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Therapy Instructions


Post Operative Tooth Extraction Instructions

Tooth extraction is a relatively or completely pain free experience. Post-extraction discomfort may vary from no/slight soreness to mild discomfort and swelling. Immediately following extraction, apply pressure to the site by biting down on gauze for 45 minutes.

What to expect following extraction and Home Care instructions:

  • In most cases a small amount of bleeding is normal.
  • If bleeding continues at home, apply pressure with gauze for 15-20 minutes.
  • Change periodically depending on saturation of gauze.

Avoid eating on the side of extraction

It is best:

  • Not to rinse around extraction site vigorously
  • Not to drink through a straw for 24 hours
  • Not to smoke or chew tobacco¬†

These activities could dislodge the clot and delay healing.

For the first few days:

  • Rinse your mouth gently with Peridex rinse as much as possible (every 30-40 minutes out of the day.)

For pain or swelling:

  • Apply a cold cloth or ice bag, 10 minutes on/off for first 24 hours
  • Use pain medication that has been prescribed as needed

Brush and floss all teeth as usual, using caution around the extraction site.

325mg Acetaminophen (1 tablet Regular Strength Tylenol) & 400mg Ibuprofen (2 tablets of 200mg Advil) Take every 4-6 hours for the next 2-3 days to relieve discomfort.

Should any condition arise which causes you concern, please call our office for advice.

 
Post Operative Non-Surgical Root Canal Therapy Instructions

WHAT TO EXPECT AFTER TREATMENT
Cleansing the root canal system may cause inflammation of the tissue surrounding the tooth. You may experience some discomfort for a few days. Sometimes it takes several days for symptoms to develop. The tooth may throb or be sensitive to bite or touch.

Over the counter analgesics like Ibuprofen or Acetaminophen usually alleviate the discomfort. If you are prescribed an antibiotic to help control infection, it should be started immediately and be taken until gone. An ice pack placed outside of the cheek will also help alleviate symptoms.

Severe pain that keeps you awake at night or pain not alleviated by medication should be reported to our office. You should also call us if you develop swelling or if prior swelling worsens. Sometimes your gum will be red and swollen from the clamp that was used around the tooth during the procedure. This is within normal limits of treatment.

HOW TO TAKE CARE OF YOUR MOUTH
Avoid chewing or biting directly on the treated tooth until your general dentist replaces the temporary filling. It is okay to brush and floss your teeth. If the temporary filling is lost, call our office so we can arrange to replace the temporary. You can check to see if the temporary filling is in place by looking in the mirror.

Remember! If your root canal is not finished, it is very important that you return for completion. Failure to do so can result in the loss of your tooth. ONCE THE ROOT CANAL IS COMPLETED, IT IS IMPORTANT TO SEE YOUR GENERAL DENTIST FOR A FINAL RESTORATION.

Retreatment may occasionally be necessary. Even though the pulp of the tooth was removed, the tooth is still nourished from the surrounding tissue. As with any living tissue, treatment is occasionally unsuccessful and a retreatment or removal of the tooth may be necessary.

POST OPERATIVE INSTRUCTIONS
325mg Acetaminophen (1 tablet Extra-Strength Tylenol) & 400mg Ibuprofen (2 tablets of 200mg Advil) Take every 4-6 hours for the next 2-3 days to relieve discomfort.
If prescribed an antibiotic, you are advised to take a pro-biotic supplement in addition and continue until end of prescription course.

 
Pre Operative Surgical Instructions
  1. Eat a healthy breakfast.
  2. Take all prescribed medication as directed unless otherwise advised.
  3. DO NOT drink alcohol at least 48 hours before the surgical procedure.
  4. Use Peridex mouth rinse the night before the procedure and the morning of the procedure.
  5. If your Endodontist prescribed anxiolytics, someone needs to drive you to and from the scheduled appointment.
  6. If you take aspirin on a regular basis, please mention this to your Endodontist prior to your surgical procedure so that we can take the proper steps in the care of your treatment.
 
Post Operative Surgical Instructions
  1. Do not brush, touch, or look at the sutured area.
  2. Continue to brush your teeth, being cautious of the sutured area.
  3. Remain on the Tylenol/Advil combination for at least 2-3 days.
    ‚Äʬ†1 Regular-Strength Tylenol (325 mg Acetaminophen) plus 2 Advil 200mg each (total 400mg Ibuprofen)
  4. The Peridex Oral rinse will be used until you return to our office for suture removal.
  5. The Peridex rinse should be used as follows:
    ‚Äʬ†Rinse every morning, night, and after each meal with a 30 second rinse; do not rinse with water
    directly afterwards. In addition to this, rinse mouth or swab area with Q-tip being very careful, every 30-40 minutes throughout the day until you return to have sutures removed. With each day, lengthen the time period between each swabbing.  You should still be using the Peridex rinse or swabbing when you return for your 1 week post-op appointment.
  6. Place an ice pack on the side of your face; intervening periods of time, 10 minutes on and 10 minutes off for the first 24 hours after the procedure.
  7. Smoking should be kept to a minimum.
  8. You will need to come back for your suture removal in 5-7 days.
  9. Patients may use a damp gauze or a wet tea bag to control any bleeding or oozing (this may occur for about an hour after procedure).
  10. Slight swelling, bleeding, and discomfort for at least 2-3 days is normal following surgery.

Please call if you have any questions.

 
Post Operative Apicoectomy Instructions
  1. Do not brush, touch or look at the sutured area.
  2. Continue to brush your teeth, being cautious of the sutured area.
  3. Remain on the Tylenol/Advil combination for at least 2-3 days following surgery. Also finish your antibiotic prescription as directed.
  4. The Peridex Oral rinse will be used until you return to our office for suture removal.
    ‚Äʬ†Peridex should be used as follows:
    • Rinse every morning, night, and after each meal with a 30 second rinse, do not rinse with water afterward. Use a clean cotton swab to apply Peridex on the sutured area, being very careful. For the first 2 days use the Peridex every 30 minutes on the sutured area. With each day lengthen the time between each swabbing. You should still be using Peridex rinse and swab when you return for your 1 week post op appointment.
  5. Place an ice pack on the side of your face; 10 minutes on and then 10 minutes off for the first 24 hours after the procedure.
  6. Smoking should be kept to a minimum.
  7. You will need to come back for your suture removal in 5-7 days.
  8. Patients may use a damp gauze or a wet tea bag to control any bleeding or oozing (if this occurs)
  9. Slight swelling, bleeding, and discomfort for at least 2-3 days is normal following surgery.

Please call if you have any questions.

 
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