my surgery. The office is clean and very comfortable. Obviously no one wants to have a tooth removed, however, if you need to have this procedure done, then I would definitely recommend this practice.
Dr. Kur extracted my 4 wisdom teeth, and also gave me four implants. Not once did I have any pain after both procedures. He did an amazing job! He and his staff were extremely friendly and very informative the entire time. If you need oral surgery this is the place to go.