Fernando J. Meza, DMD, PLLC

H. Vivian Lee, DDS 

Loken M. Patel, DMD


P R A C T I C E   L I M I T E D   T O   E N D O D O N T I C S







Alexandria Professional Center

4660 Kenmore Ave. Suite 700

Alexandria, VA  22304

Patient - Post Treatment Instructions


        Following Root Canal Therapy or Root Canal Retreatment:


  1. The treated tooth is commonly tender to touch, biting, tapping or chewing for a few days after treatment. Try to avoid chewing on that side for 1-2 days after treatment. 
  2. It is normal for the treated tooth, the injection sites, as well as the surrounding soft tissues to feel sore and tender.
  3. We usually recommend an over the counter non-steroidal anti-inflammatory, (NSAID), such as Ibuprofen (Advil, Motrin), or Acetaminophen (Tylenol) for at least two to three days following treatment.  You should avoid taking these medications for known medical reasons or known allergic reactions.  Your treating doctor may prescribe additional pain medications at the end of the office visit.
  4. If you initially feel better, but then get significantly worse two or three days after treatment, you may be experiencing what is known as a "flare-up." This is not a common occurrence, but if it happens, please contact our office.
  5. We usually recommend to wait one week before returning to your general dentist for the permanent restoration.  Unless indicated by your endodontist or general dentist, significant delay of the permanent restoration (more than two months), can adversely affect the prognosis of root canal treatment. 

    We routinely like to perform a follow-up exam at least six months to one year after your endodontic treatment. We want to evaluate the treatment outcome and be sure that you have regained normal function with the tooth. There is no charge for this visit.


Following Surgical Endodontics (Apicoectomy):


  1. Do not lift or pull on lips. This may cause tearing out of the sutures.
  2. Some swelling and discoloration is normal and will gradually disappear.
  3. To minimize swelling, use ice pack application on the face, over the operated area. The pack should be used - on for 10 minutes, off for 10 minutes - and should be continued during the first day for the initial 2 hours after treatment.
  4. Rinse with warm salt water at least twice per day (one teaspoon to 8 oz. of warm water) beginning 24 hours after the surgery. Continue rinsing for one week.
  5. Eat soft foods that will be nourishing but will not require vigorous chewing for 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 everywhere except in the operated area for days 2 to 3 following the surgery. Mouthwash may be used. On the 4th day following the surgery, we recommend that you gently start to brush the operated area. The cleaner you can maintain the surgical area, the faster the gums will heal.
  8. For pain - ibuprofen, aleve, or tylenol is recommended. Your doctor will instruct you on how often you should take this or other medications prescribed.
  9. If there is an elevated temperature, excessive bleeding, swelling or uncontrolled discomfort, please call the office.
  10. There will be at least two follow-up appointments. The first follow-up will usually occur 1 week following the surgery. days to have your sutures removed. The second appointment will be 1 to months later, so that we may evaluate the soft tissue (gum) healing. Additional follow-up appointments may be necessary.
  11. We routinely like to perform a long term follow-up exam at least six months to one year 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. There is no charge for this visit.