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Understanding Root Canal Treatment: What to Expect

Understanding Root Canal Treatment | Parkway Smiles Dentistry

Root canal treatment is a common dental procedure designed to save and restore severely damaged or infected teeth. Many people feel anxious about undergoing a root canal due to misconceptions about pain and discomfort. However, modern advancements in dentistry have made this procedure much more comfortable and effective. In this detailed guide, we’ll walk you through everything you need to know about root canal treatment, including what it is, why it’s needed, the procedure itself, and what to expect during recovery.

What Is a Root Canal?

A root canal is a dental procedure that removes infected or damaged pulp (the soft tissue inside the tooth) to prevent further infection and save the tooth. The pulp contains nerves, blood vessels, and connective tissue, but once it becomes infected or inflamed, it must be removed to avoid complications.

After removing the infected pulp, the dentist cleans and disinfects the inside of the tooth, then fills and seals it to restore its function and strength.

Why Is a Root Canal Needed?

Root canal treatment is necessary when the pulp inside the tooth becomes inflamed or infected. This can happen due to:

  • Deep Tooth Decay – Cavities that reach the pulp can cause infections.
  • Cracked or Fractured Teeth – Bacteria can enter through cracks and cause infection.
  • Repeated Dental Procedures – Multiple treatments on the same tooth may lead to pulp damage.
  • Injury or Trauma – A severe blow to the tooth, even without visible cracks, can damage the pulp.

If left untreated, an infected tooth can lead to:

  • Severe tooth pain and sensitivity
  • Swelling and abscess formation
  • Bone loss around the affected tooth
  • The need for tooth extraction

Signs That You May Need a Root Canal

Common symptoms indicating the need for a root canal include:

  • Persistent toothache, especially when chewing or applying pressure
  • Increased sensitivity to hot or cold, even after the source is removed
  • Swollen or tender gums near the affected tooth
  • Darkening or discoloration of the tooth
  • Pus or an abscess forming around the tooth

If you experience any of these symptoms, it’s crucial to visit a dentist as soon as possible.

The Root Canal Procedure: Step-by-Step

Understanding what happens during a root canal can help ease any fears you might have. The procedure is typically performed in one or two visits and follows these steps:

1. Examination and Diagnosis

The dentist takes X-rays to assess the extent of infection and confirm the need for a root canal.

2. Administering Local Anesthesia

A local anesthetic is used to numb the affected area, ensuring that you remain comfortable and pain-free throughout the procedure.

3. Creating an Access Opening

A small opening is made in the tooth’s crown to reach the infected pulp.

4. Cleaning and Disinfecting the Canals

The dentist removes the infected pulp, cleans the root canals, and disinfects them to eliminate bacteria.

5. Filling and Sealing the Canals

The empty canals are filled with a biocompatible material called gutta-percha, which helps prevent reinfection. The tooth is then sealed with a temporary or permanent filling.

6. Restoring the Tooth

In most cases, a crown is placed over the tooth to restore its strength and appearance, as a root canal-treated tooth can become more fragile over time.

Does a Root Canal Hurt?

One of the biggest concerns people have is whether root canal treatment is painful. The truth is, with modern techniques and anesthesia, the procedure is virtually painless. In fact, a root canal relieves the pain caused by an infected tooth. Some mild discomfort or sensitivity may occur after the procedure, but this can be managed with over-the-counter pain relievers.

Recovery and Aftercare

Most patients resume normal activities within a day after treatment. Here are some aftercare tips to ensure smooth healing:

  • Avoid chewing on the treated tooth until it is fully restored with a crown.
  • Maintain good oral hygiene by brushing and flossing regularly.
  • Take prescribed medications or pain relievers as directed by your dentist.
  • Schedule follow-up visits to monitor the healing process.

Alternative to Root Canal Treatment

If a root canal is not performed, the only alternative is tooth extraction. However, removing a tooth can lead to additional dental problems, such as shifting of surrounding teeth and difficulty chewing. In most cases, a root canal is the best way to save your natural tooth.


Root canal treatment is a safe, effective way to eliminate infection and preserve your natural tooth. If you’re experiencing persistent tooth pain or other symptoms, don’t delay seeking professional care. At Parkway Smiles Dentistry, we provide expert root canal treatment in a comfortable and stress-free environment.

Book your appointment today and take the first step toward a healthier smile!

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