Oral Facial Reconstruction and Implant Center | Your Surgery in Pembroke Pines


Your Surgery

before_after_prognatic_jaw_bc.jpgJust Before Surgery

A day or two before your surgery:

Stock up on liquid foods you can eat without chewing. These include total-nutrition drinks, soup, and milk. Foods that are easy to liquefy, such as bananas, are good, too.

If you don't already have a blender, buy or borrow one. Arrange for an adult family member or friend to give you a ride home and stay with you after surgery.

Don't eat or drink for at least 8 hours before surgery. Ask the surgeon whether to take your regular medications during this period. If so, take them with small sips of water.

Be sure to ask Drs. Friedman, Payton, or Cardenas or their staff any questions that you have.

Your Surgery

Surgery takes place in a hospital or surgery center. The procedure lasts several hours. You will likely stay in the hospital for 1 to 2 days. In some cases it may be possible to leave the same day. In either case, hospital staff will keep you comfortable and help you recover until you're ready to go home.

before_after_prognatic_jaw_de.jpgThe Day of Surgery

When you arrive at the hospital, you'll change into a hospital gown. Staff will then prepare you for surgery. An IV line will be started to provide you with fluids and medications. Before surgery you'll meet with your anesthesiologist or a nurse anesthetist. This is to discuss the medication (general anesthesia) used to keep you asleep and free of pain during surgery.

Once you're under anesthesia, the surgery will be performed. To help stabilize the bite, a plastic splint may be placed between the chewing surfaces of your teeth. In some cases, elastic bands or wires are attached to the braces to hold the jaws firmly shut. In other cases, looser elastic bands called "guiding elastics" are used. Sometimes, no wires or bands are needed.

Risks and Complications

Risks and possible complications of surgery include:

  • Temporary pain and swelling
  • Bleeding
  • Numbness (in most cases temporary)
  • Infection
  • Loss of teeth or bone
  • Relapse (bones move back toward original positions) Risks of anesthesia


Right after Surgery

After surgery you'll awake in a recovery room. Your IV will remain in place. You'll most likely have a device to give you oxygen. Ice packs will be applied to your face to control swelling. Your face will most likely be numb, but you'll be given medication if you feel any pain. With less involved surgery, you will be in the recovery room for a few hours and then moved to your private hospital room.

If surgery is performed on both the upper and lower jaws, then you will likely stay in the intensive care unit or in the recovery room overnight so that you will have a nurse with you in case you need anything. The next morning, you will be moved to your private hospital room.

Once in your room, your family or friends can be with you 24 hours a day.

Your jaws usually will not be wired together and you will be able to open and close your mouth immediately following surgery, although your muscles are sore and not strong enough.

Small rubber bands may be placed on the braces of your upper and lower teeth to help support your bite, help to reduce swelling in your jaw joints, and decrease the stress on your jaw muscles. These elastics will also begin your post surgical orthodontic treatment that will decrease your overall treatment time.