Welcome to Aspen Surgical Arts
Insurance and Billing
At Aspen Oral and Facial Surgical Arts, we find it important to make the oral surgery experience as simple and cost effective as possible for our patients. For this reason, we are network providers for an extensive list of insurance companies. As convenience, we are happy to bill your insurance company on your behalf, as well as submit any necessary pre-certification forms.
During your consultation, a treatment plan will be created for you and all fees will be discussed with you prior to scheduling your surgical appointment. Please keep in mind, the amount given is only an estimate and is subject to change. Any changes in insurance fee schedules, discrepancies in benefits already paid by your insurance for the current year, or refusal by your insurance company to pay on a claim for any reason, can affect the total due. Therefore, should the final total be different from the original estimated portion, you will be billed for or refunded the difference.
For your convenience, we are pleased to accept cash, check, or VISA/MC/Discover. As an added benefit to our patients, we offer the CareCredit card, North America's leading patient payment program. CareCredit allows you to begin treatment immediately then pay for it over time with low monthly payments that fit easily into your budget. CareCredit offers a full range of no Interest and extended payment plans for treatment fees from $1 to over $25,000. For more details or to apply, please see our staff.
Should you have any questions regarding your account, please call the office in which your services were provided. Our knowledgeable staff members would be happy to answer any questions you have.
Your first appointment with Dr. Plevnia, Dr. Escalante, or Dr. Januzzi will be a consultation appointment unless otherwise specified. During this appointment your oral surgeon will review your health history, including all known health concerns, current medications and allergies to assess any potential surgical risks. Your oral surgeon will then discuss with you what procedure(s) would need to be completed based on the recommendations of your referring dentist and examination of your x-ray. We will also discuss your anesthesia/sedation options, the risks involved with any surgery as well as any that may be specific to your case, and what should be done in preparation for your surgery. Our front office personnel will prepare a treatment plan listing all planned procedures and will go over with you your estimated portion.
In order to better facilitate your visit, please provide the following information upon arrival for your consultation:
All patients under the age of 18 must be accompanied by a parent or legal guardian
Our office is open Monday through Thursday 8 am to 5 pm and Friday 8 am to 2 pm. We will do our best to schedule your appointment in a timely manner. If you are experiencing severe pain, please see your general dentist immediately. If your dentist determines your situation to be an emergency, your dental office should contact us directly to schedule a same-day emergency.
We make every attempt to remain on schedule to minimize your wait time. However, please understand that because surgical services are being performed in our offices, certain circumstances may arise that can create delays in our schedule. We apologize for any extended wait times you may experience, and we appreciate your patience and understanding in this matter.
If you should need to reschedule or cancel an appointment, please do so no later than 48 hours in advance if at all possible. By providing us this courtesy, you are allowing us to give your originally scheduled appointment time to another patient waiting to be seen, and this consideration is greatly appreciated by us and our patients. Again, we do our best to schedule our patients as promptly as possible, and notifying us as quickly as possible of schedule changes greatly assists us in doing so.
This form, Notice of Privacy Practices, presents the information that federal law requires us to give our patients regarding our privacy practices.
Click here to read the notice.
This notice is a pdf document which requires the Adobe Reader software. You most likely already have this software on your computer. However, if you have difficulty reading the notice, please click here to install Acrobat Reader.
Important Instructions Regarding Your Anesthesia
You will always be given local anesthesia (made numb) for your surgery. Your surgeon will discuss with you the appropriate supplemental anesthesia for your procedure. Each requires different preparation on your part and, for your safety, it is important that you read and follow the instructions carefully. If you are unclear about any of these directions, please ask your doctor for clarification.
1. Have a light meal a few hours prior to surgery.
2. For more extensive procedures you may want to have someone drive you home.
3. Plan to rest for a few hours after the surgery.
1. Take the prescribed medication as directed before the surgery.
2. Have a light meal a few hours prior to surgery, unless you are having an I.V. anesthetic. (See anesthesia below.)
3. You must have someone to transport you to and/or drive home.
4. Rest for the remainder of the day. Do not drive, or operate power tools, machinery, etc., or plan to work or make business decisions while under the influence of sedation.
1. Have a light meal a few hours prior to surgery, unless you are also having an I.V. anesthetic. (See IV Anesthesia below)
2. Because nitrous oxide may have lasting effects, we strongly suggest that a driver take you home after surgery. If not, you will be required to wait in the office until fully recovered from the effects of nitrous oxide.
