Root Canal Therapy after care instructions

Holistic Root Canal Therapy is the process of removing any necrotic, infected or inflamed nerve tissue from the tooth as well as germs such as bacterial, viruses or fungus that may be present in the tooth.

Conventional root canal therapy is not fully effective in removing all the germs and tissue from the tooth. In addition, the common use of leaky temporary fillings allows bacteria and other germs to re-enter the tooth and cause re-infection. It is no wonder that many health conscious people are worried about root canal therapy.  And rightfully so.

To address the many shortcoming of conventional root canal therapy, Dr. Alex Shvartsman has redesigned root canal therapy at the Long Island Center for Healthier Dentistry. The Holistic Root Canal approach makes use of modern technology and a complete overhaul of how root canals are sterilized and sealed.  By combining Laser PIPS tooth disinfection with Ozone therapy, biocompatible root sealing with biocereamic cement and the immediate Biomimetic adhesive sealing of the tooth a fully disinfected root canal system, including all the side branches of the nerve and dentin tubules is achieved. 

Now that your Holistic Root Canal Therapy is complete there are some important things you need to know.


If you have been prescribed antibiotics it is to manage or prevent infection.  Since all broad spectrum antibiotics kill the bad as well as some of the good bacteria it is important to take probiotics during and for 2-3 weeks after antibiotic use to replenish the good bacteria in your gut and prevent diarrhea and yeast infection. You must finish the entire dose no matter how well you feel. Not finishing your antibiotics can create antibiotic resistant bacteria which will not be susceptible to antibiotics in the future. This is dangerous and life threatening.

Pain medicine

Do not take narcotic pain medicine if you are driving or taking care of children.  An effective non-drowsy pain management regimen is taking 3 Advil and 2 Tylenol every 6 hours.  Studies have shown this regimen to be as effective as some narcotic pain killers.

You may experience some discomfort following your visit. This is mainly due to inflammation (the same pain that you may have experienced when you had a red painful pimple) at the root tip and it will subside in a few days to weeks.  If the discomfort remains after a few weeks or gets worse you may need an antibiotic, please call us. If it hurts when you close your teeth together, your bite many need to be adjusted, please call us. Be very careful when eating on your root canal tooth, it is very fragile and may crack or the temporary filling may come out Please chew on the other side. Do not eat until your numbness has worn off, otherwise you will bite your tongue, lips or checks.

Final tooth restoration

Depending on how much tooth is left, front teeth can be restored with a post and filling. However, back teeth require a crown, which hold the teeth together. Back teeth that are not protected by a crown  will  crack, break or split, it is just a matter of time.  In addition, often there is not enough tooth left to hold the crown and we may decide to use a build up filling (with or without a post) to rebuild the tooth. It is very important for you to be very careful when chewing on root canal treated teeth before they have been protected with a crown.

It is very important that the tooth is properly restored soon after root canal treatment. Waiting too long may lead to tooth breakage. All back teeth (molars and premolars) need a crown as a final restoration in order to prevent tooth fracture. Front teeth will benefit from a fiber-post in order to help prevent tooth fracture.

If your tooth continues to bother you , please contact the office for a follow up.






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