Post-Operative Care

AftercareFollowing Root Canal Therapy

What to expect

  1. It is not uncommon for a tooth to be uncomfortable or even experience a dull ache Immediately after receiving root canal therapy. This should subside within one week.

  2. Your tooth will be sensitive to biting pressure and may even appear to feel loose. This feeling is a result of the sensitivity of nerve endings in the tissue just outside the end of the root where we cleaned, irrigated, and placed filler and sealer material.

  3. You may feel a depression or rough area (on the top of a back tooth, or the back of a front tooth). There is a soft, temporary material in that area, this may wear away to some degree before your next visit.

What to do

  1. We recommend you take something for pain relief within one hour of leaving the office To get the medication into your bloodstream before the anesthesia begins to wear off. Usually, only one dose is needed. We recommend Ibuprofen (Advil or Motrin), 600 mg (three tablets). If you have a medical condition, allergy, or gastrointestinal disorder which does not allow you to take this type of medication, Tylenol may be used as a substitute. Please be aware that Tylenol does not contain anti-inflammatory properties so it might not work as well. Aspirin and Aspirin containing products are not advisable, as they tend to increase bleeding from the area that was treated.

  2. Please try to chew on the opposite side from the tooth which has just been treated, as much as possible. In approximately 2-3 weeks impressions will be taken for a crown on that tooth. Until that time, your tooth is weak and could fracture.

  3. Please avoid chewing gum, caramels, or other soft sticky candy which could dislodge the temporary material or fracture the tooth.

Please call us if...

  1. You are experiencing symptoms more intense or of longer duration than those described above.
  2. You encounter a significant amount of swelling.
  3. The temporary material is dislodged, feels loose, or feel "high" when biting.
  4. Your tooth fractures or breaks off.
  5. You have any questions at all.

After Care Following an Extraction

It is important to take care of your surgery site. Please follow these directions:

  1. Bite on gauze for 30 minutes to stop any bleeding. If bleeding continues, place another gauze and continue to apply pressure.

  2. For at least 24 hours do not:

    - Smoke
    - Drink through a straw
    - Drink alcohol, carbonated beverages, or hot liquids
    - Blow your nose
    - Spit excessively

    Any of these things may cause the blood clot over the surgery site to dislodge from the "socket." This will create a "dry socket" resulting in unnecessary pain. Should this happen, call the office as soon as possible.

  3. Do maintain a soft diet for the remainder of the day- things such as warm soup, pasta, ice cream, milk shakes (remember no straws), etc.

  4. If your pain, discomfort, or bleeding continues or worsens please call the office.

  5. If you were given medications, please take them according to the instructions. If you prefer, you may take tylenol or motrin, please do not take aspirin, as this will increase the bleeding.

  6. Tomorrow morning, start rinsing gently with warm salt water, using 1/4 teaspoon of salt to 1 cup of water every 3-4 hours for two days.

  7. Bony Edges - sometimes small sharp bone fragments may work up through the gums during healing. These are not roots. If they become annoying, you may call the office to have them removed.