As printed in the 2018 Newsletter for American Endodontic Society:
“Faster Than You Can Eat A Burger”
Do NOT eat anything until the anesthesia wears off, as you might bite your lips, cheek, or tongue and cause damage. You will probably have some discomfort when the anesthesia wears off; take your non-aspirin pain medication(s) as directed, whether it is prescribed or over-the-counter.
Medications: Please take Ibuprofen or Advil 800 mg (equal to 4 tabs of over-the-counter Ibuprofen or Advil) every 4-6 hours for the next 3-5 days. Please take it as instructed, whether the area hurts or does not hurt!!!
Do NOT exceed 2400 mg (12 tabs) in a 24 hour period!!!
AND/OR (You may alternate Ibuprofen and Tylenol pain medications for better pain coverage)
Please take Extra Strength Tylenol 1000 mg (equal to 2 tabs of over-the-counter Extra Strength Tylenol) every 4-6 hours for the next 3-5 days.
Please take it as instructed, whether the area hurts or does not hurt!!!
Do NOT exceed 4000 mg (8 tabs) in a 24 hour period!!! AVOID OVERDOSE! If and when you are taking Vicodin / Tylenol #3 / Percocet / Tramadol, please only take 1 tab of Extra Strength Tylenol.
You may have been given a prescription for a stronger pain reliever. This may be filled at any pharmacy if the over-the-counter pain medication does not relieve your discomfort.
An antibiotic may have been prescribed to prevent or minimize infection. Please take the antibiotics as instructed until all tablets / pills are finished.
Discomfort: Slight swelling of the operated area is not unusual. Even bruising and chapped lips may occur.
A reusable ice bag or a frozen vegetable bag, wrapped in a soft towel, may be applied to the area of surgery to help minimize the swelling of your face. Alternating 20 minutes on and 20 minutes off will usually be adequate during the first 24-48 hours after surgery.
Keeping your head elevated above your heart will also help. Most swelling can occur in the morning and up to 3 days after surgery. Avoid sleeping / laying on the side that surgery was performed.
Two days after surgery, moist heat will help resolve minor swelling. Major swelling should be reported to the doctor at once.
You may experience some tooth sensitivity after surgery, especially to cold.
Sensitivity usually decreases within several weeks after surgery and can be minimized by keeping the area as free of plaque as possible. If the sensitivity is extreme, contact the doctor for recommendations or medications to relieve the discomfort.
Bleeding: Minor bleeding, such as a pinkish tinge to your saliva, may occur during the first 48 hours following surgery. Avoid extremely hot foods for the rest of the day and do NOT rinse out your mouth, as these will often prolong the bleeding. If bleeding continues, apply light pressure to the area with a moistened gauze or moistened tea bag. Keep in place for 20-30 minutes without looking to see if bleeding has stopped. (NO PEEKING!) Do not spit or rinse forcefully. If bleeding increases or occurs past the initial 48 hours, please call our office as soon as possible to notify the doctor and receive further instructions. Avoid any strenuous physical activity for the next 2-3 days to prevent or minimize severe bleeding.
Eating / Diet: Please follow a soft food diet, taking care to avoid the surgical area(s) when chewing. Chew on the opposite side and do NOT bite into food if the procedure was done in the front of the mouth. Avoid sticky, hard (such as ice cubes, nuts, popcorn, chips), brittle, spicy, highly seasoned, or acidic foods in your diet. Foods such as soups, pasta, scrambled eggs, mashed potatoes, macaroni & cheese etc. are best. Be sure to maintain adequate nutrition and drink plenty of fluids.
Avoid alcohol (even beer and wine) and smoking until after your post-operative appointment.
Smoking is not advised during the 7-14 days following surgery.
Homecare: Maintain normal oral hygiene measures in the areas of your mouth not affected by the surgery. In areas where there is dressing, lightly brush only the biting surfaces of the teeth. After you have eaten or you have snacked, please use lukewarm salt water rinse 4-6X a day; 30 seconds of swooshing with each use. Vigorous rinsing should be avoided!
Your endodontic (root canal) treatment is now complete. Taking an analgesic before the numbness wears off may help maintain an acceptable comfort level.
Please wait to eat or drink on the affected side until after the numbness has worn away. Please do not chew or attempt to eat on the affected side while you are still numb.
Discomfort: Discomfort or soreness in the area is normal for a few days (or even weeks) and range from mild to severe. This occurs because of existing infection and inflammation of the gum and tooth ligaments as well as the manipulation of the tooth during treatment. The gums may be sore and the tooth is often tender to biting or chewing.
Over the counter analgesics such as Ibuprofen, Advil, Aleve, Aspirin, Motrin, Excedrin, and Tylenol should relieve most of the discomfort. Rinsing with warm salt water (1 teaspoon of salt per glass of warm water) will help.
Discomfort in the area in no way affects the successful outcome of treatment.
DO NOT TAP THE TOOTH WITH YOUR FINGER AND DO NO USE YOUR TONGUE TO PUSH ON THE TOOTH.
Try to brush and floss as usual immediately after treatment to prevent infection. Electric toothbrushing is good.
If antibiotics and/or pain medications were prescribed, please take them as directed. If you were given a prescription for pain, it is meant to help you with more serious discomfort only for a couple of days. In the unlikely event that swelling, fever, or severe pain should occur, please call the office promptly.
If a temporary filling has been placed in the entry made into your tooth. It is normal for a thin layer of the temporary filling to be chewed away between appointments. An unusual taste can be expected. Should all of the temporary filling come out, please call our office. It’s important that your temporary filling stays intact until the placement of a permanent restoration. Most the time, a permanent filling has been done at the same time as the root canal treatment completion.
IF AN APPOINTMENT TO PLACE A FINAL RESTORATION / CROWN HAS NOT BEEN MADE, PLEASE TELEPHONE TO SCHEDULE THIS APPOINMENT PROMPTLY WITH YOUR RESTORATIVE DENTIST.
Endodontically treated teeth have been weakened by previous decay and fillings. It is necessary for these teeth to receive additional protection in the form of a crown to keep a seal. This will protect the tooth against future fracture and decay, and protect the root canal filling from possible contamination. Delay in obtaining a final restoration may result in fracture and/or possible loss of the tooth or require a retreatment or a root canal.
If you have any questions or concerns about the crown treatment process, your restorative dentist, your restorative dentist’s office can be consulted.
I hope you’re enjoying the beautiful Florida Keys sunshine today. It’s great to connect with you, and I look forward to learning more about your dental needs and how smiles shine in our vibrant community!
Dr. Winnie Lee was born and raised in California to a father who is a dentist. She was raised in a dental office as her parents ran a dental business in San Jose, California. Her baby play-pen was situated in the office and to this day, long-time patients still remember her singing at the office as her dad treated patients and mom coordinated treatment. At the age of 11, she shadowed her dad and met several long-time patients that remember her dad relieving severe dental pain through root canal therapy. She was awed that root canal therapy can save teeth and preserve dental function.
Diplomate, American Board of Oral Implantology
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