• This procedure will be performed using local anesthesia. There are usually few restrictions after the procedure concerning driving or returning to work. A doctor is available at all times should a problem arise after your treatment.
  • For many patients we advise to avoid aspirin or aspirin-based products, including NSAIDs (non-steroidal anti-inflammatory drugs) one week before surgery, but you should discuss with your Endodontist your specific case and indications.
  • Continue all medications for blood pressure, diabetes, thyroid problems and any other conditions as recommended by your physician. If there is a question, please call our office prior to your appointment.
  • Please eat breakfast or lunch as applicable.
  • If you have been advised, by your physician or dentist to use antibiotic pre-medication, please make sure you are on the appropriate antibiotic on the day your appointment. If there is a question, please call our office prior to your appointment.


  • Avoid strenuous activity for the remainder of the day. Routine, non strenuous activity is not harmful, unless otherwise directed. Smoking and alcohol consumption delay the wound healing process and should be avoided or minimized for 3 days following surgery.
  • It is essential that you maintain an adequate diet with proper solid and fluid intake during the first 3 days following surgery.
  • Avoid manipulation of the facial tissues as much as possible. Do not raise the lip or pull back the cheeks to inspect the surgical site as you may dislodge the sutures (stitches).
  • Some oozing of blood from the superficial site is normal during the day and evening of surgery. Slight swelling and facial skin discoloration (bruising) may be experienced. This is temporary and will resolve on its own in a few days.
  • Apply an  ice pack on the outside of your face with firm pressure. Apply it extraorally over the surgical site. You should apply the ice bag alternately 20 minutes on, 20 minutes off, for 6-8 hours following surgery. After 8 hours, the ice bag should not be applied. Maximum swelling may occur 48 hours after surgery.
  • Post surgical infection is unusual, but possible. Signs of infection may cause increased pain, increased swelling and tenderness, elevated body temperature, chills, and other flu like symptoms. An objectionable odor and taste may also be experienced. If these conditions exist, please call our office.
  • The superficial site will be tender and sore. For this reason you should follow the analgesic regimen prescribed. 
  • Careful tooth brushing is desirable in surgical area after 24 hours post surgery.  Brush only the teeth and make every effort to avoid the gums. All other teeth should be brushed normally.
  • Twenty-four hours after surgery, you may begin rinsing with Peridex if prescribed or a mild saltwater solution of ½ tsp. of table salt and ½ glass of warm water.
  • The sutures (stitches) that have been placed must be removed to ensure proper healing. It is important that you return at the appointed time for suture removal usually 3 to 7 days after surgery 
  • Recall visits are necessary to monitor the progress of healing.
  • Should any complications arise, please do not hesitate to call us.
  • If you feel that your symptoms warrant a physician and you are unable to reach us, go to the closest emergency room immediately.