A root canal treatment involves removing infected or damaged pulp from inside a tooth to alleviate pain and save the tooth from extraction. This procedure cleans, disinfects, and fills the tooth’s interior to prevent further infection. Following proper aftercare instructions is important for a smooth recovery and the long-term success of the treated tooth.
Immediate Steps After Treatment
Immediately after a root canal, the mouth often remains numb from local anesthetic. To avoid accidentally biting the cheek or tongue, avoid chewing until sensation fully returns, which typically takes a few hours. During this initial period, stick to soft foods that do not require much chewing, such as yogurt, mashed potatoes, or smoothies. Avoid hot beverages, extremely hot or cold foods that might trigger sensitivity, or hard, crunchy, or sticky items that could damage the temporary filling.
Maintaining oral hygiene is important, but a gentle approach is best around the treated area. Use a soft-bristled toothbrush and brush carefully. If a temporary filling is present, avoid direct flossing around the treated tooth for a short period and follow your dentist’s specific instructions, as these fillings are softer and more vulnerable to damage. Avoid chewing on the side of the treated tooth until a permanent restoration is placed.
Managing Discomfort and Recovery
After the numbness wears off, it is normal to experience some mild to moderate pain, sensitivity, or tenderness in the treated area for a few days. This discomfort can be particularly noticeable when chewing or applying pressure to the tooth. The surrounding tissues may also be inflamed as they heal, contributing to these sensations.
Over-the-counter pain relievers, such as ibuprofen or acetaminophen, are generally effective for managing this discomfort and reducing swelling. If your dentist prescribed stronger medication, follow the dosage instructions carefully. Applying a cold compress to the outside of the cheek near the treated area for 15-20 minutes at a time, with breaks in between, can also help reduce swelling and numb the pain. For the first day or two, it is advisable to avoid strenuous activities to allow the body to focus on healing. Gradually reintroduce a normal diet as discomfort subsides and the tooth feels more comfortable.
Ensuring Long-Term Success
A permanent restoration, typically a crown or a permanent filling, is necessary after a root canal to protect the treated tooth. Delaying this step can increase the risk of the tooth fracturing or becoming re-infected, as the tooth can become more brittle after the pulp is removed. Research indicates that teeth receiving a root canal followed by a filling and crown can last approximately 20 years, while those with no restorative work may only last about 6.5 years.
Maintaining consistent oral hygiene is also important for the longevity of the treated tooth and overall oral health. This includes regular brushing twice a day with fluoride toothpaste and daily flossing to prevent plaque buildup and reduce the risk of future infections. Regular dental check-ups and professional cleanings are also recommended to monitor the health of the treated tooth and address any potential issues early. Avoiding biting down on hard objects like ice or chewing sticky candies can help prevent damage to the treated tooth over time.
When to Seek Professional Advice
While some discomfort is normal after a root canal, certain symptoms warrant immediate professional attention. Contact your dentist or endodontist if you experience severe or worsening pain that is not relieved by medication, especially if it lasts more than a few days. Significant swelling in the face or gums, or any signs of an allergic reaction to medication like a rash or hives, should also prompt a call.
Other concerning signs include a return of the original symptoms experienced before the root canal, such as pus or fever. If the temporary filling comes out completely, or if your bite feels uneven, it is important to contact your dental professional promptly. These symptoms could indicate a complication that requires further evaluation and treatment.