Following Root Canal Therapy

Your root canal has now been completed.  The canals have been cleaned and sealed.  Your body must now have time to repair the tooth and it's surrounding area.

It is normal for the tooth to be very sore for the first few days, and it  may remain sensitive to biting pressure for up to six weeks.  Three Advil (600 mg total) every four hours will usually relieve the soreness.  If the discomfort is more severe, please let us know so that we may prescribe an appropriate medication.  If pain persists or increases, or swelling develops, please contact the office.

Antibiotics are generally not required following root canal therapy.  Your doctor will prescribe them when indicated.

Do not chew on the tooth until all tenderness is gone.

If the treated tooth hurts when you close your teeth together, keep a spacer such as a cotton roll or piece of gauze between your teeth, on the opposite side.  This will prevent you from bumping the sore tooth, and allow it to heal.  

A temporary has been placed in your tooth.  You should now return to your dentist, who will place the appropriate final restoration.  Do not chew on your treated tooth until it has been properly restored by your general dentist.  There is a high risk of fracturing the tooth.

Please phone us to schedule a 6 month recall appointment.

DIRECTIONS FOR PAIN MANAGEMENT

For Mild to Moderate Discomfort:

Take 600 mg. of Ibuprofen (Motrin, Advil, etc.) every 4 hours.  Take this medicine at exactly 4 hour intervals.

For Moderate to Severe Pain:

  • For severe pain, begin with 600 mg. Ibuprofen.

  • Two (2) hours later take one Vicoden E.S. 
    (or two (2)  Tylenol #3)

  • Two hours later take another 600 mg. Ibuprofen.

  • Two hours later take another Vicoden E.S. 
    (or two (2)  Tylenol #3)

  • Continue this alternating shedule of one medication every two (2) hours.

  • NEVER exceed any 1 medication sooner than every four (4) hours.

  • You may discontinue the medication as discomfort decreases

  • If you experience any reaction from the medications which appear to be abnormal, stop the medication and give our office a call.

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Following an Extraction

  1. Bleeding: 
    A certain amount of bleeding is to be expected following the   extraction of a tooth.  Maintain pressure on the initial gauze placed over your wound for thirty minutes.  If bleeding occurs after you return home, place a moistened tea bag directly over the socket for at least 10 minutes, holding it in place with moderate biting pressure.  If bleeding continues, repeat.  Do not smoke for 24 hours.  Forceful spitting and excessive physical activity tend to increase and prolong bleeding.  Resting in a semi-reclining position for the first few hours is highly recommended.

  2. Pain:
    Take your pain medication as directed.

  3. Rinsing:
    DO NOT RINSE your mouth for 24 hours following extraction.  It is important to avoid rinsing the blood clot away from the extraction site.  After 24 hours you may rinse with salt water 4 or 5 times a day for several days (1/2 teaspoon salt to a glass of warm water).  After 24 hours you may gently brush your teeth, avoiding the extraction site for several days.

  4. Swelling:
    To help minimize ordinary postoperative selling, apply an ice pack to the face over the area of the extracted tooth for a least 8 hours.  Place the ice pack on for twenty minutes, followed by a twenty minute break, and repeat.

  5. Diet:
    It is important to maintain a good diet and remain well hydrated following your extraction.  A liquid to soft diet is advisable for the first two (2) days.  This includes such things as applesauce, soup, pudding, Jell-O, spaghetti, ice cream, malts, etc.  You should drink at least 8 glasses of liquid per day.

  6. Unusual Complications:
    Feel free to contact us if any concerns arise regarding your recovery.

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Following a Surgical Procedure

  1. Avoid strenuous activity for the remainder of the day.  Smoking and alcohol consumption should be avoided for three days.

  2. For the first 48 hours eat soft foods only and drink lots of fluids.  In addition to fruit juices, soups and other soft foods, liquid food supplements are recommended. (Example: Sego, Slender, SlimFast, etc.)

  3. Avoid facial manipulation as much as possible.  Do not raise the lip or retract the cheeks to inspect the surgical site as you may dislodge the sutures (stitches).

  4. Some oozing of blood from the surgical site is normal during the day and evening of the surgery.  Swelling and discoloration (bruising) sometimes follows surgery.  To minimize this, apply an ice bag alternately 20 minutes on, 20 minutes off, for 6 to 8 hours following the surgery.

  5. Do not brush in the operated area for 5 days.

  6. Take all medications as directed.

  7. You will be instructed as to whether your sutures will dissolve on their own or if you should return to our office for suture removal.

  8. Rinse with one tablespoon of chlorhexidine (Peridex) mouthwash twice each day for 7 days following surgery.

  9. Should any complications arise, please do not hesitate to call.

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Your Tooth is Open to Drain

Brush your teeth normally but avoid chewing on the open tooth until your next appointment.

To keep it clean, rinse vigorously with warm water after eating.

If medication has been prescribed, take as directed.

If you have any questions or concerns please feel free to contact our office at any time.

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Following a Pulpotomy

A small incision has been made in the tissue over your tooth to allow drainage of infection.

You may experience some bleeding for the next few hours.

Avoid heat or warm packs on the outside of your face.

Use warm water rinses (1 glass of water with ½ teaspoon of salt) every 2 hours as needed.

If medications are prescribed, take as directed.

If you have any questions or concerns please feel free to contact our office at any time.

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Incision and Drainage

A small incision has been made in the tissue over your tooth to allow drainage of infection.

You may experience some bleeding for the next few hours.

Avoid heat or warm packs on the outside of your face.

Use warm water rinses (1 glass of water with ½ teaspoon of salt) every 2 hours as needed.

If medications are prescribed, take as directed.

If you have any questions or concerns please feel free to contact our office at any time.

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