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Apicoectomy page 3
You will receive instructions from your endodontist about which medications to take and
what you can eat or drink. You should ice the area for 10 to 12 hours after the surgery
and rest during that time.

The area may bruise and swell. It may be more swollen the second day after the procedure
than the first day. Any pain usually can be controlled with over-the-counter nonsteroidal
anti-inflammatory drugs (NSAIDs), such as ibuprofem (Advil, Motrin and others) or
prescription medication.

To allow for healing, you should avoid brushing the area, rinsing vigorously, smoking or
eating crunchy or hard foods. Do not lift your lip to examine the area, because this can disrupt
blood-clot formation and loosen the sutures.

You may have some numbness in the area for days or weeks from the trauma of the surgery.
This does not mean that nerves have been damaged. Tell your dentist about any
numbness you experience.

Your stitches will be removed 2 to 7 days after the procedure, and all soreness and swelling
are usually gone by 14 days after the procedure.

Even though an apicoectomy is considered surgery, many people say that recovering from
an apicoectomy is easier than recovering from the original root-canal treatment.

The endodontist will review the risks of the procedure at the consultation appointment.
The main risk is that the surgery may not work and the tooth may need to be extracted.
Depending on where the tooth is located, there may be other risks. If the tooth is in the back
of your upper jaw, the infection can involve your sinuses, and your dentist may suggest
antibiotics and decongestants. The roots of the back teeth in the lower jaw are close to some
major nerves, so surgery on one of these teeth carries a slight risk of nerve damage.
However, your endodontist will use your X-rays to see how close the roots are to the nerves,
and the chances of anything happening are extremely small.
Sean P. Hart D.D.S ,M.S.D., P.C.
1533 Kossuth St. Lafayette Indiana 47905
p: 765-742-8792