Root Canal Treatment

A root canal is a dental procedure that removes infected or damaged tissue from inside a tooth, then cleans, shapes, and seals the inner canals to preserve the natural tooth. Modern root canal treatment, performed with rotary instruments and local anesthesia, is typically no more uncomfortable than a routine filling.

The modern root canal, explained plainly

Root canals have a bad reputation from the 1980s. Modern root canals are nothing like that. With local anesthesia, rotary instruments, and digital imaging, most patients are surprised by how uneventful the procedure is. The relief from pain, if you're going in with a painful tooth usually starts the same day.

When you need a root canal

  • Severe, lingering tooth pain, especially with hot or cold

  • Pain when biting down

  • A tooth that's darkened or discolored

  • A pimple-like bump on the gum near the tooth

  • Deep decay or cracks reaching the nerve

If you're experiencing any of these, don't wait. The infection doesn't resolve on its own.

How the procedure works

  1. Diagnosis and digital imaging. A focused X-ray (and sometimes CBCT) confirms the diagnosis.

  2. Local anesthesia. The tooth and surrounding area are numbed completely.

  3. Access and cleaning. A small opening is made in the top of the tooth. Infected tissue is removed with rotary instruments.

  4. Shaping and sealing. The canals are cleaned, shaped, and filled with a biocompatible material.

  5. Final restoration. A filling or crown restores the tooth's strength and appearance.

Most single-canal root canals are finished in one visit of 60–90 minutes. Molars with multiple canals may need a second visit.

What to expect after

  • Mild soreness for 2–3 days, managed with over-the-counter medication

  • Avoid hard chewing on the treated tooth until the final crown is placed

  • A follow-up appointment to place the crown (usually within 2–4 weeks)

  • The tooth may be slightly sensitive to temperature for a few weeks, which is normal

Common Questions

Frequently Asked Questions

Is a root canal painful?

How long does a root canal take?

Do I need a crown after a root canal?

Can I avoid a root canal?

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Care from the dentist who teaches other dentists.

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portrait of a man
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5.0

168 Reviews on