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Operative Instructions Following Root Canal Treatment | D'Amico & Mauck, DDS

Operative Instructions Following Root Canal Treatment

March 24, 2017 by david0
  1. You need to have a permanent filling or a crown placed on your tooth within 1 MONTH of the root canal being completed. If this is not done, the tooth is very likely to fracture or to develop new decay underneath the temporary filling which may cause your root canal to fail. You will be responsible for all costs incurred if you fail to follow this instruction.
  2. Do not use the tooth to bite down on anything hard (peanuts, pretzels, ice, etc.) until the permanent filling/crown has been placed on the tooth. Again, the tooth is prone to fracture and if you bite down on anything too hard or crunchy you may crack the tooth.
  3. Some minor discomfort in the area is normal following the root canal. It is normal for the tooth to be uncomfortable for 2-3 days after today’s treatment. Sometimes, depending on the circumstances, the tooth and surrounding tissues may remain sore for a few weeks post treatment. The three most common reasons for pain are:
  • Sore jaw joint from having your mouth open for a prolonged time.
  • Sore muscle from the injection site.
  • Sore gum from the rubber dam placement.

4.Take your pain medication before the numbness wears off. All of the above scenarios should be  handled with over the counter medication, primarily. We recommend you take: 600-800 mg Ibuprofen (3-4 over the counter pills of Advil or Motrin or generic equivalent) every 6 hours for the next 2 days.

OR

(if unable to take ibuprofen)

1000mg Acetaminophen (2 extra strength Tylenol or generic equivalent) every 6-8 hours for the next 2 days. 90% of the time this is enough to handle the discomfort. If it is not, please contact our office.

5.If you are given any prescription medications related to this treatment please take them as instructed by your  doctor. Please keep in mind that when taking antibiotics for pain and/or swelling due to infection, it generally  takes at least 48 hours for the antibiotics to become effective before the symptoms and/or swelling begin to subside.

6.You may floss and brush your tooth as normal, unless told otherwise by the doctor.

FLARE-UPS

Although about 95% of root canals cause very little to no discomfort after the treatment is completed, there are about 5% of cases which can cause significant pain. These are commonly referred to as “flare-ups.” They mostly occur on badly infected teeth, teeth that are extremely irritated, or teeth that have a history of prior treatment. Sometimes, however, they occur randomly, even on patients that have had several root canals done previously without any problems.

If you have a flare-up you may experience moderate to severe pain, swelling (can get as large as a golf ball), bruising, throbbing, and general discomfort, which usually begins a few hours after treatment and may last 2 to 3 days.

Please contact our office if you experience any of these symptoms and we will do everything we possibly can to get you some relief. You may be prescribed antibiotics, stronger pain medication, a steroid, and/or you may be asked to come to the office to receive further therapy.

If you have any questions or concerns please call us.

 


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