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May 12, 2026

What to Expect During Your Pre-Operative Oral Surgery Assessment

Preparing for oral surgery can feel overwhelming, especially when you are not sure what to expect before the procedure even begins. A pre-operative assessment is an evaluation your oral surgeon conducts to understand your health history, review diagnostic imaging, and determine the safest course of care for you. Far from being a routine formality, this appointment is one of the most important steps in your surgical journey because it directly shapes how your procedure is planned and performed and puts your mind at ease.

At Legacy Oral Surgery Group, we believe an informed patient is a confident patient. Our team, led by Dr. Nancy Herbst, draws on more than 35 years of combined professional experience to ensure that every pre-operative assessment is thorough, personalized, and centered on your comfort. Serving patients across our Union City, Elizabeth, and Staten Island locations, we see over 7,000 patients per year, bringing deep clinical expertise to each consultation.

What Happens at a Pre-Operative Assessment

Your pre-operative visit is designed to give your oral surgeon a complete picture of your health before any procedure takes place. This is not simply a meet-and-greet. It is a detailed clinical evaluation that gathers everything your care team needs to proceed with oral surgery safely and effectively.

A Review of Your Medical History

The assessment begins with a thorough review of your medical history. You will be asked about any pre-existing conditions, current medications, allergies, and prior surgeries. It is essential to be as complete and honest as possible during this step. Conditions like diabetes, heart disease, or a history of bleeding disorders can all influence how your procedure is managed and what anesthetic approach is most appropriate. 

According to the American Association of Oral and Maxillofacial Surgeons, a thorough patient evaluation provides the basis for determining patient-specific surgical and anesthetic risk, which helps minimize complications while optimizing care.

Diagnostic Imaging and Physical Examination

After your medical history is reviewed, your oral surgeon will conduct a physical examination of your mouth, jaw, and surrounding areas. This often includes diagnostic imaging such as X-rays or a cone-beam CT scan, which gives our team a precise, three-dimensional view of the treatment area. These images help identify factors that could affect surgical access, proximity to nerves, and bone density. Our office uses state-of-the-art equipment and the latest digital imaging technology to ensure your surgical plan is based on the clearest possible data.

A Discussion of Your Anesthesia Options

One of the most important conversations during your pre-operative appointment involves anesthesia. Your oral surgeon will discuss options ranging from local anesthesia to general anesthesia in the office. Dr. Herbst is qualified to administer general anesthesia in our office setting, which sets us apart and allows us to handle more complex procedures with greater comfort for patients who need it. Your medical history, the nature of your procedure, and your personal preferences will all be considered when selecting the approach that is right for you.

The following are common topics covered during the anesthesia discussion:

  • Current medications you may be taking that may interact with sedation agents
  • Fasting instructions for the hours leading up to surgery
  • Any prior reactions to anesthesia or sedation
  • Whether a responsible adult will be available to drive you home after the procedure

We will walk you through everything in detail and answer any questions you may have, so there are no surprises on the day of your surgery.

Pre-Surgical Instructions and What to Prepare

Before leaving your pre-operative appointment, you will receive clear instructions to follow in the days and hours leading up to your procedure. These typically include dietary guidelines, medication adjustments, and personal hygiene recommendations. Following these instructions precisely is critical because doing so reduces the risk of complications and helps your body recover more quickly. Our patient resources are also available to help you feel prepared every step of the way.

Schedule Your Pre-Operative Assessment at Legacy Oral Surgery Group

Understanding what lies ahead in your upcoming oral surgery procedure is a powerful way to ease anxiety, and our team is committed to making every stage of your care as smooth and transparent as possible. Whether you are preparing for wisdom teeth removal, dental implants, or another procedure, we are here for you before, during, and after your surgical experience.

With Dr. Herbst’s more than 25 years of oral and maxillofacial surgical practice and a team built on compassionate, patient-centered care, Legacy Oral Surgery Group is equipped to guide you with confidence. Our office staff is also available to help you navigate insurance coverage and paperwork so that your focus stays on your health and recovery. To get started, contact us today to schedule your pre-operative consultation.

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