Managing Discomfort After Endodontic Microsurgery
- Maintain firm pressure to the area for at least 1 hour. Replace gauze and continue pressure hour by hour until the bleeding stops.
- Cold compresses may be applied to the area for 15 minutes followed by 15 minutes of rest for the first 24 hours following surgery.
- Rest from normal activities (e.g., work, other responsibilities, exercise, etc.) for 24 hours following surgery.
- Diet: Avoid chewing on the side where the surgery was performed. Avoid eating foods that could easily become lodged between the healing gum tissues and bone (e.g., popcorn, nuts, tortilla chips, tough meats, etc.).
- Hygiene: Brush your teeth regularly but be cautious to not entangle the bristles of your toothbrush in any sutures (stitches). Be very gentle and do not scrub the toothbrush vigorously across the gum tissues or sutures in the surgical area. Use the prescribed mouthrinse twice daily by allowing the solution to pool in the surgical area for 60 seconds. Do not swish the liquid. Do not rinse the mouth with water after using this rinse and do not eat or drink for at least 30 minutes.
- Pain control: It is normal for the area to be tender for a few days after endodontic microsurgery. Most patients report this treatment is less uncomfortable than having a tooth extracted. Pain and swelling usually peak 24-48 hours after surgery then decrease gradually. For information regarding the best medications to minimize pain and swelling, see the Pain Management section of Home Care>General Instructions.
