Initial Consultation

Your initial appointment will consist of a consultation explaining your diagnosis and treatment options. Occasionally, surgery can be done the same day as the consultation. However, a complex medical history or treatment plan will require an in-depth evaluation, and a separate appointment will be made for your surgical care. Whenever a procedure will require the use of intravenous medications the surgical appointment will be scheduled on a day following the initial consultation. Our goal is to make sure there are no surprises!

Please assist us by providing the following information at the time of your consultation:

  • Your surgical referral slip and any X-rays if applicable. We’ll need a recent panoramic X-ray. Sometimes copies of original films – or even the original – will not be adequate for accurate diagnosis if the quality of the film is poor.
  • A list of medications you are presently taking
  • If you have medical or dental insurance, please bring the necessary information and forms if possible. This will save time and allow us to help you process any claims.

IMPORTANT: All patients under the age of 18 years must be accompanied by a parent or guardian at the consultation visit.

A pre-operative consultation and physical evaluation is mandatory for patients undergoing IV anesthesia for surgery. You will be given the information necessary for a safe anesthetic, including pre-operative diet instructions. During the consultation appointment Dr. Buche will advise you concerning all aspects of your upcoming surgery. This is called the Informed Consent Process. All IV sedation patients will need to have a responsible adult come with them to the surgical appointment and remain in the office until they are ready to be discharged. After intravenous sedation, a patient is not capable of safely driving a vehicle, so you will need someone able to drive you home. Do NOT drive for 24 hours.

You will be asked to fill out a comprehensive medical questionnaire. To save time, you may request this form prior to coming for the initial consultation. You can download it on our web site. Please feel free to alert the office staff if you have a medical condition that may be of concern to the doctor. Although Dr. Buche will talk with you about your medical history, it is important to assure that he is well aware of any special conditions such as artificial heart valves and joints, recent heart attacks, and special medications, such as blood thinners or chemotherapy agents. It is also very important that you inform Dr. Buche about any recreational or non-prescription drugs you might be taking. Such drugs DO interact with the medications used for intravenous sedation and can pose a danger to your health.

If your dentist has taken x-rays, you may request that they forward them to our office. If there is not enough time, please pick them up and bring them with you. If additional films are necessary, they can be taken at our office. The standard of care in Oral and Maxillofacial Surgery requires that we have a current (usually within a year) panoramic film that is of diagnostic quality.