After Completion of Endodontic Treatment
Post Operative Instructions for Non-Surgical Treatment:
We expect post-operative soreness as a result of treatment. This should diminish in a few days and usually will disappear in time. Two Advils (Motrin/Ibuprofen) or Two Tylenol (Acetaminophen) tablets at 4-6 hour intervals can be used to reduce symptoms
If your pain isn't manageable with one type of pain medication, we recommend staggering Advil/Motrin/Ibuprofen (800mg) with Tylenol (1000mg). Both are taken every 6 hours at separate time intervals. The best way to remember is to switch every 3 hours between the prescriptions.
For example : 12am - Ibuprofen (800mg)
3am - Tylenol (1000mg)
6am - Ibuprofen (800mg)
9am - Tylenol (1000mg)
12pm - Ibuprofen (800mg)
If swelling occurs, please notify our office as soon as possible. At this time, antibiotics should be taken. Call our office for additional prescriptions.
For Your Information:
Advil or Motrin = Ibuprofen. Do not exceed 3200mg/24 hours. If NSAIDS cannot be used for pain management, the tooth tends to be more sore after treatment and healing tends to take longer.
Tylenol = Acetaminophen. Acetaminophen comes in two doses, Regular (325mg) and Extra Strength (500mg). Do not exceed 3000mg/24 hours. Note: Hydrocodone already contains 325mg Acetaminophen per dose.
Aleve = Naproxen Sodium. We suggest taking Ibuprofen instead of Aleve because you can take Ibuprofen more often. If you prefer Aleve, please check the dosage on the bottle.
Please call your dentist and make an appointment to restore the tooth on which we just completed endodontic treatment. We recommend you schedule 2 weeks later to ensure you are asymptomatic prior to seeing your dentist.
Do not eat with this tooth until your dentist completed the final restoration
Please contact us to schedule a follow-up if you develop any symptoms (e.g. pain, swelling, etc).
Follow-ups may be necessary to monitor the healing of your tooth.
If you have any questions or concerns, please feel free to call us at anytime.
Post Operative Instructions for Surgical Treatment (Apicoectomy):
Maintain complete rest for the remainder of the day.
Do not raise the lip to look at the operated area. This may open the incision.
The operated area may swell. To control swelling, place an ice bag with firm pressure over the surgical area, applying and removing at 15 minute intervals during the first 2 days after surgery.
Maintain a soft nutritious diet and be sure to drink large amounts of liquids.
Use prescribed mouth rinse e.g. Peridex or warm salt-water rinse twice a day.
Brush teeth gently avoiding the tissue in the operated area. Brush other areas normally.
The following are expected and should cause no concern: Slight oozing of blood for 36-48 hours, swelling, mild discomfort, and discoloration of the skin.
Have your prescriptions filled and take as directed.
Keep your post-operative appointment to have the sutures removed and site examined.
AFTER HOUR EMERGENCIES:
Tooth pain is no joke and we understand it can be scary. If you are experiencing pain or uncertain about your condition and your medications, please call our after hour emergency line at 808-235-0091.
Listen to the prompts to dial and directly connect with your endodontist.
We recommend contacting us during regular business hours in case we need to see you for a follow up or to call in a prescription to the pharmacist
A PARENT OR LEGAL GUARDIAN MUST ACCOMPANY ALL PATIENTS UNDER 18 DURING THEIR VISITS.
PLEASE ALERT THE OFFICE IF YOU HAVE A MEDICAL CONDITION THAT MAY BE OF CONCERN PRIOR TO SURGERY (I.E. DIABETES, HIGH BLOOD PRESSURE, ARTIFICIAL HEART VALVES AND JOINTS, RHEUMATIC FEVER, ETC.) OR IF YOU ARE ON ANY MEDICATION (I.E. HEART MEDICATIONS, ASPIRIN, ANTICOAGULANT THERAPY, ETC.) OR REQUIRE MEDICATION PRIOR TO DENTAL CLEANINGS (I.E ANTIBIOTICS, FOR PRE-MED.)
What If I Have Swelling After Treatment?
Swelling sometimes can occur after treatment, especially If there is a "black spot" associated with the tooth on the x-ray. You might noticed the gums getting puffier or your face looking asymmetrical. Do not be alarmed if this happens, but it is time to notify our office. If you have been given antibiotics, it is important you complete every pill in your bottle, as directed. If the swelling occurs while on an antibiotic, we may have to switch the medication. If you have significant diarrhea, discontinue the antibiotic and call our office. This side effect is common, especially with Clindamycin. We recommend taking a probiotic or eating yogurt when taking the antibiotic.