3. Plan to rest for the remainder of the day.
1. Nothing to eat or drink, including water, for eight (8) hours prior to surgery. TO DO OTHERWISE MAY BE LIFE-THREATENING ! It is still important that you take any regular medications (high blood pressure, antibiotics, etc.) or any prescription that we may have provided, using only small sips of water.
2. Please wear shirt/blouse with sleeves that are easily drawn up above the elbow.
3. For morning appointments, skip breakfast.
4. For afternoon sedation appointments, it is important to eat a light breakfast eight (8) hours before your appointment; and then skip lunch.
5. You must have a driver take you home after surgery.
6. Rest for the remainder of the day. Do not drive, or operate power tools, machinery, etc., or plan to work or make business decisions while under the influence of sedation.
7. Please refrain from wearing contacts, makeup and wear closed toe shoes.
If you prefer to listen to your own music during the procedure, you may bring a music player with mini-earphones. Our goal is to provide you with a safe, pleasant and effective anesthesia. In order to do this, it is imperative that we have your full cooperation. Please feel free to call us with any questions concerning your surgery or anesthetic.
Post Operative Instructions for extractions, wisdom teeth removal or biopsy
Sometimes the after-effects of oral surgery are quite minimal, so not all of the instructions below may apply.
Common sense will often dictate what you should do. However, when in doubt follow these guidelines or call our office for clarification.
Day of Surgery:
First Hour: Bite down firmly on the gauze packs that have been placed over the surgical areas, making sure they remain in place. Do not change them for the first hour unless the bleeding is not controlled. The packs may be gently removed after one hour. If active bleeding persists, place enough gauze to obtain pressure over the surgical site for an additional 30 minutes. The gauze may then be changed as necessary (typically every 30 to 45 minutes). It is best to moisten the gauze with tap water and loosely fluff for more comfortable positioning.
Do not disturb the surgical area today. Do not rinse vigorously or probe the area with any objects. You may brush your teeth gently. Please do not smoke for at least one week, since this is very detrimental to healing and may cause a dry socket.
Oozing: Intermittent bleeding or oozing overnight is normal. It may be controlled by placing fresh gauze over the areas and gently biting on them for 30 minutes at a time. Remove gauze while eating or sleeping.
Bleeding should never be severe. If so, it usually means that the packs are being clenched between teeth only and are not exerting pressure on the surgical area. Try repositioning the packs. If bleeding persists or becomes heavy you may substitute a tea bag (soaked in very hot water, squeezed damp dry and wrapped in a moist gauze) for twenty to thirty minutes. If bleeding remains uncontrolled, please call our office.
Swelling: Swelling is often associated with oral surgery. If often increases for the first 2–3 days.
It can be minimized by using a cold pack, ice bag or a bag of frozen peas wrapped in a towel and applied firmly to the cheek adjacent to the surgical area. This should be applied twenty minutes on and twenty minutes off during the first 24 hours after surgery. If you have been prescribed medicine for the control of swelling, be sure to
take it as directed.
Pain: Oral surgery is accompanied by some degree of discomfort. You will usually have a prescription for pain medication. If you take the first pill before the anesthetic has worn off you will be able to manage the discomfort better. Some patients find that pain medicine may cause nausea but if you precede each pain pill with a small amount of food, chances for nausea are reduced. The effects of pain medication vary widely among individuals.
If you do not achieve adequate relief at first, you may supplement each pain pill with an analgesic such as ibuprofen or naproxen. Some patients may even require two of the pain pills at one time. Remember that the most severe pain is usually within six hours after the local anesthetic wears off; after that your need for medication often lessens. Do not drive or operate dangerous equipment if taking a narcotic pain medication.
Nausea sometimes occurs after surgery. Sometimes pain medications are the cause. This can be reduced by preceding each pain pill with a small amount of soft food, and taking the medicine with a large volume of water. Try to keep taking clear fluids and minimize dosing of the pain medication, but call us if you do not feel better.
