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What Is Root Canal Therapy?
Root canal therapy, also known as endodontic therapy, is a treatment used to repair and save a tooth that is badly decayed or infected. During the procedure, the pulp (the soft tissue inside the tooth) is removed, and the inside of the tooth is carefully cleaned, disinfected, and sealed.
Root canal therapy is necessary when the tooth pulp becomes inflamed or infected due to:
- Deep tooth decay that has reached the inner tissues.
- Injury to the tooth, such as a crack or chip that exposes the pulp to bacteria.
- Repeated dental procedures on the same tooth, which can cause irritation and infection.
Root canal therapy helps alleviate tooth pain and prevents further damage or tooth loss.
Signs You May Need a Root Canal
You may need root canal therapy if you experience any of the following symptoms:
- Severe tooth pain when chewing or applying pressure.
- Prolonged sensitivity to hot or cold, even after the source is removed.
- Darkening or discoloration of the tooth.
- Swelling and tenderness in the surrounding gums.
- Recurring abscesses or pimple-like bumps on the gums near the affected tooth.
If left untreated, an infected tooth can lead to more serious oral health problems, including tooth loss or the spread of infection to the jawbone.

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Benefits of Root Canal Therapy
Root canal therapy offers several important benefits:
- Pain Relief: It alleviates the pain caused by infection or inflammation in the tooth pulp.
- Tooth Preservation: Root canal therapy saves the natural tooth, preventing the need for extraction and maintaining your smile’s appearance and function.
- Prevention of Infection Spread: By removing the infected tissue, root canal therapy prevents the infection from spreading to surrounding tissues and the jawbone.
Restoration of Normal Function: After treatment, you can chew, bite, and speak comfortably without pain.
The Root Canal Procedure
Examination and Diagnosis
Anesthesia
Accessing the Pulp
Cleaning and Disinfecting
Sealing the Canals
Restoring the Tooth
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Frequently Asked Questions
What is the success rate of root canal therapy?
Root canal therapy has a success rate of about 95-98%, making it one of the most effective dental treatments for preserving natural teeth. When performed by an experienced dentist or endodontist, the procedure provides long-lasting results. With proper oral hygiene and regular checkups, a tooth that has undergone root canal therapy can last a lifetime.
Is root canal therapy painful?
Contrary to popular belief, root canal therapy is not painful. Thanks to modern techniques and effective local anesthesia, the procedure itself is typically no more uncomfortable than having a cavity filled. In fact, most patients experience pain relief from the infection once the root canal is completed. After the procedure, some mild discomfort or tenderness is normal but can be managed with over-the-counter pain relievers.
How long does the root canal process take?
The time required for root canal therapy varies depending on the complexity of the case and the tooth being treated. For most patients, the procedure can be completed in one or two appointments, with each visit lasting about 60 to 90 minutes. In cases where infection is severe or multiple root canals are involved, additional visits may be needed.
What are the risks of not getting a root canal?
If an infected tooth is left untreated, the infection can spread to other areas, including:
- The jawbone, leading to bone loss.
- Surrounding teeth, causing further damage and decay.
- The bloodstream, leading to serious health complications such as sepsis.
Additionally, untreated infection often results in tooth loss, which can cause problems with chewing, jaw alignment, and even the structure of your face.
How much does root canal therapy cost?
The cost of root canal therapy depends on several factors, including the location of the tooth, the severity of the infection, and whether a crown is required. On average, the cost ranges from $700 to $1,500 for a front tooth and $1,000 to $2,000 for a molar.
Dental insurance often covers part of the cost, particularly if the procedure is deemed medically necessary to prevent further damage. Ascend Dentistry also offers payment plans to help make treatment more affordable.
What should I expect after a root canal?
After your root canal therapy, it is normal to experience some mild discomfort or sensitivity for a few days. Here are some tips for a smooth recovery:
- Take over-the-counter pain relievers such as ibuprofen to manage discomfort.
- Avoid chewing on the treated tooth until your permanent crown is placed.
- Maintain good oral hygiene by brushing and flossing regularly, and avoid foods that may irritate the area.
- Follow your dentist’s instructions for post-treatment care to ensure optimal healing.
If you experience severe pain, swelling, or signs of infection after the procedure, contact your dentist immediately.
What are the alternatives to root canal therapy?
If a tooth is severely damaged or infected, the primary alternative to root canal therapy is a tooth extraction. However, tooth extraction can lead to other complications, such as shifting of adjacent teeth, changes in bite alignment, and bone loss in the jaw. In many cases, it’s preferable to save the natural tooth with root canal therapy.
Following an extraction, dental implants, bridges, or dentures may be recommended to restore the function and appearance of the missing tooth.
How do I care for my tooth after a root canal?
To ensure the long-term success of your root canal therapy, follow these care tips:
- Brush and floss daily to keep the treated area clean and prevent reinfection.
- Avoid biting down on hard foods like ice or nuts, which can damage the crown or filling.
- Wear a mouthguard if you grind your teeth at night to protect the treated tooth from excessive pressure.
- Visit your dentist regularly for checkups and cleanings to monitor the health of the treated tooth.