Post-Operative Instructions – Dental Extirpation Appointment

An extirpation appointment involves removing the inflamed or infected nerve tissue from inside your tooth to relieve pain. This is usually the first stage of root canal treatment.

It is normal to experience some discomfort after this procedure. Please follow the instructions below to support healing and reduce complications.

What to Expect

  • Mild to moderate tenderness around the treated tooth for a few days
  • Sensitivity when biting
  • Slight gum tenderness around the injection site
  • Temporary numbness for 2–4 hours following treatment

If severe pain or swelling develops, please contact our practice.

Pain Management

  • Take pain relief as recommended by your dentist.
  • If suitable for you, Ibuprofen (Nurofen) and/or Paracetamol (Panadol) can be taken as directed on the packaging.
  • Do not exceed the recommended dosage.
  • Avoid aspirin as it may increase bleeding.

If antibiotics were prescribed, please complete the full course.

Eating & Drinking

  • Avoid eating until the numbness has completely worn off.
  • Avoid chewing on the treated tooth until your root canal treatment is completed.
  • Stick to softer foods for the first 24–48 hours.
  • Avoid very hot or very cold foods if sensitivity occurs.

 

Caring for the Temporary Filling

A temporary filling has been placed to seal the tooth between appointments.

  • Avoid chewing hard or sticky foods on that side.
  • If the temporary filling falls out or feels loose, please contact us as soon as possible.
  • It is important to attend your next appointment to complete the root canal treatment, as the temporary filling is not designed for long-term use.

Oral Hygiene

  • Continue brushing and flossing as normal.
  • Be gentle around the treated area if it feels tender.

When to Contact Us

Please call our practice immediately if you experience:

  • Increasing swelling of the face or gums
  • Severe or worsening pain not controlled by medication
  • Fever or feeling unwell
  • The temporary filling falling out
  • Difficulty swallowing or breathing (seek urgent medical care)

Important

An extirpation is the first stage of treatment. The tooth is not fully treated until the root canal therapy is completed and the tooth is permanently restored (often with a crown). Delaying further treatment may result in reinfection or fracture of the tooth.

If you have any concerns, please contact our practice — we are here to help.