Introduction (General Care Instructions)
Root canal therapy is a common procedure designed to save a tooth that has been severely damaged or infected. Following your root canal treatment, proper care is essential for successful healing and to ensure the long-term health of your tooth. This guide provides important instructions to help you manage the post-operative period effectively. Please read it carefully and contact us if you have any questions or concerns.
Common Post-Op Symptoms & How to Manage Them
It is normal to experience some sensitivity, discomfort, or mild pain after a root canal procedure, especially as the anesthetic wears off. Here’s how to manage these common symptoms:
- Sensitivity: You may experience sensitivity to hot or cold temperatures, or pressure, for a few days after the procedure. This is normal and should gradually subside. Avoid chewing on the treated tooth until your permanent crown is placed.
- Discomfort/Pain: Mild to moderate discomfort or pain is common. Take over-the-counter pain relievers such as ibuprofen (Advil, Motrin) or acetaminophen (Tylenol) as directed. If a prescription pain reliever was given, take it as instructed. Do not exceed the recommended dosage. Applying an ice pack to the outside of your cheek near the treated area can also help reduce swelling and pain.
- Swelling: While less common, some minor swelling may occur. Applying a cold compress to the outside of your cheek for 15-20 minutes at a time can help reduce any swelling.
Dietary Restrictions and Recommendations
For the first 24-48 hours after your root canal, or until the numbness wears off, it is crucial to avoid chewing on the treated tooth. This helps protect the temporary filling and prevents fracture of the weakened tooth structure. Stick to soft foods during this period.
Foods to eat:
- Yogurt, pudding, Jell-O, ice cream
- Mashed potatoes, scrambled eggs
- Smoothies (avoid using a straw if possible, as suction can dislodge temporary fillings)
- Soups (lukewarm)
- Soft pasta, cooked oatmeal
- Soft fruits (bananas, peaches)
- Cottage cheese
Foods to avoid (especially on the treated side):
- Hard, crunchy, or chewy foods (nuts, hard candies, ice, tough meats, bagels)
- Very hot or very cold foods/drinks (if sensitivity is present)
- Sticky foods (caramel, chewing gum)
Once your permanent crown is placed, you can gradually return to your normal diet, but continue to be mindful of very hard or sticky foods to protect the crowned tooth.
Oral Hygiene and Care
Maintain your regular oral hygiene routine. Brush and floss gently around the treated tooth. It is important to keep the area clean to promote healing. Avoid vigorous rinsing or spitting for the first 24 hours.
Medications and Pain Management
Take all prescribed medications as directed, which may include antibiotics to prevent infection and pain relievers to manage discomfort. Complete the full course of antibiotics even if you feel better. For pain, a combination of NSAIDs (like ibuprofen) and acetaminophen is often recommended. Follow your dentist’s specific instructions.
Activity Restrictions (Physical Activity, Work, etc.)
Avoid strenuous physical activity for the first 24-48 hours after your root canal. Increased blood pressure from physical exertion can lead to increased discomfort or bleeding. You can typically resume light activities after 24 hours, but listen to your body.
When to Contact Us / Emergency Instructions
Contact our office immediately if you experience any of the following:
- Severe pain that is not relieved by medication.
- Significant swelling that increases over time.
- The temporary filling comes out completely.
- Signs of allergic reaction to medication (rash, itching, difficulty breathing).
- If you experience a fracture or crack in the treated tooth.
Follow-Up Appointments
Root canal therapy is often completed in one or two appointments. However, the final step is usually the placement of a permanent crown or filling to protect the treated tooth. It is crucial to return for this final restoration as advised by your dentist to prevent future complications and ensure the long-term success of your root canal. Regular dental check-ups are also vital.
