After Completion of Endodontic Treatment

Endodontic treatment has now been completed. The root canal system has been permanently sealed. However, the outer surface is sealed with a temporary restoration. If the tooth is temporarily restored and covered by your endodontist following completion of your root canal therapy, then a follow-up additional permanent restoration must be placed to protect your tooth against fracture and decay. Meanwhile, please avoid eating until your anesthetic after- effect is completely subsides. If the remaining tooth structure following completion of interim phase and / or final phase of endodontic treatment is restored with temporary filling material such as : Cavit or IRM, then avoid drinking any hot beverages  for the first 2 hours following treatment to allow the material to set and cure on its own. Please telephone your restorative dentist for an appointment.

*** A final report containing radiographs and any additional restorative need following completion of treatment will also be sent to your restorative dentist. 

Your tooth is more prone to fracture immediately after endodontic treatment. You should chew on the other side until your restorative dentist has placed a core build-up and a protective restoration, usually a crown. If your tooth’s strength is seriously compromised, your endodontist or restorative dentist may place a permanent resin-composite  core build-up with prefabricated post inside the tooth as needed. Your restorative dentist and endodontist will determine the appropriate restoration to best protect your tooth.

Are There Any Potential Problems After Treatment?

  • Lower teeth and nerve injury. There is a slight possibility that nerve injury can occur during root canal surgery to the lower posterior teeth. Your endodontist is trained to assess this possibility prior to treatment and will advise you accordingly. For lower posterior teeth, the root tips may be near a nerve that supplies feeling to the lip, chin and gums. Your endodontist is trained to design your surgery to minimize the chances of damaging this nerve. Rarely, this nerve can become irritated during the process of surgery. In these cases, when the local anesthesia wears off, you may experience tingling, altered sensation or, in rare cases a complete lack of feeling in the affected tissues. Should this occur, it is usually temporary and will resolve over a period of days, weeks or months. In rare cases, these changes can be permanent and/or painful.
  • Upper teeth and sinus communication. The upper teeth are situated near your sinuses, and root canal surgery can result in a communication between your mouth and the adjacent sinus. Should this complication occur, it will usually heal spontaneously. We will give you special instructions if this is apparent at the time of surgery. We prefer that you don’t blow your nose for two to three days after surgery. If you have to sneeze, you should sneeze with an open mouth into a tissue. You should not create any pressure in the sinus area. If you sense a complication after surgery, please contact us.
  • Post-operative infections. Post-operative infections occasionally occur. This usually requires just an office visit and examination. Many times placing you on an antibiotic for one week will take care of the infection Occasionally, other follow-up procedures will be needed.

Opening to Sinus

Air Communication From Sinus

Sinus Communication Corrected

If you have any questions, please call our office at Northeast Endodontics & Laser Therapy Phone Number 920-770-4080