Diplomate, American Board of Endodontics

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Post-op Instructions

Post-operative Instructions following Root Canal Treatment: 

We hope you had a pleasant visit to Endodontic Associates of the Palm Beaches. Our staff strives to provide you with root canal treatment in a comfortable environment. 

Following the completion of the root canal treatment, it is important to schedule an appointment with your general dentist over the following 1-2 weeks to have your tooth permanently restored. If we have placed a temporary filling according to your dentists instructions it will not permanently protect your tooth from reinfection or fracture.

Your tooth may be uncomfortable for a few days and tender to chewing pressure up to a week or more after treatment. This is normal. Analgesic (pain) medications are highly recommended. This will be discussed during your appointment.

Analgesic Pain Medications:

**Based on medical history: specific instructions will be provided to each patient at the end of the appointment. Please contact Dr. Albert if you have any questions.

Option #1. For patients instructed to take ibuprofen:

600mg  every 6  hours: each Advil is 200mg (take 3 Advil every 6 hrs as needed for pain).

Option #2. For patients instructed to take ibuprofen and acetaminophen combination:

Ibuprofen: 600mg every 6 hours: each Advil is 200mg (take 3 Advil every 6 hrs as needed for pain)  

1000mg acetaminophen every 6 hours can be taken in addition to the ibuprofen 600mg  for added pain relief.  Each Extra Strength Tylenol is 500mg acetaminophen. Take 2 Extra Strength Tylenol every 6 hours.

Option #3. For patients instructed to take a narcotic such as Vicodin or Percocet:

If a narcotic (______________) prescription pain reliever was prescribed and is needed, it should be
substituted for the acetaminophen between your anti-inflammatory doses. That combination will provide the greatest pain control possible but narcotics cause drowsiness and not advised if driving is anticipated. Also, taking these with food or following a meal will help avoid the nausea they sometimes cause.

Instructions for Swelling:

If swelling develops or worsens after treatment, please call us for an antibiotic prescription. Improvement should be noticed in 2-3 days or contact us for further instructions. When prescribed, take them on schedule until gone even if your symptoms improve rapidly. Please alert us to any gastrointestinal complications such as persistent diahrrea. Inform us of rashes and other signs of allergic reaction to antibiotics such as difficulty breathing.

Ice packs (15 minutes on, 10 minutes off) can also be very helpful at first. If you are taking birth control pills and antibiotics, an additional birth control measure is recommended through the completion of the cycle, as the antibiotics may inactivate your birth control pills. Call us or your pharmacist if unusual side effects occur.

Please notify us if, when you bite down, your tooth feels high after treatment and is creating soreness. A short office visit to adjust the problem usually leads to quick and dramatic improvement. Long appointments and associated sore teeth may also lead to stimulation of clenching and grinding habits in many patients. This is frequently manifested as sore jaw joints, ear pain, multiple tooth sensitivity and facial achiness. Anti-inflammatory drugs or moist heat to the effected area are usually helpful. Please note, however, that heat on infection induced swelling usually worsens the situation.

If your tooth was more complex, requiring a second visit for completion, please keep your appointment even if your tooth becomes perfectly comfortable after the initial visit. Long-term success depends on total completion of your root canal therapy with us and subsequent restoration by your general dentist.

All patients will be given Dr. Albert's cell phone number. If you have any after-hour questions, please contact Dr. Albert at home.

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Surgical Endodontic Postoperative Instructions:

1. Apply an ice pack to the area of the face where the surgery was performed. Use the ice pack for 6 hours, 15 minutes on and 15 minutes off. This will help decrease the swelling following the procedure. Maximum swelling is usually noted 1-3 days following the surgery.

2. Maintain a soft diet for the two days following the procedure. Recommended liquid foods include Ensure and Boost. Avoid foods that are hot, spicy or hard to chew. It is important to drink plenty of fluids and refraining from consuming alcohol or smoking cigarettes.

3. The day following the surgery, begin rinsing gently with warm salt water. If a Peridex rinse is prescribed then rinse with Peridex after breakfast and before bed. Throughout the day, use the warm salt water rinses to maintain a clean surgical site. Brush and floss all teeth except the ones in the surgical area.

4. Slight oozing of blood from the surgical area may occur in the first 24 hours after surgery. If increased bleeding is noted, please contact the office or Dr. Albert after hours. Pressure should be applied using a moist cotton gauze or with a tea bag.

5. A discussion concerning pain medication and antibiotics will take place prior to the surgical procedure. All medications should be taken as directed. Please contact Dr. Albert if you have any questions. Over the counter or prescription pain medication will be provided. If antibiotics are prescribed, then they should be taken as directed until gone. If an allergic reaction is experienced then the antibiotic should be discontinued and the doctor should be informed.

6. A postoperative appointment will be scheduled to remove the sutures. Please do not lift up your lip to see the surgical site. This can result in disturbing the sutures and inhibiting the healing process. The surgical site will be shown to the patient prior to leaving the office.

7. A minimal increase of body temperature may occur in the first day following the surgical procedure. This is normal. Infection after endodontic surgery is not typical but can occur. If an infection develops, it usually occurs 2 to 3 days after the surgery. Signs of an infection include sudden increase in pain or swelling, feverish feeling, sore glands in the neck area, and a general flulike feeling. If you think an infection has developed, please contact the office immediately.

If you have any questions, please contact the office during normal office hours at

561-684-1312. If you are experiencing problems after office hours, you may

 contact Dr. Albert at 954-560-1613..



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