Eat any soft, nourishing food that can be taken with comfort. Avoid extremely hot foods. Do not use a straw for the first few days after surgery. It is often advisable, but not absolutely required, to confine the first day’s intake to liquids or pureed foods (soups, puddings, yogurt, milk shakes, etc.). It is best to avoid foods like nuts, sunflower seeds, popcorn, etc., that may get lodged in the socket areas. Over the next several days you may gradually progress to solid foods. It is important not to skip meals! If you take nourishment regularly you will feel better, gain strength, have less discomfort and heal faster. If you are a diabetic, maintain your normal eating habits or follow instructions given by your doctor.
If you feel something hard or sharp (in the surgical areas) with your tongue, it is likely you are feeling the bony walls which once supported the extracted teeth. Occasionally small slivers of bone may work themselves out during the following week or so. They are not pieces of teeth that were left in. If they cause concern or discomfort,
please call the office.
Instructions for the Second and Third Days:
Keeping your mouth clean after surgery is essential. Use 1⁄4 teaspoon of salt dissolved
in an 8 ounce glass of warm water and gently rinse with portions of the solution, taking five minutes to use the entire glassful. It is advisable to rinse after every meal.
Begin your normal oral hygiene routine as soon as possible after surgery. Soreness and
swelling may not permit vigorous brushing, but please make every effort to clean your teeth within the bounds of comfort. Do not use electric toothbrushes for the first week after surgery.
After 48 Hours, you may apply warm compresses to the skin over the areas of swelling
(hot water bottle, hot moist towels, heating pad) for twenty minutes on and twenty minutes off to help soothe tender areas. This will also help to decrease swelling and stiffness.
Normal healing after wisdom tooth surgery should be as follows: The first two to three days after surgery are generally the most uncomfortable and there is usually some degree of swelling. By the fourth day you should be more comfortable and, although still swollen, can usually begin a more substantial diet. The remainder of the postoperative course should be gradual, steady improvement. If you don’t see continued improvement, please call our office during business hours so we can assist you. If you are given a plastic irrigating syringe, Do Not use it for the first five days; then use it daily according to instructions until you are certain that the tooth socket has closed completely and there is no chance of any food particles lodging in the socket. It is our desire that your recovery be as smooth and pleasant as possible.
Following these instructions will assist you, but if you have questions about your progress, please call the office at 303‑840‑2300. Hours are Monday through Friday from 8 to 5 (8 to 2 on Friday), and a 24-hour answering service is available to contact the doctor on call after hours. Calling during office hours will afford a faster response to your question or concern.
Please Note: Telephone calls for narcotic (pain killer) prescription renewal are only accepted during office hours
Post Operative Instructions for Implant Placement or Implant Uncovering.
DAY OF SURGERY:
To help stop bleeding place a piece of moist gauze, folded in fourths over the areas where the implants were placed. Apply firm but gentle pressure to the gauze by biting down on it. Try to leave the gauze in place for 45 minutes to one hour at a time before changing it. If bleeding persists for more than three to four hours, try biting on a tea bag steeped in warm water.
Begin eating soft foods that require little chewing. If implants were only placed on one side of the mouth, use the other side for chewing. As chewing becomes more comfortable for you, gradually return to your normal diet. Avoid drinking from straws, chewing on sticky foods, heavy swishing or spitting, using water picks or electric toothbrushes, for the first week.
DO NOT SMOKE for at least four weeks following surgery.
We recommend that you STOP SMOKING COMPLETELY.
ONE DAY AFTER SURGERY:
Begin warm salt-water rinses three to four times a day for one week. Mix ¼ teaspoon salt in 8 ounces of warm water. Hold a mouthful over the implant site for 30 seconds then allow the water to fall from mouth. Repeat until 8 ounces is gone. It is important to rinse with the salt water first thing in the morning and at night. You may use any mouthwash that you normally use.
If you have questions or concerns, do not hesitate to call the office at 303-840-2300. Hours are Monday through Thursday 8AM to 5PM, Fridays 8AM to 2PM and 24 hour answering service is available to contact the doctor on call.
Please Note: Telephone calls for narcotic (pain killer) prescription renewal are only accepted during office hours
Aspen Surgical Arts is led by highly trained, board certified surgeons who specialize in the most advanced methods for oral and facial surgery: Julia R. Plevnia DDS Daniel Escalante DMD and Jeremy R. Jannuzzi, DMD, MD
19700 E. Parker Sq. Dr.
Parker, CO 80134
Tel: (303) 840-2300
Under the guidance of The Americans with Disabilities Act, individuals with disabilities having difficulties accessing this website, please click here.
© 2018 Aspen Surgical Arts