Before Your Consultation
No premedication is needed for consultations. Please do not take any pain medications before your appointment, as it may mask your symptoms and make diagnosis more difficult.
Before Endodontic Treatment
Your procedure will be done with local anesthesia for your comfort. There are typically no restrictions on driving or returning to normal activities after treatment. If you have been prescribed a sedative for your procedure, you will need to arrange a ride home from our office.
Continue taking all of the medications prescribed to you by your physician. If your treatment is surgical in nature, please tell your endodontist prior to your procedure about any bone density medications or blood thinners, including Aspirin, that you may be taking.
If your dentist or doctor has advised you to pre-medicate with an antibiotic before undergoing dental treatment, please be sure you taken your prescribed antibiotic on the day of your appointment.
Please eat full meals on the day of your appointment. Dress comfortably. You may take the recommended dose of either ibuprofen or naproxen sodium 2-4 hours before your appointment to reduce inflammation after the procedure.
Appointments typically take about two hours. Please allow yourself adequate time to prepare and recover before and after treatment.
Feel free to call our office with any questions you have before your appointment.
After Non-Surgical Endodontic Treatment
While you can usually expect to return to your normal activities shortly after endodontic treatment, you can expect your gums to be sore for the next several days or weeks. Pain is usually managed with over-the-counter analgesics like Advil and Tylenol. We typically recommend 600mg of Advil taken every six hours. These medications can be taken together, but you should not take Tylenol with prescription pain medications, which often contain it already. Do not exceed the maximum dose of 2400mg of ibuprofen or 3000mg of acetaminophen in a 24 hour period.
Rinse your mouth several times a day with a warm water and salt solution to aid the healing process.
Ice packs can be used to reduce swelling, but please do not use a heating pad on your face, as this may have the opposite effect.
After your endodontic treatment, there will be a temporary filling in your tooth. You will need to schedule an appointment with your general dentist within three weeks for a permanent restoration of the tooth. We will work with you and your dentist to coordinate this care. Until you have a permanent crown in place, avoid chewing on the affected tooth.
If you experience serious pain or swelling after your treatment, please call our office as soon as possible.
After Surgical Treatment
Avoid excessive talking or moving of your mouth immediately after surgery, as it may irritate the surgical site. Refrain from strenuous activity, if possible. Smoking will significantly slow your healing, so we recommend avoiding it until the healing process is complete.
Rinse your mouth several times a day with a rinse made of warm water and ½ tsp salt. If you have been prescribed a mouthwash, use it as directed by your physician.
It is normal for the operation site to bleed lightly for several hours after your procedure. If the bleeding continues, try to stem it with gauze or a clean towel held against the site of the bleeding. If the bleeding is heavy or will not stop, call our office or seek emergency medical treatment.
Pain is typically managed with 600mg of Advil taken every six hours. You may substitute other over-the-counter analgesics as necessary. Your doctor may also choose to prescribe pain medication. Prescription pain medications often contain acetaminophen, so they should not be taken with Tylenol.
Swelling is to be expected after the procedure. Use an ice pack for about six hours after the procedure. Use it on and off in twenty minute increments, as leaving it on continuously may increase bleeding. Do not continue using the ice pack after the day of your surgery. Over-the-counter analgesics like Advil will also reduce swelling.
While infection is uncommon, it can happen. If you experience a fever, chills, or increased redness, swelling, and pain near the surgical site, contact our office immediately. Continue rinsing your mouth with warm saltwater or prescription mouthwash until you can be seen. Take any antibiotics exactly as prescribed.
Take particularly care when brushing your teeth in the first 48 hours following your surgery. Be sure your brush only the actual teeth near the surgical area. It is important that the bristles not contact the gum tissue to avoid irritation or infection.
Eat a soft diet including plenty of fluids for the two days after your surgery. Be sure to eat nutritious foods, as having sufficient vitamins and minerals affects post-surgical healing.
You are welcome to call our office if you have any questions or concerns.