A pulp dressing, pulpotomy or extirpation may be used during an urgent appointment to reduce pain and protect the tooth. Extirpation is the first stage of root canal treatment. The tooth usually has a temporary filling and still needs further treatment.
The treatment is not complete
Arrange an appointment with a general dentist as soon as possible. They will assess whether the tooth can be restored and discuss completing root canal treatment or other appropriate options. Leaving the temporary dressing in place without follow-up can allow the tooth to break or become infected again.
SMDEC provides the urgent first stage only and does not provide routine or continuing dental care.
Looking after the tooth
- Do not chew until the local anaesthetic has worn off, and avoid very hot food and drink while your mouth is numb.
- Be careful when eating. Avoid biting hard or sticky foods on the treated tooth because it may be weaker and the temporary filling can break or come out.
- Brush twice a day with fluoride toothpaste and continue your usual interdental cleaning, taking care around the temporary filling.
Pain after treatment
Some tenderness, mild pain, bruising or local swelling can occur and should ease over the next few days.
Paracetamol or ibuprofen may help if you can normally take them. Follow the packet instructions and do not exceed the recommended dose. Ask a pharmacist if you are unsure which pain relief is suitable for you.
If the temporary filling comes out
Contact a general dentist promptly so the tooth can be resealed and the risk of reinfection reduced. Until you are seen, keep the tooth clean and do not chew on it.
Get urgent dental advice if
- Pain is severe, is getting worse or is not controlled by suitable pain relief.
- Swelling is increasing, you develop a high temperature or you feel generally unwell.
- You have difficulty opening your mouth, or the temporary filling or tooth breaks.
Clinical sources
This general information was reviewed against current NHS guidance. Your treating dental professional’s instructions take priority.
Call 999 or go to A&E for a medical emergency
Get emergency help for heavy bleeding that will not stop, severe swelling affecting breathing or the eyes, or another serious medical emergency. If you are unsure, contact NHS 111.