After Completion of Endodontic Treatment
Endodontic treatment has now been completed. A complete report of treatment will be sent to your general dentist. The root canal has been permanently sealed. However, the outer surface is sealed with a temporary restoration. A follow-up restoration must be placed to protect your tooth against fracture and decay. Please schedule the final restoration with your general dentist within 30 days of treatment.
Your tooth and surrounding gum tissue may be slightly tender for several days as a result of manipulation during treatment and previous condition of your tooth. This tenderness is normal and is no cause for alarm. Do not chew food on the affected side until your endodontic therapy is completed and your tooth is covered with a protective restoration provided by your general dentist. You may continue your regular dental hygiene regimen. Discomfort may be alleviated by taking ibuprofen (Advil), aspirin, or acetaminophen (Tylenol) as directed.
NOTE: Alcohol intake is not advised while taking any of these medications.
Should you experience discomfort that cannot be controlled with the above listed medications, or should swelling develop, please contact our office immediately. If needed, you will be able to contact Dr. Mecham after hours following your procedure. If you call after hours, please have your pharmacy number available.
Your tooth is more prone to fracture immediately after endodontic treatment. You should chew on the other side until your restorative dentist has placed a core build-up and a protective restoration, usually a crown. If your tooth’s strength is seriously compromised, your endodontist or general dentist may place a post and core build-up inside the tooth. Your general dentist and endodontist will determine the appropriate restoration to best protect your tooth.
Included in your treatment is a follow-up examination to evaluate the progress of healing. This appointment is usually done one year following the procedure, and will require only a few minutes. No additional fee will be charged for this re-call visit.
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 the procedure. 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.
Opening to Sinus
Air Communication From Sinus
Sinus Communication Corrected
If you have any questions, please call our office at Grand Forks Office Phone Number 701-775-3101.