AFTER CARE INSTRUCTIONS: APICOECTOMY

Your treatment today involved a surgical procedure whereby the root tip(s) have been removed, followed by a filling and sutures.

 

Anaesthetic

  • If an anesthetic was administered for your treatment, your lips, teeth and tongue may be numb for several hours after the appointment.  Avoid any chewing and hot foods or liquids until the numbness has completely worn off.  It is easy to bite or burn your tongue or lip while numb. 

  • It is recommended that you take some Ibuprofen (Motrin or Advil) before the anesthetic completely wears off.  This will help with any swelling or pain at the injection sites where your anesthetic was administered. 

 

Bleeding

  • After an apicoectomy, it’s important for a blood clot to form to stop the bleeding and begin the healing process. That’s why we ask you to bite on a gauze pad for an hour after the appointment. If the bleeding or oozing still persists, place another gauze pad and bite firmly for another 30 minutes. You may have to do this several times.

  • After the blood clot forms, it is important not to disturb or dislodge the clot as it aids healing. Do not rinse vigorously, suck on straws or brush teeth next to the surgical site for 24 hours. These activities will dislodge or dissolve the clot and slow the healing process. 

 

Pain & Discomfort

  • After the procedure you may feel some pain and experience some swelling. To reduce swelling, apply an ice pack to the area for 20 minutes on, 20 minutes off for 4 hours. 

  • You may experience sinus congestion and difficulty breathing through your nose. This is normal, though it is important to take certain measures to ensure a good surgical outcome and optimize your own comfort. Nasal congestion may create a feeling of not being able to breathe. If this occurs, stay calm,  and take an “over the counter” decongestant, like a nasal spray or pill. A humidifier and propping yourself up with pillows at night will also help. 

  • Sometimes minor nose bleeding can occur after; this is common and nothing to be concerned about. The bleeding should be minimal and resolve on its own with some light squeezing of your nose. If the bleeding is excessive or is not stopping, call us immediately.

  • Take pain medications as prescribed. Do not take medications that you are allergic to.  If antibiotics are prescribed, continue to take them for the indicated length of time, even if signs and symptoms of infection are gone.

  • If you have heavy bleeding, severe pain, continued swelling for 2-3 days, or a reaction to the medication, please call our office immediately.  

  • Stiffness of the jaw muscles may cause difficulty in opening your mouth. This will usually resolve within a few days.

 

Diet

  • Your lips, teeth and tongue may be numb for several hours after the appointment because of the anesthetic.  Avoid chewing and hot foods or liquids until the numbness has completely worn off.  It is easy to bite or burn your tongue or lip while numb. 

  • Drink lots of fluids and eat nutritious soft food on the day of the procedure. Avoid foods and drinks that are hot in temperature for 48 hours. You can eat normally as soon as you are comfortable. 

 

Oral Hygiene

  • It is important to resume your normal dental routine after 24 hours. This should include gentle brushing with an ultra soft brush and flossing your teeth at least twice a day. This will speed healing and help keep your mouth fresh and clean. 

  • Do not rinse vigorously or brush teeth next to the surgery site for 24 hours.

  • After 24 hours, rinse with warm salt water (1 teaspoon of salt in 1 cup of warm water) 2-3 times a day. The use of commercial mouthwashes during the healing period is not recommended, as the high alcohol content tends to chemically burn the site. 

  • Some surgeries require stitches that dissolve on their own within a week.  If you do have stitches, avoid vigorous rinsing and flossing in that area until the stitches have dissolved.  Some stitches may feel long and hard, but will start to soften and dissolve within 24 hours.

 

Activities

  • Limit vigorous exercise for the next 3-5 days as this will increase blood pressure and may cause more bleeding from the surgery site.  After a few days you will feel fine and can resume your normal activities. 

  • Avoid smoking for at least one week.  

  • Avoid alcohol for 4 days.  Alcohol is a blood thinner, which will prevent the blood from clotting and will slow the healing process. 

 

Follow Up Treatment

  • The success of your treatment depends on keeping all of your scheduled appointments and maintaining your home care as explained by your Dentist.  

 

Following most dental procedures there may or may not be pain, depending on your threshold of pain.  You will be provided with a prescription for appropriate medication for discomfort.  In most cases, a non-narcotic pain regimen will be given consisting of acetaminophen (Tylenol) and ibuprofen (Motrin).  If a narcotic has been prescribed, follow the directions carefully.  If you have any questions about these medications interacting with other medications you are presently taking, please call our office, your physician and/or your pharmacist.

 

IF FOR ANY REASON YOU ARE CONCERNED ABOUT YOUR CONDITION, NOTIFY DR MORRIS OR A MEMBER OF OUR OFFICE STAFF IMMEDIATELY BY CALLING THE NUMBERS BELOW IN THE ORDER LISTED.

 

Office (780) 962-3414

The cell number provided by your primary dentist at our office

WestView Health Centre (780) 968-3600 or your nearest hospital

Downtown Spruce Grove

306 McLeod Avenue

Spruce Grove AB

T7X 0J6

Phone (780) 962-3414

Email info@gardendental.ca

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Tuesday  7am - 5pm

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Thursday  7am -7pm

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