What to Expect During a Root Canal

If your dentist has recommended a root canal, it’s completely natural to feel a little nervous. The term itself can evoke anxiety. However, root canals are far more routine, and far less painful, than most people expect. Thanks to modern dentistry, this common procedure can actually be one of the most effective ways to relieve dental pain and save your natural tooth. Knowing what to expect before, during, and after the procedure can help ease your worries and make the experience more comfortable.

Understanding the Need for a Root Canal

A root canal is necessary when the pulp inside your tooth, composed of nerves, blood vessels, and connective tissue, becomes inflamed or infected. This often happens due to deep decay, repeated dental procedures on the same tooth, a chip, or trauma. If left untreated, the infection can cause abscesses, bone loss, and significant discomfort. A root canal removes the infected tissue, disinfects the inside of the tooth, and seals it to prevent further issues.

The Consultation and Preparation

Your root canal journey typically begins with a consultation. The dentist will review your symptoms and take X-rays to assess the extent of the damage. They’ll explain the procedure, answer your questions, and ensure you’re medically prepared for treatment. If you have any anxiety about the process, this is the time to discuss sedation options or pain management strategies.

On the day of the procedure, you’ll receive local anesthesia to numb the area around the affected tooth. This ensures you feel little to no pain during the treatment. For many patients, the sensation is similar to getting a standard filling. Once you’re numb and comfortable, the dentist will isolate the tooth with a dental dam to keep the area clean and dry.

The Procedure Itself

The root canal procedure begins with your dentist creating a small opening in the crown of the tooth to access the infected pulp. Using tiny instruments, they will carefully remove the damaged tissue and clean the inside of the root canals. The space is then shaped to allow for a thorough filling process. Throughout this stage, you’ll hear some mechanical sounds and feel pressure, but you shouldn’t experience pain due to the anesthesia.

After cleaning, the canals are filled with a biocompatible material, usually gutta-percha, and then sealed to prevent bacteria from re-entering. In many cases, a temporary filling is placed to protect the tooth until a permanent restoration, like a crown, can be completed. The entire process typically takes one to two hours, depending on the complexity of the case.

Recovery and Aftercare

Following the procedure, it’s common to feel some tenderness in the area for a few days. This is usually manageable with over-the-counter pain relievers like ibuprofen or acetaminophen. Your dentist may also prescribe antibiotics if there was a significant infection. It’s important to avoid chewing on the treated tooth until your final restoration is in place, as it may be more vulnerable to damage. In the days following your root canal, maintain good oral hygiene by brushing gently, flossing, and rinsing with an antiseptic mouthwash if recommended. Keep your follow-up appointment for the permanent crown, as this step is crucial to fully restoring the strength and function of your tooth.

Root Canal Therapy in Columbia, MD

At Howard County Smiles, we are dedicated to your oral health. If you have deep decay or damage, a root canal could prevent worsening conditions. In many cases, it can preserve your natural tooth structure and prevent the need for an extraction. Contact our office today to schedule your consultation and learn more about the procedure.