What should I expect on my first visit?
Our practice is located in beautiful, historical downtown San Clemente in south Orange County, California. Parking is available across the street along with street parking. 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 a more secure way of storing your private information. With paperless charting, we store your information securely on remote, encrypted servers. Important documents are either entered directly into our paperless system and stashed in our remote servers.
Becoming a new patient
On your first visit we will register you as a new patient. We require some basic background information including your medical history and privacy consent forms. Once you’ve completed the necessary paperwork, one of our assistants will take you to your room. Our assistant will take the necessary X-rays. Be sure to let us know if you’re pregnant or if you’ve brought your own X-rays. You’re now ready to be seen by our dentist Dr. Jazayeri. Dr. Jazayeri will carefully review your medical health history, X-rays, and chief concern. If you’re scheduled for a full exam, we will also perform your oral cancer screening, full periodontal evaluation, and bite assessement. We will create a treatment plan to help you start fixing up your smile. If you’re being treated for a limited problem, we will focus on the what is causing you pain and discomfort. Feel free to ask Dr. Jazayeri all of your questions as he is always ready and willing to provide an answer! Once you understand your treatment plan, our office manager will review cost and financing options. You are now on your way to a healthier, happier smiles!
Medical history
Take your time to fill out our medical history form. Reviewing your medical background is an integral part of providing dental care. Here are the most medical issues that we watch out for:
Joint replacement surgery
Let us know if you’ve had recent hip or knee replacement surgery. The rule is that for 2 years following joint replacement surgery you must take antibiotic pre-medication prior to any invasive dental work. Occasionally, your physician might request that we extend the pre-medication period beyond this 2 years. Either way, it’s important for you to let us know about this information beforehand.
Blood thinners
We need to know if you’re taking blood thinners such as Plavix, Coumadin, or the new generation ones like Eliquis or Pradaxa. If you’re taking blood thinners, we might want to avoid certain surgical procedures or proceed with extra caution. Occasionally, we may contact your physician to obtain permission prior to performing surgeries. We may also request an INR or blood clot testy. Note that baby Aspirin is typically not a major factor and your dosage does not need to be adjusted prior to most surgical procedures. Still, you must let us know if you are taking Aspirin so we can take that into consideration.
Blood pressure medication
Let us know if you have a history of high blood pressure or are taking medications for hypertension. We may want to limit the amount of epinephrine to prevent a sudden spike in your blood pressure. We do offer local anethsetics without epinephrine which are safe for hypertensive patients. We may also choose to monitor your blood pressure during treatment. We have other techniques as well. For instance, we may administer your anesthesia gradually over the course of a 30-minute period to prevent sudden spikes in blood pressure. Be sure to let us know if you feel weak or dizzy as this may be a sign of elevated blood pressure. Luckily, this sensation usually goes away within minutes as your blood pressure levels out. Also, be sure to take your blood pressure medication on time, especially if you are scheduled to have surgery or extensive treatment on that day.
Cancer drugs/ Bone inhibtors
If you’re taking bisphosphonate drugs such as Fosomax, Actonel, or bone inhibitors like Prolia or Zometa, then there’s a chance that certain surgical procedures must be delayed. Teeth extraction and implant surgeries typically require special care. We may have to consult with your physician before rendering certain treatments. Sometimes we request medical clearance from your physician. Other times we have to postpone treatment according to your physician or avoid certain dental procedures altogether.
Pregnancy
Let us know if you’re pregnant or think that you might be. We will avoid unnecessary radiation for all expecting moms. This means that you won’t be taking routine X-rays. We also avoid X-rays that use higher radiation doses (like CT scans). For emergency X-rays, we minimize your radiation by double-shielding. We also avoid laying you flat and sit you at an angle that’s more comfortable for you and your fetus. Please note that the best time to see the dentist during pregnancy is during the 2nd trimester when the fetus is not going through as much growth. If your physician recommends a dental cleaning during pregnancy, try to schedule it during this time.
Drug allergies
Inform us if you have any drug allergies. We especially look for allergies to Penicillin and sulfa drugs. Let us know if you’re unable to take NSAIDs, Codeine, or other common medications for whatever reason. If you’re allergic to latex we will avoid using latex gloves throughout your appointment.
As you can see, there’s quite a bit to pay attention to! Be sure to take your time and properly fill out your medical history questionnaire so that we can take all necessary precautions.
If you have any questions about your first visit, please call us at (949) 481-2540. Call us today, and see how achieving the smile of your dreams is easier than you’d imagine!