Before Oral Sedation

For the benefit and safety of our patients, an initial exam and consultation visit is required prior to scheduling a sedation and treatment visit.

Eating and Drinking  It is extremely important that patients have an empty stomach prior to oral sedation. For this reason, you are not to have anything to eat or drink for six (6) hours prior to your scheduled appointment. If you have a morning appointment, don’t eat or drink anything after midnight.

Change in Health  A change in health, especially the development of a cold or fever, is extremely important. Please notify Dr. Kubelka’s staff if you are not feeling well.  We will be happy to reschedule your treatment to a future date when you are feeling well again. 

Medications Prescription medications should be taken as scheduled with a sip of water unless otherwise directed by Dr. Kubelka. Please inform the doctor of all the medications you are currently taking and have taken within the last two weeks.

Clothing One the day of the surgery, it is suggested that you wear loose fitting clothing with a short sleeved top and comfortable shoes. We provide blankets if you need them.  We will be placing a pulse oximeter sensor on your right index (trigger) finger, so if you wear nail polish, we ask that you remove it on this one finger only.  Contact lenses must be removed prior to sedation. Leave all valuables at home.

Designated Driver A responsible adult (18 and over) must accompany any patients to the office and remain there during the procedure. Do not take a taxi or a bus. Arrange to have a responsible adult spend at least four (4) hours with you at home after your sedation.

After oral sedation

                                                   Post-Anesthesia Instructions for Patients

Pain or Fever  Drugs such as Tylenol, Advil, or Motrin are usually effective for mild pain and fever that may follow your surgery and anesthesia. If you have any concerns, call Dr. Michael J. Kubelka.

Nausea and Vomiting  Although nausea and vomiting does sometimes occur after anesthesia, it is usually limited to 1 or 2 episodes. If this condition persists, you may need a prescription medication. Please do not hesitate to call Dr. Kubelka if you think that you need medication for this condition.

Diet  Limit oral intake for the first hour after anesthesia to clear liquids only. This includes: water, sprite, apple juice, Gator-Aide, tea, etc.  If you tolerate clear liquids, you may resume your regular diet once you are able, unless otherwise directed by your doctor.

Activity  Do not drive or engage in moderate to high physical activity for at least 12 hours (preferably 24 hours) following your procedure. Do not drive or operate any hazardous machinery or equipment for 24 hours following your anesthetic.

                                                 Dr. Michael Kubelka may be reached at: 

                                               (cell) 918-856-7500 or (office) Tulsa Office Phone Number 918-494-4144

          INSTRUCTIONS FOR ADULT ACCOMPANYING the ORAL SEDATION PATIENT

You have been asked to accompany a patient who is to receive oral sedation for dental treatment.  Your role in safeguarding the well-being of this individual is extremely significant. As such, it is important that you follow these instructions carefully.  If you have any questions please call our dental office.

  1. Do not leave patient alone for at least 4 hours following the appointment.  Check on him/her often if he/she falls asleep or takes a nap.  Especially in the car, assure that the patients head is positioned so that he/she can breathe easily. 
  1. The sedative and other prescribed medications may cause drowsiness, lack of awareness, and coordination, and impair decision-making skills.  These effects may also be intensified by the use of alcohol, tranquilizers, sedatives, or other drugs.  Do not allow the patient to operate any vehicle or hazardous device until completely recovered from the effects of medications.
  1. The Patient should have clear liquids (e.g., diluted juice, Gatorade, water, etc.)  if he/she desires.  If he/she tolerates the clear liquids you can advance his/her diet as he/she desires.
  1. Nausea and vomiting do sometimes occur after oral sedation.  However it is usually self-limiting.
  1. Call the office (Tulsa Office Phone Number 918-494-4144) for the following reasons:

                A.   After 6 hours the patient still appears sleepy and lethargic.

                B.   Persistent vomiting occurs (it is not uncommon for vomiting to occur once or twice,

but not several times).

                C.   The patient is unable to consume liquids after 4 hours.

                D.    The patient is not making urine after 6 hours.

                E.    The patient has an oral temperature of 101 degrees F or greater.

                F.     If you have any other questions or concerns.

  1. Call 911 immediately if the patient:

                A.    Is unable to be awakened,

                B.    Has difficulty breathing,

                C.    Exhibits skin color changes indicative of lack of oxygen (e.g., bluing),

                D.    Has a seizure,

                E.    Or if you are concerned about the imminent safety of the patient.