After Completion of Endodontic Treatment
Endodontic treatment has now been completed. The root canal system 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 contact your restorative dentist within 3 weeks to schedule an appointment. A complete report of treatment will be sent to your restorative dentist.
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 restorative dentist may place a post and core build-up inside the tooth. Your restorative dentist will determine the appropriate restoration to best protect your tooth.
Patient Care Instructions
Now that your endodontic treatment is complete, please contact your dentist and schedule any follow-up treatment outlined by your Endodontist. This may include a filling, crown, or other treatment. Please avoid chewing on the treated tooth until the restoration and/or crown is in place due to the possibility of tooth fracture.
It is normal to experience some soreness after treatment. Your tooth may ache for 3 to 5 days and may be sensitive to biting pressure, ranging from mild to severe, for up to 3 weeks. Gradually the tooth should return to normal.
Take all medication as advised. If narcotic pain medication was prescribed, be aware that it may cause some drowsiness and decreased coordination.
If swelling occurs, which the prescribed antibiotic does not control, please call our office.
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Are There Any Potential Problems that may occur 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 surgery. 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 Gilbert Office Phone Number 480-855-8800