Surgical post op instructions

What to do after Endodontic Surgery

If you are scheduled for surgical endodontic treatment in our office, you should have received a folder containing all of the necessary pre and post operative instructions for the surgery when you had your intinial consultation appointment with the doctor.  For your convenience we also have that information available for you here. 

General Information:

  • Do not lift or pull on the lip to look at your sutures. Tearing may result.
  • Use cold applications / ice packs over the operated area as soon as possible. Continue them for 45 minutes every hour for 24-48 hours.
  • Brush your teeth, and keep your mouth as clean as possible. Be gentle around the operated area. Use the prescription mouth rinse to take place of brushing the surgical area.
  • Do not use over-the-counter mouthwash or electric toothbrushes for 3-4 weeks until tissue has healed completely.
  • Do all heavy chewing on the other side of your mouth.
  • Eat nourishing easily chewed foods (eggs, soup, milk, etc.)
  • Some swelling and discoloration (bruising) is normal. This will gradually resolve.
  • Slight bleeding the first day or two is normal.
  • If any unusual symptoms develop, such as excessive swelling, bleeding or discomfort, contact this office for instructions at any hour.
  • Have your prescription(s) filled and follow the directions for taking them explicitly.

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Are There Any Potential Problems After Treatment?

  • Lower teeth and nerve injury. There is a slight possibility that nerve injury can occur during root canal surgery to the lower posterior teeth. Your endodontist is trained to assess this possibility prior to treatment and will advise you accordingly. For lower posterior teeth, the root tips may be near a nerve that supplies feeling to the lip, chin and gums. Your endodontist is trained to design your surgery to minimize the chances of damaging this nerve. Rarely, this nerve can become irritated during the process of surgery. In these cases, when the local anesthesia wears off, you may experience tingling, altered sensation or, in rare cases a complete lack of feeling in the affected tissues. Should this occur, it is usually temporary and will resolve over a period of days, weeks or months. In rare cases, these changes can be permanent and/or painful.
  • Upper teeth and sinus communication. The upper teeth are situated near your sinuses, and root canal surgery can result in a communication between your mouth and the adjacent sinus. Should this complication occur, it will usually heal spontaneously. We will give you special instructions if this is apparent at the time of surgery. We prefer that you don’t blow your nose for two to three days after surgery. If you have to sneeze, you should sneeze with an open mouth into a tissue. You should not create any pressure in the sinus area. If you sense a complication after surgery, please contact us.
  • Post-operative infections. Post-operative infections occasionally occur. This usually requires just an office visit and examination. Many times placing you on an antibiotic for one week will take care of the infection Occasionally, other follow-up procedures will be needed.
A depiction of an opening to the sinuses that can lead to potential problems
Opening to Sinus
A photo showing air communication from the sinuses
Air Communication From Sinus
An example showing sinus communication that has been corrected
Sinus Communication Corrected
For more information about Surgical post op instruction or to schedule a consultation, call our office at Viera Phone Number 321-253-8500 or request an appointment online.