Wisdom teeth removal is a common oral surgery that typically uses intravenous (IV) sedation or general anesthesia for comfort and pain management. Patients receive strict pre-operative instructions regarding attire, grooming, and diet. Specific protocols must be followed because sedation suppresses the body’s natural reflexes. These preparation steps ensure patient safety and allow the surgical team to accurately monitor the patient’s physiological state during the procedure.
Deodorant, Makeup, and Monitoring Concerns
Wearing deodorant before wisdom teeth removal is generally acceptable, unlike many other cosmetic products. Since deodorant is applied externally, it does not interfere with the sterile field or the specialized monitoring equipment used during surgery. Patients should still confirm with their specific oral surgeon, as clinic policies can vary, but deodorant is rarely prohibited.
Restrictions are placed on other substances that can obscure or interfere with the medical team’s ability to track vital signs. For instance, nail polish and artificial nails must be removed from at least one finger before surgery. This is because the pulse oximeter, which measures blood oxygen saturation, works by shining a light through the tissue. Opaque colors or thick acrylics can block this light, leading to inaccurate readings of oxygen levels.
Heavy foundation, tinted moisturizers, or excessive makeup are also discouraged or prohibited. The medical team relies on the patient’s natural skin tone, especially around the face, to visually assess circulation and pallor. Thick cosmetic layers can mask subtle changes in skin color, which may indicate a circulatory or oxygenation issue. Additionally, metal jewelry, particularly piercings around the head and neck, must be removed to prevent a safety hazard if electrical equipment is used.
Essential Pre-Procedure Safety Rules
The most important instruction for patients undergoing sedation is the fasting requirement, known as NPO (nil per os). Patients must not eat or drink anything, including water, gum, or mints, for six to eight hours before the appointment. This rule exists because sedation suppresses the body’s protective gag reflex.
If undigested food or liquid is in the stomach, vomiting while sedated could lead to pulmonary aspiration, where material is inhaled into the lungs. Aspiration can cause severe lung damage, infection, or airway obstruction. Patients should only take specific prescribed medications with a minimal sip of water, as instructed by their surgeon.
Due to the lingering effects of sedation, operating a vehicle or making important decisions is prohibited for 24 hours after the procedure. A responsible adult must accompany the patient to the office, remain during the surgery, and drive the patient home. This driver should also be prepared to stay with the patient for several hours afterward to assist with initial recovery. Patients should wear comfortable, loose-fitting clothes, preferably a short-sleeved shirt, to allow easy access for IV placement and monitoring equipment.