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Before Endodontic Treatment

What Happens Before Your Endodontic Treatment?

According to the American Association of endodontists, endodontic treatment (also known as root canal therapy) is usually necessary when there is either inflammation or infection in the roots of a tooth. If you are planning on scheduling a root canal therapy session, there are a couple things you want to do before your endodontic treatment.

Speak To Your Dentist Beforehand

One thing you should do before your endodontic treatment is have a pre-appointment conversation with your dentist to find out whether or not painkillers are suitable for you post-treatment. For safety purposes, it is recommended that you pick up your necessary medication beforehand so you won’t have to worry about it afterwards.

Asking the right questions prior to your endodontic treatment can be extremely beneficial in easing your mind and making the whole process go more smoothly. Some good questions to ask can be found here. Although having precautionary conversations is beneficial, it may not be realistic when emergency root canal therapy is needed.

Precautions To Take

Unless we instruct you differently, always eat a full breakfast or lunch prior to your appointment. For instance, those who will undergo conscious sedation may be asked to eat less.

If we’ve recommended taking an antibiotic premedication due to a cardiac, knee, hip or other prosthesis, heart murmur or mitral valve prolapse (MVP), or if you suffer from rheumatic heart disease, you’re going to want to make sure you are taking the correct antibiotic on the day of your appointment. If you’re still unsure about anything, contact our office before your appointment.

For those who have received medical clearance to take naproxen sodium or ibuprofen, you can experience reduced inflammation when you take it before your operation. You should take two tablets of the medication two to four hours before your treatment.


We recommend using a preventive antibiotic before these dental procedures, especially for patients with the following conditions:

  • Cardiac transplants with heart valve issues
  • Prior infective endocarditis
  • Artificial heart valves
  • Certain congenital heart defects, such as:
    • Heart defects repaired by a prosthetic device or material, which may be placed via surgery or catheter, especially during the first six months following the procedure.
    • Unrepaired or partially repaired cyanotic heart diseases, such as those using palliative shunts or conduits.
    • A repaired heart defect that has a residual defect either adjacent to or at the site of a prosthetic device or patch.

IMPORTANT: If you suffer from a cardiac condition, it’s important to talk to your cardiologist to see what they recommend for dental work preparation.

Immediately After Endodontic Treatment

In most cases, you won’t have any restrictions when the procedure is complete. You will typically be able to drive yourself home and return to work with no issues. You will also be able to continue taking all medications for diabetes, blood pressure, thyroid problems or other conditions unless instructed otherwise.

If a problem does occur after treatment, or you’re concerned with after treatment care, contact our endodontist for answers to your questions and concerns. Ensuring your after treatment care is followed properly will reduce your chances of needing a root canal retreatment.

If you have any questions or would like to schedule an appointment, please visit our Contact Page to submit a form or call our office at (213) 388-3636