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From the first few hours to restoring and looking after your tooth

Finishing your root canal appointment can feel like the end of the process.

But there are still a few things you need to know.

Your mouth may remain numb for a while. Your tooth may feel different. You may need another restoration. And if you’ve seen a Specialist Endodontist rather than your usual dentist, you may be wondering who looks after the tooth next.

Here’s what to expect.

How will I feel immediately after root canal treatment?

The local anaesthetic used during treatment may continue to numb your mouth after you leave the practice.

You may therefore notice altered sensation in your:

  • lip
  • cheek
  • tongue
  • gum
  • surrounding area

depending on which tooth has been treated.

Be careful while sensation is returning and follow the eating and drinking advice given by your clinician.

Is it normal for the tooth to be sore?

Some tenderness can occur following root canal treatment.

The NHS advises that the area around the tooth may feel sore or swollen and that this should improve.

The amount people experience varies.

Your clinician will give you aftercare advice appropriate to your treatment.

If you’re worried about your symptoms, contact the practice.

When can I eat after root canal treatment?

Follow the advice you’re given at your appointment.

In particular, be cautious while your mouth remains numb because it is easier to accidentally bite your cheek, lip or tongue.

There may also be specific advice about the tooth itself if you have a temporary restoration or are waiting for further restorative treatment.

Can I brush my teeth normally?

Good oral hygiene remains important.

Unless your clinician has given you different instructions because of the treatment you’ve received, continue cleaning your teeth appropriately.

Take care around an area that feels tender and follow any specific instructions you have been given.

Why does the tooth need another restoration?

Root canal treatment deals with the inside of the tooth.

The outside still needs to be restored so that the tooth can function appropriately.

The restoration required depends on factors including:

  • which tooth has been treated
  • how much healthy tooth structure remains
  • existing restorations
  • the forces placed on the tooth

Depending on your circumstances, the tooth may require a filling, onlay, crown or another appropriate restoration.

The NHS notes that a crown may be needed after root canal treatment in some cases.

Does every root-treated tooth need a crown?

No.

The appropriate restoration depends on the individual tooth.

Your dentist or endodontist should explain what is recommended and why.

Who does the final restoration if Alex has done my root canal?

That depends on the treatment plan.

If your own dentist referred you to Dr Alex Brett, Specialist Endodontist, you may return to your dentist for the restorative part of your treatment.

If you’re an Evolve patient, the appropriate clinician at Evolve may manage that stage.

The important thing is that you know who is responsible for the next step before the endodontic part of your treatment is considered complete.

Do I need a follow-up appointment?

You may.

Your clinician will tell you whether the tooth needs review and when.

Follow-up may help assess how the tooth and surrounding tissues are progressing after treatment.

Keep any recommended review appointments even if the tooth feels completely normal.

How long does a root-treated tooth last?

There isn’t a meaningful single number we can promise for an individual tooth.

Its future depends on much more than the root canal treatment alone.

Factors include:

  • the condition of the tooth
  • the quality and integrity of the final restoration
  • cracks or other structural problems
  • gum and supporting tissue health
  • future decay or damage
  • your wider oral health

No root canal treatment comes with a guarantee that the tooth will remain indefinitely.

Can I chew normally on the tooth?

Follow the specific advice your clinician gives you.

If the tooth has a temporary restoration or is waiting for its final restoration, you may be advised to take particular care with it.

Once treatment and restoration are complete, your dentist can advise you about normal function.

What should make me contact Evolve?

Rather than relying on an internet checklist to decide whether something is “normal”, contact us if you’re concerned.

In particular, if symptoms are significant, worsening or different from what you were told to expect, it is sensible to seek advice.

If Alex has treated you and you normally attend another dentist, we’ll explain who to contact for different aspects of your care.

What happens if the tooth develops another problem later?

A previously root-treated tooth can sometimes develop a new or persistent problem.

This doesn’t automatically mean it needs to be extracted.

It does mean the tooth should be assessed.

Possible options may include retreatment or another approach depending on the cause and condition of the tooth.

Read: My root canal hasn’t worked – can my tooth still be treated?

Questions patients often ask

How long will my tooth hurt after root canal treatment?

Experiences vary. Some tenderness can occur after treatment and should generally improve. Contact your clinician if you’re concerned about the severity or progression of your symptoms.

Can I go to work after a root canal?

Many people return to normal activities, but individual circumstances and treatment vary. Ask your clinician if you’re unsure.

Can I drink coffee after root canal treatment?

Follow the advice you’ve been given, particularly while your mouth remains numb. Take care with hot drinks until normal sensation has returned.

Can I exercise after root canal treatment?

Your clinician can advise you based on the treatment you’ve received and how you’re feeling afterwards.

What happens if my temporary filling comes out?

Contact the dental practice for advice rather than waiting until your next appointment without telling anyone.

Key takeaways

  • Your mouth may remain numb after treatment.
  • Some tenderness can occur.
  • The tooth still needs to be appropriately restored.
  • Not every root-treated tooth automatically needs a crown.
  • You may need a review appointment.
  • Referred patients can return to their usual dentist for ongoing care.
  • Contact your dental team if something concerns you.

Want the full treatment journey?

Read: What happens during root canal treatment?

Or download:

Your guide to root canal treatment – what it means, what to expect and understanding your options

Root Canal Guide

If you have a concern about specialist treatment provided by Alex, contact the Evolve team.

For general independent guidance, see the ⁠NHS information about root canal treatment.

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Safe travels, Carol. We can’t wait to hear all about it when you’re home!

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We’ll be serving cakes right through until 5pm today, so there’s still plenty of time to come down.

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🍰 Cakes until 5pm
💚 Everyone is welcome

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