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McLean Office: 703.388.2805
Reston Office: 571.595.3223
Leesburg Office: 703.723.5366
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Before Your Oral Procedure


It’s crucial for patients to follow the pre-operative instructions from our oral surgeons. Here are some general pre-operative instructions, though specific recommendations can vary based on the procedure and your individual needs:

Fasting: Typically, patients are advised not to eat or drink anything (including water) for 6 to 12 hours before surgery, especially if general anesthesia or IV sedation will be used.

Medications: Inform your surgeon of all medications and supplements you take. They might instruct you on which ones to continue, which to stop, or if any dosages should be adjusted.

No Smoking: Refrain from smoking for at least 12 hours before surgery. Smoking can interfere with the surgical process and healing afterward.

Clothing: Wear loose-fitting and comfortable clothes. Avoid wearing jewelry, contact lenses, nail polish, or any other accessories.

Oral Hygiene: Brush and floss your teeth before coming in for surgery to reduce the risk of infection.

Transportation: Arrange for someone to drive you to and from the appointment, especially if you will be sedated.

Avoid Alcohol: Do not drink alcohol for at least 24 hours before your procedure.

Discuss Illness: If you become ill (e.g., cold, flu, or fever) shortly before your surgery, notify the oral surgeon. It may be necessary to reschedule.

Stay Calm: It’s natural to feel anxious. Consider relaxation techniques, like deep breathing or meditation, to calm pre-surgery jitters.

Inform about Allergies: Make sure the surgeon is aware of any allergies you have, especially to medications or anesthesia.

No Nail Polish or Acrylic Nails: This allows the surgical team to easily monitor your blood circulation during the procedure.e

Be sure to ask about anything else you may have questions about before your procedure. It’s crucial to follow our recommendations closely to ensure the best possible surgical outcome and recovery.

If you have any questions about what to do before your procedure, don’t hesitate to contact Virginia Advanced Surgical Arts for the answers you need. You can call our McLean office at (703) 388-2805, Reston office at (571) 595-3223, or Leesburg office at (703) 723-5366 for any immediate needs.

Meet Doctor

Craig Vigliante, MD, DMD

Dr. Vigliante became interested in oral surgery after having double jaw surgery for his open bite. Since then, he’s dedicated himself to showing his patients the highest level of care possible. He’s certified by the American Board of Oral and Maxillofacial Surgeons and holds medical and dental licenses in Virginia. 

What Our Patients Say


“I felt welcomed and valued from the second I walked in the door to the moment I left. Every person I interacted with- from the front desk staff, to the surgical assistants, and even the doctor himself- was kind, informative, and helpful. I had my wisdom teeth removed on Friday and was back to work with only a mild and easily manageable headache on Monday. They gave clear instructions on how to prevent infection and dry socket, and even called to check up on me the day of and week after my procedure! I strongly recommend this office to anyone who is searching for the services they offer.

Jacquelyn Candito


“Everyone was super nice, friendly, and courteous. The office is clean and modern. Everyone was professional and seemed pretty organized. I got to watch Netflix laying down while I waited as well. The staff was nice enough to even switch it to a show I recommended!! Also, there are snacks and drinks available for your drivers waiting on you. As someone who is wary of going to the dentist, it was a great experience and I’d recommend this place! Cute valentines day decorations when I was there too!”

Amy Vu

Experienced Oral Surgeons Serving the DC Metro Area


Dr. Vigliante, Dr. Gocke, Dr. McAdams, and Dr. Thomas are board-certified oral and maxillofacial surgeons thoroughly qualified to perform complex restorative surgical procedures, no matter the circumstance, for patients in Northern Virginia and Maryland. Their experience and training have given them an unmatched skill set balanced between art and science. You can be confident in choosing Virginia Advanced Surgical Arts for your oral surgery needs.