Post Operative Instructions For Surgical Endodontic (Apicoectomy)

1. Do not lift or pull on lips. This may cause tearing out of the sutures (stitches).

2. Some swelling and discolouration is normal and will gradually disappear.

3. To minimize swelling, apply and an ice pack on the face (over the operated area).

The pack should be used – on for 20 minutes, off for 10 minutes – and should be continued during the first day only.

4. Starting tomorrow, rinse with warm salt water (one teaspoon to 8 oz. of warm water), as often as possible. Continue this rinsing for one week.

5. Eat foods that will be nourishing, but will not require vigorous chewing the first few days, i.e., eggs, soups, milk shakes, etc.

6. Slight bleeding, pain or swelling during the first couple of days is normal.

7. Brush your teeth being extremely careful in the operated area. Mouthwash may be used.

8. For pain – ibuprofen is recommended. Follow the instruction of your doctor concerning your medication(s).

9. If there is an elevated temperature, excessive bleeding, swelling or uncontrolled
discomfort, please call the office (604)951-8001.

10. There will be at least two follow-up appointments. The first follow-up will be in a few days to have the sutures removed. The second appointment will be after a few weeks, so that we may evaluate the soft tissue (gum) healing. Additional follow-up appointments may be necessary.

11. We routinely like to perform a follow-up exam at least six months after the treatment. We want to evaluate the treatment outcome, be sure that you have regained normal function with the tooth and determine the presence of bone healing.

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