Caring for teeth after root canal treatment

You have finished last. Endodontic treatment (root canal treatment) has been completed. The channels on the inside of the roots are cleaned, irrigated, medicated and sealed permanently. The opening in the tooth through which the treatment was performed was sealed with a filling.


  1. Do not chew or try to eat the side of the mouth in which he worked while this area is still asleep.
  2. Place a bag of ice on the area where the procedure was performed for 30 minutes just to get home to minimize swelling. Apply the ice pack (or use frozen vegetables such as peas) every hour for 10-15 minutes during the first 4-6 minutes.
  3. Take a pain reliever an hour after leaving the office of the surgeon, to make the drug enters the blood system before anesthesia begins to decrease. Usually only one dose is needed. Some doctors recommend taking ibuprofen (Motrin, Advil, Motrin) -800 mg (four tablets). They can take two to four tablets four times a day for the next 3-4 days mint which help control sensitivity. (If you have a medical condition or a gastrointestinal disorder that prevents you from taking ibuprofen, acetaminophen (Tylenol, Excedrin) is a substitute, although it does not contain anti-inflammatory properties; aspirin and aspirin-containing products are not recommended, as they tend to increase bleeding from the area that was treated.)
  4. Take prescription drugs (antibiotics or pain medications) as instructed. If you are given Penicillin take 2 tablets every 4 hours for 48-72 hours, then complete the prescription taking 1 pill every 6 hours. Take all the antibiotic tablet whole. If you were given a prescription for pain, this is intended to help with the most severe pain only for a couple of days.
  5. Sleeping with the head in an elevated position during the first few nights if you have any physical limitations.
  6. Eat a soft diet for at least two days and remember not to chew on the treated side. Avoid very hot or cold foods during the healing process.
  7. Whenever possible, try to chew on the opposite side of the tooth just discussed, until you have a crown. Until then, the tooth is still weak and could break.
  8. No smoke during the first 24 hours and minimizes the number of times smoke during the healing process but the healing process will be delayed. Avoid consumption of alcoholic beverages. Avoid strenuous exercise for 24 hours.
  9. Avoid hard or crunchy foods that could cause teeth to fracture by not having a crown.
  10. Rinse frequently with warm salt water for the next two days
  11. A tooth may feel uncomfortable or can have a slow discomfort after root canal treatment. This should disappear in a few days (or weeks). The pain radiates so you can have pain in areas that were not treated directly.
  12. The tooth will be sensitive to the pressure of the bite, and may even seem to feel loose (this is due to the sensitivity in the nerve-end) this is common, and can last from a few days to a few weeks. Rinses with warm water and salt for the next two days will help, and avoid chewing on this side until all the pain is gone.
  13. A few days after a root canal, you can find a small “bubble” or “grain” in the gum tissue. This happens due to the release of pressure and bacteria that can no longer hold around the tooth and should disappear within a few days.
  14. The gums may hurt and the tooth may be sensitive to chewing or biting, the nerves surrounding the tooth has inflamed and tooth was manipulated during treatment.
  15. Your root canal treatment is not complete until there is a crown to protect the tooth

Tips & Warnings: 

  • Follow the advice of your doctor for your specific case. Use this as a guide or consult it with your doctor to see if he / she agrees.
  • If the discomfort is unbearable or if you have excessive bleeding or fever, call your doctor immediately.
  • The most important element is to have post-operative a final restoration – a crown. If this is not done, it can result in fracture and / or possible tooth loss.

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