Instruction After Endodontics

1).  Do not eat anything or drink hot fluids until the effect of anaesthesia wears off to avoid injury from accidental biting or burning.

2).  DONOT spit, rinse vigorously and DONOT drink through a straw for 3 days so the blood clot will not be disturbed.

3).  Slight bleeding is normal for several hours following surgery. If persistent bleeding occurs, place ice wrapped in cotton cloth or ice pack or wet teabag on the involved area and apply direct pressure for 15-20 continuous minutes. Repeat as necessary.

4).  In case of excessive bleeding, swelling and pain, report to the clinic.

5).  Do not pull back the lips or cheeks to look at the area as this can disturb the surgical site and increase complications.

6).  Rest as much as possible with your head elevated for one day. No vigorous exercising for 3 days.

7).  Do not eat by the surgical area for 1 week. Soft nutritious foods will be necessary for the first few days. Avoid acidic and crunchy foods. Drink plenty of fluids.

8).  Do not use tobacco or drink alcohol as these will delay healing.

9).  Take all medications the doctor has prescribed for you according to directions.

10).  Starting 24 hours after surgery, gently rinse your mouth with ¼ teaspoon salt in 8 ounces of warm water three times a day.

11).  You may notice increased discomfort 3-4 days after the surgical procedure. As the tissues begin to heal, they may pull against the sutures and dressing.

12).  Eat what is comfortable for you. Try to avoid eating brittle, crunchy food as well as hard foods that require heavy pressure to chew. Soft foods and liquids are best and avoid chewing on the side that was treated.

13).  Brushing: Avoid brushing the gums at the surgical site for the first 72 hours.

14).  Discoloration and Bleeding:
It is normal to have some discoloration of the tissues around the surgical site. You may notice some slight bleeding at the surgery site after treatment. Discoloration (bruising) of the skin or cheek under the jaw line may occur occasionally. This does not occur with every patient, but if it does, there is no concern.

15).  Pain and Swelling:
Do not be alarmed if you develop swelling. Swelling is a normal consequence of manipulating the tissues at the surgical site. It is important to understand that there is a wide range of healing patterns following a surgery. Some individuals have very little pain or swelling the next day. Other people can have more intense pain and swelling for several weeks. It typically takes several weeks for gums to feel normal. It may take the tooth several months to feel completely normal as your body fills in the bone around the tooth.

16).  Swelling can be lessened by placing a cold compress on the face alternating on and off for 20 minutes during the first 72 hours.

17).  Sutures will be removed 7 days after surgery.