What should I expect on my first visit?
Welcome to our practice! We are conveniently located in beautiful, historical downtown San Clemente, CA. As you enter our practice, you will quickly notice that there are no patient charts insight. This is because we are a 100% paperless office. Going paperless is not only better for the environment, but it’s also a more secure way of storing your private information. With paperless charting we store your private information securely on remote, encrypted servers. Important documents are either entered directly into our paperless system or they are scanned and stashed in our remote servers.
Becoming a new patient
On your first visit we will register you as a new patient. Like most dentists, we require some basic background information, medical history, and privacy consent forms. Once you’ve completed the necessary paperwork, we will bring you back to take your X-rays. Be sure to let us know if you’re pregnant or if there’s any reason why we shouldn’t take your X-rays at this time. After your X-rays, you are ready to be seen by our dentist. Dr. Jazayeri will carefully review your health history, chief complaint, and radiographs. We will perform your cancer screening, periodontal exam, and full oral evaluation. From there, we will make you a treatment plan so that you can start fixing up your mouth.
Take your time to fill out the medical history form to the best of your ability. Reviewing your medical background is an integral part of providing dental care. Here are some things we look out for:
Joint replacement surgery
Let us know if you’ve had a recent hip or knee replacement surgery. The rule is that for 2 years following joint replacement surgery, you require antibiotic pre-medication prior to invasive dental treatment. Occasionally, your physician might request that we extend the pre-medication period beyond 2 years. Either way, it’s important to let us know about this information beforehand.
We need to know if you’re taking any type of blood thinner, such as Plavix, Coumadin, or the new generation medications like Pradaxa. Patients taking blood thinners might have to avoid certain surgical procedures or they may have to proceed with extra caution. Occasionally, we may contact your physician to obtain permission prior to performing invasive treatment. We may require an INR or blood clot exam in advance. Note that baby aspirin is typically not a factor and your Aspirin dosage does not need to be adjusted prior to most surgical procedures.
Blood pressure medication
Let your dentist know if you have a history of high blood pressure or taking medications for hypertension. Your dentist may want to limit the number of epinephrine shots they administer to prevent a spike in your blood pressure. For more difficult treatments, they may want to administer your anesthesia over an extended period of time or use shots that don’t contain epinephrine. Let your dentist know if you start to feel weak or dizzy after a shot, as this may be a sign of dangerously elevated blood pressure. Luckily, this sensation usually goes away within minutes as your blood pressure starts to level out. Be sure to take your blood pressure pills if you’re scheduled to have a big procedure that day. If your blood pressure is too high, your dentist may have to reschedule your procedure. Therefore, be sure to do your part to keep your blood pressure under control.
Cancer drugs and bone inhibtors
If you’re taking a bisphosphonate drug such as Fosomax or Actonel or a bone inhibitor like Prolia or Zometa, then there’s a chance that certain surgical procedures must have to be delayed. Teeth extraction and implant surgeries typically require special care and your dentist may have to consult with your physician beforehand. Your dentist may request a medical clearance from your physician prior to performing certain dental procedures.
Let your dentist know if you’re pregnant or think you might be. Dentists avoid unnecessary radiation for pregnant patients. This means that they won’t take routine X-rays or X-rays with higher radiation dose (like a CT scan), except in emergency situations. For emergency X-rays your dentist will minimize radiation by limiting the number of X-rays and double-shielding your stomach. Your dentist will also avoid laying you flat. Instead, they will sit you at an angle that’s a more comfortable position for your fetus. The best time to see the dentist during pregnancy is during the 2nd trimester when the fetus is not going through as much growth.
Inform your dentist of any drug allergies, including Penicillin or sulfa drugs. Let your dentist know if you can’t take NSAIDs, Codeine, or other common medications. Inform them if you’re allergic to Latex so they avoid using latex gloves throughout your appointment.
As you can see, there’s quite a bit to pay attention to here. Therefore, be sure to take your time and properly fill out your medical history questionnaire.
What happens if I have dental insurance?
Be sure to let your dentist know if you have dental insurance on your first appointment. If your coverage is through a spouse or parent, your dentist will require their information such as date of birth and social security or insurance ID. Your dentist will verify your eligibility so that they can apply your benefits and discounts accordingly. After treatment, they will bill your dental insurance to get reimbursement when eligible.
If you have any questions about your first visit or dental insurance coverage, call us at (949) 481-2540. We are happy to help answer any questions you have and help you get the most out of your dental insurance plan. Call us today, and see how achieving the smile of your dreams is easier than you’d imagine!