Tel: (909) 517-0088

Fax: (909) 517-3939

Practice Limited to Microscopic Endodontics

Post Operative Endodontic Surgery Instructions

Care of the mouth following a surgical procedure is essential in the healing process.  The initial healing period usually takes one to two weeks, and you'll likely experience some discomfort, swelling, and minimal bleeding within the first forty eight hours.

• Relax as much as possible and avoid all strenuous activities for the first 24 hours following surgery.  Routine, non-strenuous activity is not harmful, unless otherwise directed.  Smoking and alcohol consumption will delay the wound healing process and should be avoided for at least 3 days following surgery.

• Do not rinse your mouth the day of the surgery and avoid spitting or swishing liquids vigorously after the first 24 hours.

• Avoid manipulation of the facial tissues as much as possible or touching the site with your tongue or fingers.  Do not raise the lip or retract the cheeks to inspect the surgical site, as you may dislodge the sutures (stitches).

• Avoid eating for two hours following surgery or until the numbness has completely worn off.  Once the numbness has worn off, you can resume eating.  As nourishment is important to the healing process.  Limit your diet to soft foods like yogurt, soft luke warm soups, mash potatoes, ice cream, or soft cooked eggs for the first forty eight hours.

• Avoid the use of a straw, as they may provoke bleeding.

• Avoid the use of carbonated drinks, alcohol, or smoking for the first week following surgery.

• Smoking will significantly affect the healing process

• A supply of gauze sponges have been given to you to place over the bleeding area.  Change the pad as necessary, and use them until the bleeding stops completely - bleeding should subside within the first 20 minutes.  If bleeding persists or increases, please call the office for assistance or go right to an emergency room for evaluation. 

• Please note that minimal bleeding from the surgical site is normal throughout the day and evening of surgery. If worried, soak a tea bag in warm water and bite down for 20 minutes over the surgical area. If bleeding continues, please call the office or visit an emergency room immediately. 

• If prescription was given, use as directed.  The prescription should be filled promptly and taken exactly as directed before the local anesthesia wears off.  To avoid nausea, do not take pain medication on an empty stomach.  If prescription was not given, over the counter medication (Motrin or Tylenol) can be taken as directed.

• Some degree of swelling and facial skin discoloration (bruising) is normal.  The swelling will peak at 48-72 hours after surgery. This is temporary, and will resolve on its own in a few days. If you experience prolonged swelling or a rise in body temperature greater than 98.6 F, contact the office immediately.

• To minimize the above symptoms, apply an ice bag or cold pack firmly to the face, outside of the surgical site, for 20 minutes on and 20 minutes off, for the first 4-6 hours following surgery.  Maximum swelling will occur about the second or third day and then slowly recede. 

• 24 hours following the procedure, you can gently begin to rinse with warm salt water rinses, 3 to 4 times a day for one week.

• Dissolve one teaspoon of salt with one cup of Luke warm water.

• Gently swish the solution around the affected area and gently and carefully spit out after each meal or a minimum of two to three times each day for one week following the surgery.

Post-surgical discomfort should be minimal, but the surgical site will be tender and sore. For this reason you should follow the analgesic (pain pill) regimen prescribed by your doctor.

You are instructed to return for a follow up appointment in one week, for removal of sutures (stitches) that have been placed and evaluation of the healing process.

Continue to practice good oral hygiene. Tooth brushing can be resumed 24 hours after the surgery, by gently brushing unaffected areas of the mouth and taking every precaution to avoid the surgical site for the first 48 hours following treatment. After 48 hours, brushing can be resumed in the surgical area, but should be done gently to avoid gum recession.

Should any complications arise, or if you have any questions or concerns regarding the healing process, please do not hesitate to call (909) 517-0088 during office hours. For weekends or evenings, an emergency number will be provided.