Root Canal Therapy, Pulpotomy, or Pulpectomy | Project HOME

Root Canal Therapy, Pulpotomy, or Pulpectomy


Nerve treatment involves removing part or all of the nerve from a tooth. After the procedure, you may feel soreness, throbbing or sensitivity which may be aggravated by biting down on the treated tooth. These symptoms are generally mild and decrease over time, but they may be aggravated by biting down on the treated tooth. Because of this, you should avoid eating hard and chewy foods.

If symptoms occur, please follow the recommendations below:

  • Take two tablets of 200mg ibuprofen (Motrin, Advil, etc) every four hours for the first 24 hours (if non-steroidal anti-inflammatory medicine is tolerated). For greater pain relief, one Tylenol may be taken simultaneously with the two ibuprofen.
  • If you have been prescribed an antibiotic, follow instructions for dosage and duration.
  • Do not bite down hard on the treated tooth for at least two to three days, then only with moderate pressure until your next visit.
  • If the tooth feels “high,” call our office so that we can make an adjustment.
  • Strenuous physical workouts should be avoided for the first 24 hours.
  • Gentle brushing and flossing of your tooth is encouraged. Care must be taken when flossing a tooth with a temporary restoration. The floss should be pulled out laterally through the gum line area after cleaning to avoid displacing the temporary filling.
  • If you notice any of the following symptoms, please contact our office:
    • Increasing tenderness or swelling in the area surrounding the tooth
    • A reaction to the medication
    • Loss of the temporary filling material
    • Tooth fracture