Patient Corner

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Pre and Post operative instructions

Our team has put together pre and post-surgery instructions for our patients. If you’re undergoing IV sedation for one of your procedures, please make sure to follow our indications.

VIP Patient Experience

An outstanding patient experience, where patient success is our highest priority.

Why choose Main St. Oral and Facial Surgery?

Surgical excellence and expertise

Unique VIP patient experience

Communication and connection with our patients

Team Approach & friendly staff


Our surgeons- Dr. Jaspal Girn and Dr. Nayeem Esmail - and team are highly trained, experienced and licensed to administer various types of anesthesia in a safe and comfortable manner to our patients.

Dr. Nayeem Esmail and Dr. Jaspal Girn will present you with an anesthesia option that is the most appropriate for your needs. The selection of anesthesia techniques is usually determined by the level of patient anxiety and complexity of the surgery. Both options presented will control pain, and will make the surgery very comfortable.

Local Anesthesia

As its name implies, local anesthesia removes sensation in a local part of the body. This is the most usual freezing used by dentists. The patient remains conscious during the procedure, but will not feel any pain or discomfort.

Intravenous Sedation
(IV Sedation)

IV sedation is the most widely used form of anesthesia for wisdom teeth removal surgery. With IV sedation the patient enters a sleep-like state, while still being conscious the patient is unaware of the procedure as it occurs.


Your dentist has referred you to our practice for a procedure. You might be asking yourself, what is the difference between my dentists and an Oral & maxillofacial Surgeon?

Oral and Maxillofacial surgeons have advanced education, training, and expertise in areas of oral health, including surgical. While dentists are trained to perform many treatments, Oral and Maxillofacial Surgeons deliver highly specialized and many times more complex procedures.Dental implants, wisdom tooth extraction, jaw surgery, full-mouth rehabilitation, bone grafting…these are but a few areas an OMS is expertly trained in and why your dentist may have referred you to one.

Our team of Oral & Maxillofacial surgeons; Dr. Nayeem Esmail and Dr. Jaspal Girn will be happy to meet you and discuss treatment options.

The short answer is yes, you do need to replace your missing tooth. Having a missing tooth in your mouth can compromise the integrity of your smile, it can cause misalignment of teeth, and bone around the area can resorb. Patients with missing teeth are more susceptible to developing gum disease. At Main Oral & Facial Surgery, we offer dental implant treatment to replace any missing teeth. Dental implants closely resemble natural teeth, and with proper oral health hygiene, they can last a lifetime.

Learn more about dental implants

Once your doctor has indicated that you have healed enough, you can brush and floss your dental implants just like you would your natural teeth. Be sure to see your family dentist regularly to help ensure your implants last a very long time.

The best time to remove wisdom teeth, is when the roots are not fully formed and extraction risks are much lower. Ideally, this is between the ages of 14-20 years old, or before wisdom teeth can create any further issues such as infection, cavities or when these are impacted.

Learn more about wisdom teeth removal surgery

Learn more about our highly-trained and welcoming team

Dr. Esmail & Dr. Girn and their team provide the highest quality oral surgery care for patients of all ages with optimal comfort in mind.