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Operative Instructions and Specialist Information |
Root
Canal Therapy - Endodontic Treatment
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Surgical
Procedure:-
This procedure will be performed using local anesthesia.
There are usually no restrictions after the procedure concerning driving or
returning to work. Our Manus dentist will be available for consultation at all
times should a problem arise after your treatment.
Continue all medications for blood pressure,
diabetes, thyroid problems and any other conditions as recommended by your
physician. If there is a question, please call our office prior to your
appointment.
Please eat a full breakfast or lunch as applicable.
If you have been advised by your
physician or dentist to use antibiotic
premedication because of Mitral Valve
Prolapse (MVP), heart murmur, hip, knee, cardiac or other prosthesis, or if you
have rheumatic heart disease, please make sure you are on the appropriate
antibiotic on the day of your appointment. If there is a question, please call
our office prior to your appointment.
If you can take ibuprofen (Advil) or
naproxen sodium (Aleve), it does help reduce inflammation when taken
preoperatively. We recommend 2 tablets of either medication 2-4 hours before
endodontic therapy.
General Instructions:-
Your tooth and surrounding gum tissue may be slightly tender
for several days as a result of manipulation during treatment and previous
condition of your tooth. This tenderness is normal and is no cause for alarm.
Do not chew food on the affected side
until your endodontic therapy is completed and your tooth is covered with a
protective restoration provided by your restorative dentist.
You may continue your regular dental
hygiene regimen. Discomfort may be alleviated by taking ibuprofen (Advil),
aspirin, or acetaminophen (Tylenol) as directed. NOTE: Alcohol intake is not
advised while taking any of these medications.
Should you experience discomfort that
cannot be controlled with the above listed medications, or should swelling
develop, please contact our office immediately. Our Dr. can be paged 24 hours a
day.
After
Completion of Endodontic Treatment:-
Remember that it will take time to adjust to the feel of your
new bite. When the bite is altered or the position of the teeth is changed it
takes several days for the brain to recognize the new position of your teeth or
their thickness as normal. If you continue to detect any high spots or problems
with your bite, call our office so we can schedule an adjustment appointment.
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After Completion of Endodontic
Treatment:-
Following your endodontic treatment the root canal system has
been permanently sealed. However, the outer surface is sealed with a temporary
restoration. A follow-up restoration must be placed to protect your tooth
against fracture and decay. Placing this permanent restoration is one of
procedures we specialize in at Manus. In most cases your endodontic treatment
will be performed by a Manus dentist and therefore a follow up appointment for
this permanent restoration will be made at the time of your root canal. If an
outside referring dentist was needed we will coordinate all x-rays and
appointment arrangements to make this process as pain-free as possible.
It is normal to experience some hot and cold
sensitivity. The teeth require some time to heal after removal of tooth
structure and will be sensitive in the interim. Your gums may also be sore for
a few days.
A mild pain medication (one tablet of Tylenol or Ibuprofen
(Motrin) every 3-4 hours) should ease any residual discomfort.
Don't be concerned if your speech is affected for the first
few days. You'll quickly adapt and be speaking normally. You may notice
increased salivation. This is because your brain is responding to the new size
and shape of your teeth. This should subside to normal in about a week.
Daily brushing and flossing are a must for your new dental
work. Daily plaque removal is critical for the long-term success of your new
teeth, as are regular cleaning appointments.
Any food that can crack, chip or damage a natural tooth can
do the same to your new teeth. Avoid hard foods and substances (such as beer
nuts, peanut brittle, ice, fingernails, or pencils) and sticky candies. Smoking
will stain your new teeth. Minimize or avoid foods that stain such as coffee,
red wine, tea and berries..
If you engage in sports let us know so we can make a custom
mouth guard. If you grind your teeth at night, wear the night guard we have
provided for you. Adjusting to the look and feel of your new smile will take
time. If you have any problems or concerns, please let us know. We always
welcome your questions.
After Composite fillings
(white fillings):-
When an anesthetic has been used, your lips and tongue may be
numb for several hours after the appointment. Avoid any chewing and hot
beverages until the numbness has completely worn off. It is very easy to bite
or burn your tongue or lip while you are numb.
It is normal to experience some hot, cold & pressure
sensitivity after your appointment. Injection sites may also be sore.
Ibuprofen (Motrin), Tylenol or aspirin (one tablet every 3-4
hours as needed for pain) work well to alleviate the tenderness.
If pressure sensitivity persists beyond a few days or if the
sensitivity to hot or cold increases, contact our office.
You may chew with your composite fillings as soon as the
anesthetic completely wears off, since they are fully set when you leave the
office.
If your bite feels uneven, if you have persistent pain, or if
you have any other questions or concerns, please call our office.
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Surgical
Procedures
Preoperative
Instructions:-
You may not have anything to eat or drink (including water)
for eight (8) hours prior to the appointment. A responsible adult must
accompany the patient to the office, remain in the office during the procedure,
and drive the patient home.
The patient should not drive a vehicle or operate any
machinery for 24 hours following the anesthesia experience.
Please wear loose fitting clothing with sleeves which can be
rolled up past the elbow, and low-heeled shoes. Contact lenses, jewelry, and
dentures must be removed at the time of surgery.
The removal of impacted wisdom teeth and surgical extraction
of teeth is quite different from the extraction of erupted teeth. The following
conditions may occur, all of which are considered normal:
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The surgical area will swell.
*Swelling
peaks on the 2nd or 3rd post-operative day
*Trismus
(stiffness) of the muscles may cause difficulty in opening your mouth for a few
days.
*You
may have a slight earache.
*A
sore throat may develop.
*Your
other teeth may ache temporarily. This is referred pain and is a temporary
condition.
*If
the corners of the mouth are stretched out they may dry and crack. Your lips
should be kept moist with cream or ointment.
*There
will be a space where the tooth was removed. After 24 hours this area should be
rinsed following meals with warm salt water until it is healed. This cavity
will gradually fill in with new tissue.
*There
may be a slight elevation of temperature for 24 to 48 hours. If temperature
continues, notify us.
*It
is not unusual to develop bruising in the area of an extraction.
Women please note:
Some antibiotics may
interfere with the effectiveness of your birth control pills. Please check with
your pharmacist.
Preoperative
Instructions :
*Do
not rinse or spit for 24 hours after surgery.
*Keep
fingers and tongue away from socket or surgical area.
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