After Completion of Endodontic Treatment

When endodontic treatment has been completed, the internal root canal system has been permanently sealed. However, the chewing surface is sealed with a temporary restoration. A follow-up restoration must be placed to protect your tooth against fracture and decay. Please arrange an appointment with your family dentist as soon as possible in order to maintain the health and function of your tooth. A complete report of treatment will be sent to your referring dentist.

Your tooth is more prone to fracture after endodontic treatment. You should chew on the other side until your family dentist has placed the final protective restoration, usually a crown. If your tooth’s strength is seriously compromised, your family dentist may place a post and core build-up inside the tooth. Your family dentist, in partnership with Dr. Pike, 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. Dr. Pike 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. Dr. Pike 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.

If you have any questions, please call our office at 519-579-8381 or Kitchener Office Phone Number 1-800-444-9174.