Patient Instructions

Before Endodontic Treatment

First and foremost, all of us at Charleston Endodontics want you to be comfortable with any dental evaluation or treatment you receive in our office. We will do everything possible to make sure all your questions are answered in advance of any procedures. The most important question most patients have is, “Will it hurt?” Thanks to advances in local anesthesia (numbing medicine for the tooth), root canal procedures can be performed without pain.

There are usually no restrictions after the procedure concerning driving or returning to work, unless you desire to be more deeply sedated; e.g. Nitrous Oxide (laughing gas) or prescription medication (Valium or Halcion). If you prefer sedation in addition to local anesthesia, please inform our office staff when scheduling your appointment.

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. You do not have to come to your appointment without having eaten. In fact it is better if you have had your normal daily intake of nutrition.

If you have been advised by your physician or dentist to use antibiotic premedication because of mitral valve prolapse (MVP), heart murmur, hip, knee, cardiac or other prosthesis, or if you have rheumatic heart disease, please make sure you are on the appropriate antibiotic on the day of your appointment. If there is a question, please call our office prior to your appointment.

If your physician allows you to take Ibuprofen (Advil) or Naproxen Sodium (Aleve), it does help reduce inflammation when taken before treatment, which can lessen any soreness after treatment. If your tooth has already been evaluated by one of the doctors at Charleston Endodontics, we recommend taking 600mg of Ibuprofen or 500-550mg Naproxen 2 hours prior to your appointment. If, however, your tooth has not yet been evaluated by one of our doctors, please do not take any pain relieving medication prior to your appointment as this can make it difficult to identify the tooth causing discomfort.

If you have any questions, please call the office in which you are scheduled to be seen.

Charleston Endodontics
Charleston Endodontics

General Instructions

Your tooth and surrounding gum tissue may be slightly tender for several days as a result of manipulation during treatment and the previous condition of your tooth. This tenderness is normal and is no cause for alarm. Do not chew food on the affected side until your endodontic therapy is completed and your tooth is covered with a protective restoration provided by your restorative dentist. You may continue your regular dental hygiene regimen. Discomfort may be alleviated by taking ibuprofen (Advil), aspirin, or acetaminophen (Tylenol) as directed.

NOTE: Alcohol intake is not advised while taking any of these medications. Should you experience discomfort that cannot be controlled with the above listed medications, or should swelling or fever develop, please contact our office immediately.

The office telephone is answered day and night. If you need to call after hours, please have your pharmacy number available. If you have any questions, please call our office at the numbers below.

After Treatment

  1. Most patients have varying degrees of discomfort following root canal treatment. Due to the disease originally present and the treatment performed, soreness may be present for up to 14 days. This soreness should decrease with time. It can be relieved by anti-inflammatory medications such as ibuprofen, as long as you have no allergies or restrictions. If using ibuprofen, we recommend 600-800mg every 6 hours. If necessary, Tylenol can be added in between doses of ibuprofen at 650mg every 6 hours.
  2. You may eat foods that are comfortable to chew, but we encourage chewing on the side opposite this tooth. Avoid hard foods because this may damage the temporary restoration or remaining tooth structure.
  3. You may brush your treated tooth as you normally would.
  4. DO NOT apply heat to your face.
  5. The temporary filling will wear down and feel rough. This will be replaced with a permanent restoration by your general dentist, ideally within 3 weeks of having the root canal done.
  6. Call your general dentist immediately and schedule an appointment to have the treated tooth restored.


  1. If you have a reaction to prescribed medications (rash, diarrhea, nausea, etc.)
  2. If swelling occurs in your jaw or cheeks.
  3. If you experience sharp pain when your teeth touch.
  4. If you have pain which is not relieved by Tylenol or Ibuprofen.

Our Locations

(888) 272-7190

Mon - Thurs: 7:30am - 5:00pm
Fri: 7:30am - 1:00pm
Sat - Sun: Closed

(888) 272-7190

Mon - Thurs: 7:30am - 5:00pm
Fri: 7:30am - 1:00pm
Sat - Sun: Closed

(888) 272-7190

Mon - Thurs: 7:30am - 5:00pm
Fri - Sun: Closed