Patient Info

Thank you for visiting Custom Endodontics, a dental practice dedicated to superior endodontic care.

First Visit

Your first appointment will consist of a consultation explaining your diagnosis and treatment options. Usually, your endodontic treatment can be done the same day as your consultation. However, sometimes a complex medical history or treatment plan will require a second appointment to provide treatment on another day.


What to bring with you to your first visit:

  • The endodontic referral slip that your dentist gave you and any X-rays, if applicable.
  • A list of medications you are presently taking.
  • If you have medical or dental insurance, bring the necessary identification card. This will save time and allow us to help you process any claims.

IMPORTANT:

All patients under the age of 18 years of age must be accompanied by a parent or guardian at the consultation visit.

Please alert the office if you have a medical condition that may be of concern prior to treatment (i.e., diabetes, high blood pressure, artificial heart valves and joints, rheumatic fever, etc.) or if you are required to premedicate with any medication prior to your dental appointment (i.e., heart medications, antibiotics, anticoagulant therapy, etc.).

If your dentist or physician has taken X-rays, you may request that he or she forward them to our office. If there is not enough time, please pick them up and bring them to our office. If additional films are necessary, they can be taken at our facility.

Patient Billing

For your convenience, we accept Visa, Discover, MasterCard and Care Credit. We deliver the finest care at the most reasonable cost to our patients; therefore, payment is due at the time service is rendered unless other arrangements have been made in advance. If you have questions regarding your account, please contact us at 701.255.2523.


Please remember you are fully responsible for all fees charged by this office regardless of your insurance coverage.



Most insurance companies will respond within four to six weeks. Our friendly staff is standing by to help you manage your dental care.

Post-Op Instructions

What to Expect After Root Canal Treatment

  • You may notice tenderness for up to 10-30 days. This is normal and should be manageable with over-the-counter medications. Motrin, Ibuprofen, Advil, Aleve, and Aspirin are best for tooth pain. If you are pregnant or presently taking blood thinners, please check with your physician regarding which medication is appropriate for you. Tylenol does not act as an anti-inflammatory but may be used if it is your only option.
  • Numbness will last approximately 2-3 hours. You may drink liquids at any time, but use caution with hot beverages. Avoid eating until the numbness is gone so you do not bite your cheek or tongue.
  • Avoid chewing on the treated side of your mouth until bite tenderness is gone. Tenderness may last 7-10 days.
  • If you were prescribed antibiotics, please continue as directed. A small amount of swelling is possible even when taking antibiotics but should subside.
  • Once numbness is gone, resume your normal brushing and flossing routine.
  • Please phone your dentist promptly for an appointment to schedule a final restoration if one is not already in place. Your dentist will be informed that your endodontic treatment has now beencom­pleted, and a progress report will be sent.

When to Call Our Office

  • If any tenderness persists for longer than 14 days and you have tried the medications listed above.
  • If swelling develops and you are not on antibiotics.
  • If your temporary filling falls out.
  • If you have any questions or concerns.

Our philosophy: We, the team of this endodontic practice, will continually strive for excellence in the care we provide our patients while maintaining a warm, friendly environment sensitive to your personal needs. We hope to develop in our patients an appreciation for our undying effort to improve their quality of life.

Post-Op Instructions for Surgical Procedures

  • Rinsing

    No Rinsing for 48 hours. The doctor will either ask you to use a saltwater rinse (1 teaspoon salt in 8 ounces of warm water) or will prescribe a mouth rinse. When using the rinse on days 2 and 3, bathe in the area for 15-20 seconds. On day 4, and until tissue is comfortable.

  • Brushing

    Avoid brushing and flossing the surgical site for 7 days. Brush your teeth carefully after each meal, avoiding the surgical site for 3-4 days. Do not use a water pic in the surgical area for at least 2 weeks.

  • Flossing

    Gently start flossing surgical area 6–10 days after your procedure. The normal flossing routine can be continued in all other areas of the mout

  • Eating

    Be sure to cut food into small bites and chew on opposite side of mouth. Continue to chew on the opposite side until it no longer feels sensitive in the surgical area.

  • Stitches

    The stitches will dissolve in approximately 3–10 days, unless the doctor indicates otherwise. Do not lift up the lip to examine surgical site for the first 7 days.

  • Swelling

    Apply ice and pressure (15 minutes on and 15 minutes off) for the first 6 hours. This will help to minimize swelling.

  • Suction

    Avoid creating suction in your mouth for the first 24 hours (i.e., sucking from a straw, smoking, or spitting). Also, minimize any activity that may increase your heart rate for the first 24 hours (i.e., climbing stairs, vacuuming, and exercise). These activities may cause the area to throb and ooze blood.

DO NOT lift up your lip to examine the surgical site for the first 3 days, as this may tear the stitches.

What You Can Expect After Your Surgical Procedure

  • Swelling is normal and may increase around post op day 2 & 3, it should resolve. If swelling occurs 7-10 days post op or you feel it is excessive, please contact us.
  • Oozing of blood is possible during the first few hours. Please contact our office if bleeding persists.
  • Bruising on the face (purple discoloration) is possible and will resolve in 7-14 days.
  • If stitches come out within the first 2 days, please contact our office.
  • Some moderate pain is typical for the first few days. Generally, over-the-counter medication can manage this (Motrin, Advil, or Extra Strength Tylenol). If you are unable to take these, let us know.Also, if pain increases after the first couple of days, please notify us promptly.

Please feel free to contact our office if you have any questions or concerns.