Associates In Facial and Oral Surgery
Oral Surgery
Monroeville PA
412-374-9030

First Consultation

When you call for an appointment, a pleasant administrative assistant will ask you questions regarding the nature of your problem and take information from you which is immediately placed in the main computer. Your initial appointment will consist of a consultation, which includes a detailed history and head and neck examination with oral cancer screening, X-rays, and time to explain your diagnosis and treatment options. In most cases you will be able to view a DVD on the proposed oral surgical procedure. After which it will be further discussed and you will be given a written informed consent document to carefully read and later sign after all of your questions have been answered to your satisfaction.  Diagrams, models and animations are available to explain selected procedures. If other imaging is required in your case you may be referred to the hospital for an MRI or CT scan.  In many cases of dental implant procedures an ICone CT scan is ordered where measurements can be made on the film to determine bone volume and quality. Occasionally, oral surgery can be performed on the same day as the consultation. However, the use of intravenous sedation where a nothing by mouth status is imperative, complex medical history or a complex surgical treatment plan will require an evaluation and a second appointment to provide treatment on another day.  If hospitalization is required, then appropriate arrangements must be made and a date selected for admission usually as an outpatient.

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

  • Your surgical referral slip and any X-rays if applicable.
  • A list of medications you are presently taking.
  • Names, addresses and telephone numbers of your Primary Care Physician and Dentist or referring doctor.
  • If you have medical or dental insurance, bring the necessary completed forms. This will save time and allow us to help you process any claims.

Important:  All patients under the age of 18 must be accompanied by a parent or guardian at the consultation and surgical appointments.

If the procedure of intravenous sedation is to be performed you will be provided by our staff with a definitive list of instructions regarding the steps for you to take prior to the anesthesia.  A preoperative consultation and physical examination is mandatory for patients undergoing intravenous anesthesia for oral surgery. In some rare instances blood studies will be necessary. It is essential that you have nothing to eat or drink eight (8) hours prior to your surgery. If you are given preoperative medications to take before anesthesia and oral surgery make sure that you follow the directions by Dr. Catone and on the prescription labels.  You will also need an adult escort to drive you home after the procedure.

Please alert the office if you have a medical condition that may be of concern prior to surgery for example: diabetes, high blood pressure, artificial heart valves and joints, significant heart murmur, rheumatic fever, etc.) or if your are currently taking any medications such as the use of bisphosphonate medications to treat osteoporosis or osteopenia, heart and blood pressure medications, aspirin, Plavix, Coumadin, etc.

X-Rays

If your dentist or physician 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 to our office on your first appointment.  If additional films are necessary, they can be taken at our office or an external X-ray facility.

CT Scans

When appropriate our practice utilizes state-of-the-art, full cranial cone-beam CT (computed tomography) that provides highly accurate three dimensional images for the diagnosis, planning and treatment of oral surgery.  This technology provides full facial skeletal three dimensional images for the diagnosis, planning and treatment in cases of orthognathic jaw surgery, bone volume and quality analysis for dental implant placement, and implant guide construction, TMJ analysis, airway assessment, and other dentoalveolar procedures.  Undistorted, anatomically correct views of the jaws, teeth and facial bones along with cross-sectional (bucco-lingual), axial, coronal, sagittal, cephalometric and panoramic views are easily generated.  Three-dimensional images enable a level of anatomical accuracy and patient care not possible with flat, two-dimensional technologies.