After Endodontic Surgery

What to expect after root canal surgery

  1. You may have a small amount of blood mixed with saliva that will give you the impression of excessive bleeding.  Usually patients have very  little to no bleeding after root canal surgery, however, deep red blood that is not controlled with pressure can be a sign of active bleeding.
  2. Because you have had surgery, you may have some post-treatment pain and soreness for the first few days.
  3. Swelling may also be normal for the first few days after treatment.

What to do

  1. We recommend you take something for pain relief before the anesthesia we administered begins to subside.  Generally we recommend ibuprofen (Advil, Motrin) 400-800mg every 4-6 hours over the next 24-48 hours (not to exceed 3200mg in 24 hours).  If you have a medical condition or gastrointestinal disorder that precludes ibuprofen, acetaminophen (Tylenol) is a substitute, 1000mg every 4-6 hours over the next 24-48 hours.
  2. To minimize the swelling and bleeding, an ice pack should be applied to the face in the area of the surgical site, 10 minutes on, 10 minutes off for the next 4-6 hours.  It is important to maintain your normal fluid intake and do not miss meals.
  3. A soft diet is recommended for the first 24 hours.  It is important to maintain your normal fluid intake and do not miss meals.
  4. You should limit your physical activity for the first 24 hours after treatment.  Talking and moving the mouth should be kept to a minimum.
  5. Brush and floss in all areas except the surgical site.  Use the dispensed Peridex as a rinse two times per day.  Resume normal brushing and flossing in the surgical site after the sutures are removed.
  6. Sutures are normally removed 48 hours after treatment.

Please call if…

  1. Severe pain, swelling, excessive bleeding or high fever develops.
  2. You have any questions.