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Aftercare card

After a root canal

What to expect after root canal treatment: numbness, tenderness, what to eat, when to get the final filling or crown, and when to call the clinic.

First 24 hours

Do

  • Wait until the numbness wears off, usually 2–4 hours, before eating or drinking hot things.
  • Take the pain relief you were advised, as directed on the pack.
  • Brush and floss as usual, gently around the treated tooth.
  • Keep any antibiotic course you were prescribed.

Avoid

  • Chewing on the treated tooth while it is numb; you can bite your lip or cheek without noticing.
  • Hard, sticky or crunchy food on that side.
  • Smoking and alcohol.

Days 2–7

Do

  • Chew on the other side until the tooth feels comfortable.
  • Rinse with warm salt water if the gum feels sore.
  • Keep the follow-up visit for the permanent filling or crown.

Avoid

  • Biting hard on the tooth if it is still tender.
  • Leaving the temporary filling for weeks without the final restoration.

After the final filling or crown

Do

  • Return to normal chewing once the final restoration is in place.
  • Brush twice a day and clean between the teeth daily.
  • Attend regular check-ups; an X-ray is taken at review visits to check healing.

Avoid

  • Biting ice, hard sweets or pen caps. A root-treated tooth can be more brittle, especially without a crown.
Normal while it heals
  • Tenderness when you bite for a few days, sometimes up to 1–2 weeks
  • Mild ache that eases with ordinary pain relief
  • Slight soreness of the gum where the clamp or injection was placed
  • A temporary filling that feels slightly different from your other teeth
  • Jaw stiffness after a long visit

Call the clinic if

  • Pain that is severe, throbbing or gets worse after the first 2–3 days
  • Swelling of the gum or face
  • The temporary filling falls out, or the tooth cracks or breaks
  • Your bite feels high or uneven after the treatment
  • A rash or other reaction to a medicine
  • Fever, or a bad taste or pus near the tooth
  • Swelling with difficulty swallowing or breathing: go to a hospital now

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