Post-Treatment Care
DO NOT eat or drink anything for the next half hour after treatment . DO NOT try to feel around your tooth with your tongue. You have a temporary filling in the tooth and it takes about half an hour to harden.
You need to have permanent filling or a crown placed on your tooth within 1 MONTH of the root canal being completed. It is essential for you to follow up with your general dentist on this. If it 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.
DO NOT use the tooth to bite down on anything hard (nuts, apple, crusty bread, 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.
It is normal for the temporary filling to “divot” in with use. It is very rare for it to fall out entirely. If the temporary falls out you should contact your general dentist as soon as possible. If it happens when your clinic is closed, we recommend you purchase some temporary filling material for any pharmacy and place a dab in the tooth until you have an opportunity to see your own dentist.
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, sore muscle at injection site or sore gum for the rubber dam placement.
WHAT DO I DO ABOUT THE PAIN? All of the above scenarios should be handled with over the counter medication, primarily. We recommend you take: 600 mg Ibuprofen (3 over the counter pills of Neurofen or generic equivalent) every 6 hours for the next 2 days OR (If unable to take Ibuprofen):
1000mg Paracetamol (2 x 500mg Paracetamol or generic equivalent) every 6 hours for the next 2 days.
90% of the time this is enough to handle the discomfort. If it is not, please contact the practice and we will ensure you are comfortable.
If you are given any prescription medications related to this treatment please take them as instructed by your dentist. You may also floss and brush your tooth as normal, unless told otherwise by the dentist.
PLEASE READ THIS LAST SECTION, IT IS VERY IMPORTANT!!!!!!!
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 two or three days.
Please contact your own dentist if you experience any of these symptoms. You may be prescribed antibiotics, stronger pain medication, a steroid, and/or you may be asked to come to the practice to receive further treatment.