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Operative Instructions For Pulpotomy of a Permanent Tooth | D'Amico & Mauck, DDS

Operative Instructions For Pulpotomy of a Permanent Tooth

March 24, 2017 by david0
  1. You need to return for completion of the root canal and permanent restoration on the tooth that has been treated with a pulpotomy. If this is not done, the tooth is very likely to fracture, to develop new decay underneath the temporary filling, or become re-infected which may cause your tooth to become unrestorable or cause a flare up. 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 root canal is completed and 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 pulpotomy. It is normal for the tooth to be uncomfortable for 2-3 days after today’s treatment.
  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.


(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 teeth as normal, unless told otherwise by the doctor.


Following a pulpotomy of a permanent tooth, the nerve and possible infection have been partially removed and the remaining portion can become agitated and hyper-excitable. This state can lead to a heightened sense of pain and sensation on the tooth. 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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