Home Care Instructions

After an Apicoectomy (apico)

It is normal for blood to seep from the site of a surgical procedure for several hours after the operation. Cleanse the mouth with a mild rinse consisting of 1/2 tsp of table salt and 1/2 glass of warm water. Talking and strong mouth rinses may stimulate bleeding and should be controlled for the first few days. If bleeding continues or becomes profuse, try to locate the exact spot the blood is coming from, hold a piece of gauze, some toweling, or tea bag against the tissue and bone, and apply firm but gentle pressure for 10 minutes without moving the fingers away from the site. Do this in a sitting position. If heavy bleeding continues, call the surgeon’s office or home.

It is normal for the surgical area to swell following an operation. Such swelling may last from a few hours to several days. Immediately following surgery, an ice pack may be applied to your face directly over surgical site. The ice pack should remain in place for a period of 15 to 20 minutes, then removed for 15 to 20 minutes. Keeping an ice pack o the area for more than 20 minutes is counterproductive and could actually stimulate bleeding. This alternating sequence should continue throughout the first 6 to 8 post-surgical hours. Heat, preferably moist heat, may be applied as needed after 24 hours. 

it is normal to experience some pain following surgery. Using the ice pack and taking your prescribed pain medications should help reduce the postoperative pain. If the pain persists or worsens, additional medication may be required. Please contact our office if further assistance is needed.

Careful tooth-brushing is desirable and promotes healing. The bristles of the brush should not contact the surgical area. Brushing only the teeth, and make every effort to avoid the gums. Forty-eight hours after surgery, begin rinsing the mouth with any of the flavored mouthwashes or a mild saltwater solution (1/2 tsp table salt to 1/2 glass of warm water). Follow directions if Peridex has been prescribed.

Post-surgical infection is unusual, but possible. Signs of infection may cause increase in pain, increase in swelling and tenderness, elevated body temperature, chills. and other flu like symptoms. An objectionable odor and taste may also be experienced. When these conditions exists, begin rinsing the mouth with a very hot saltwater solution, reinstitue the facial ice packs, and call our office at 817-759-9311

It is normal to experience a loss of appetite following surgery. The teeth may be tender, and certain foods may be difficult to chew. However, nourishment must be provided to ensure healing. A high-protein diet, as well as 2 multivitamin capsules, taken 3 times a day for the first week, will aid in tissue repair. Energy foods that require little to no chewing include liquid protein supplements, soups, diet concentrates, milkshakes, eggs, cereal, fruits, and ground beef.