An apicoectomy, also known as root-end surgery, is a specialized dental procedure that removes infected tissue and the tip of a tooths root to save a tooth from extraction. Its often recommended when a standard root canal fails to fully resolve an infection. While the procedure itself is precise and effective, proper post-operative oral care is essential for ensuring smooth healing and long-term success.
At McLevin Dental in Scarborough, were committed to supporting your healing journey. This guide outlines the key oral care essentials after an apicoectomy, helping you maintain comfort and avoid complications.
What to Expect After an Apicoectomy
Mild to moderate swelling
Tenderness or soreness near the surgical site
Minor bleeding for a few hours post-procedure
Occasional bruising in the cheek or jaw area
Stitches that may dissolve on their own or be removed by your dentist
Most discomfort begins to subside within 4872 hours, with full healing of the surgical site over a few weeks.
Best Oral Care Practices Post Apicoectomy
1. Protect the Surgical Site
Avoid brushing directly over the surgical area for at least 2448 hours.
Brush the surrounding teeth gently with a soft-bristled toothbrush.
2. Use Salt Water Rinses (Starting Day Two)
Rinse with warm salt water (1 tsp salt in 1 cup of warm water) 34 times daily.
Focus on gentle rinsing to cleanse the area without disturbing the stitches or healing tissues.
3. Follow Prescribed Medications
Take antibiotics (if prescribed) to prevent infection.
Use pain relievers such as ibuprofen or acetaminophen as directed to manage discomfort and reduce inflammation.
4. Apply Cold Compresses (First 2448 Hours)
Apply an ice pack to the outside of your cheek in 15-minute intervals.
This minimizes swelling and provides relief from discomfort.
5. Stick to a Soft Food Diet
Choose soft, easy-to-chew foods like:
Mashed potatoes
Yogurt
Scrambled eggs
Applesauce
Smooth soups (lukewarm)
Avoid chewy, crunchy, spicy, or hard foods for the first 35 days.
6. Avoid Suction and Pressure
No straws, smoking, or vigorous spitting for at least 57 days to prevent pressure changes that could disrupt healing.
7. Keep Hydrated
Drink plenty of water to support healing and maintain oral moisture.
Avoid alcohol and caffeine, which can contribute to dehydration.
8. Avoid Aggressive Brushing or Flossing
Avoid flossing near the surgical site until the dentist confirms that the area has sufficiently healed.
Brush other areas of your mouth as usual but with gentle strokes.
Activities to Avoid
Heavy lifting or vigorous exercise for at least 4872 hours.
Smoking and alcohol, both of which delay healing and increase infection risks.
Chewing on the side of the surgery site until it feels comfortable again.
When to Contact McLevin Dental
Contact us if you experience:
Persistent or increasing pain after 3 days
Significant swelling that worsens rather than improves
Excessive or prolonged bleeding
Signs of infection such as pus, foul odor, or fever
The feeling that stitches have come loose prematurely
Prompt evaluation prevents small concerns from becoming major issues.
How Long Does Healing Take?
Soft tissue healing: Typically within 12 weeks.
Bone and deeper tissue healing: May take several weeks to a few months, depending on the size of the treated area.
Your dentist will schedule a follow-up to monitor healing and remove stitches if necessary.
Long-Term Oral Health After an Apicoectomy
Continue routine dental checkups and cleanings.
Practice daily brushing and flossing with extra care around the treated area during the first few weeks.
Follow any personalized maintenance plans provided by your dentist to protect the tooth and surrounding gums.
Protect Your Smile With the Right Aftercare
Caring for your mouth after an apicoectomy ensures that your tooth heals properly and remains strong for years to come. With gentle hygiene, a soft diet, and attention to healing, youll enjoy a smooth recovery and preserve the integrity of your natural tooth.
At McLevin Dental in Scarborough, we are always here to support your smile through every step of treatment and recovery. If you have questions about your healing process, wound care, or post-operative instructions, our caring team is ready to help.