Root Canal Therapy: What to Actually Expect

Root canal therapy has a reputation that does not match reality. Most patients who have been through it say: it felt like a long filling appointment. The pain people associate with a root canal is almost always the infection that preceded it — not the treatment itself.

The goal of the procedure is to remove infected or damaged tissue from inside the tooth, clean and shape the root canals, and seal the space to prevent reinfection. The tooth is then restored, usually with a crown.

You will be thoroughly numb before anything begins. Modern anesthetics work extremely well, and we take additional time to confirm comfort before proceeding. For anxious patients, we can discuss additional options to help you relax.

The appointment typically takes one to two hours. Mild soreness in the days following is normal and manageable with over-the-counter pain relievers. Most patients return to normal activity the same day or the next morning.

Without treatment, a tooth with an infected pulp will not resolve on its own. The infection can spread, the tooth will eventually be lost, and surrounding bone can be affected. Saving the tooth with a root canal almost always costs less than extracting it and replacing it later.

If you have been told you need a root canal, or if you have a tooth with significant sensitivity to temperature, spontaneous aching, or visible swelling, call our Fairfax office to schedule an evaluation. We will explain exactly what we see and what your options are.