Instructions after an Apicectomy

When the local anaesthetic wears off a few hours after your apicectomy surgery, there will be some discomfort. Your surgeon will arrange painkillers for you. It might also be necessary to take a course of antibiotics. The discomfort is usually worse for the first few days although it may take a couple of weeks to completely disappear. You may require a day or two off work during which time you should avoid strenuous exercise.

Some swelling can occur both inside and outside the mouth after surgery. This is usually most noticeable for about two days. It is important to keep the site of surgery as clean as possible for the first few weeks after surgery. If it is difficult to use a toothbrush, the area can be kept free of food debris by gently rinsing with a mouth wash or warm salt water (dissolve a teaspoon of kitchen salt in a cup of warm water) commencing on the day after surgery.

It is unusual for the area to bleed after surgery but should this happen it can usually be stopped by applying pressure over the area for at least 10 minutes with a rolled up handkerchief or swab. If the bleeding does not stop, please contact the MIC.

Lifting the gum to uncover the root of the tooth can occasionally lead to a numb feeling in the gum. This usually disappears after a few months. Because the gum is cut it can occasionally shrink back a few months after surgery as scar tissue forms. This is not normally a problem but if the tooth has been crowned, the edge of the crown may become exposed. If you have any concerns, please contact MIC.