Few phrases in dentistry make people more nervous than “you need a root canal.” But here’s the truth: modern root canals are safe, effective, and often no more uncomfortable than getting a standard filling. In fact, they’re designed to relieve pain — not cause it. If you’ve been told you might need one, this guide will walk you through what to expect and why it’s nothing to fear.
A root canal is a dental procedure used to treat an infected or inflamed tooth pulp — the soft tissue inside the tooth that contains nerves and blood vessels. When decay, a deep crack, or trauma reaches this inner layer, it can lead to pain, swelling, and even tooth loss if untreated.
The goal of a root canal is to clean out the infection, seal the tooth, and save it from extraction. It's one of the most common and successful procedures in dentistry.
Signs that you may need a root canal include:
Sometimes, though, there are no obvious symptoms — only a dental exam or X-ray reveals the infection. That’s why routine checkups are key to catching issues early.
Here’s a general overview of what to expect:
In most cases, a crown is placed after the root canal to restore full strength and function to the tooth.
Thanks to modern techniques and anesthesia, root canals are no more painful than getting a filling. Most patients say the relief after treatment is immediate — especially if they came in with a severe toothache. Some soreness is normal for a day or two, but it’s usually mild and manageable with over-the-counter pain relievers.
Saving your natural tooth is always the better option when possible. A root canal preserves your bite, prevents nearby teeth from shifting, and avoids the long-term cost and care that come with bridges or implants. With proper care, a root canal–treated tooth can last as long as your natural teeth.
Not all root canals can be avoided, but you can reduce your risk by:
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