David C. Kreutzer, D.M.D., P.C.
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Practice Limited to Endodontics
11786 SW Barnes Rd., Suite 230
Portland, OR 97225

Post-Operative Instructions

After Endodontic Surgery / Apicoectomy
After your endodontic surgical procedure, you may experience some swelling or discoloration (bruising) in the area treated that is noticeable to others while the surgical incision heals. This swelling and/or bruising is normal and usually subsides within a few days post-operatively.

Any discomfort is usually mild and is best alleviated by taking 400-800mg of ibuprofen (Advil) every 6 hours for the next 2-3 days (not to exceed 3200mg/day). If you are unable to take ibuprofen, non-steroidal anti-inflammatories or aspirin, you may take 650mg of acetaminophen (Tylenol) every 4-6 hours (not to exceed 3900mg/day). Please remember that the consumption of alcohol is not recommended while taking these medications.

Immediately following your surgery, you will be asked to place an ice pack with some gentle pressure over the treated area. Alternate between having the ice pack on the area for 10-15 minutes and then having the ice pack off the area for 10-15 minutes. Continue this routine for the first 3-4 hours post-operatively.

Please refrain from any strenuous physical activity for the first 24-48 hours post-operatively. Most patients are able to return to work or other routine activities the day after surgery.

Please refrain from all of the following as they may adversely affect your surgical incision and delay healing: smoking, using smokeless tobacco, consuming alcohol, drinking through a straw (or other similar sucking actions), examining the surgical incision/sutures by pulling your lip aside, and/or excessive spitting.

You will be prescribed an antibacterial mouth rinse to help keep the surgical area clean while your incision is healing. Please use as directed, following the directions on the label of the bottle. Dr. Kreutzer will also provide you with additional oral hygiene instruction in our office.

You will need to return to our office 3-7 days after your surgery for a short follow-up examination to check the progress of your healing and for removal of sutures. There is no additional fee charged for this follow-up examination.

Should you continue to experience post-operative discomfort that is not alleviated by the above medications, or should you have further post-operative questions, please contact our office.
Post-Op Instructions
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About Dr. Kreutzer
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Post-Operative Instructions
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