Root Canal Therapy

This is the most common question we hear, and the honest answer is: no, a modern root canal should not hurt. The tooth is fully numbed before treatment begins, and most patients report feeling pressure but no pain. In fact, the root canal relieves the pain you’ve been experiencing from the infection. Many patients tell us it was much easier than they expected.

Common signs include: a severe toothache that won’t go away, prolonged sensitivity to hot or cold, darkening of the tooth, swelling or tenderness in the gums near a tooth, or a persistent pimple on the gums. Sometimes there are no symptoms at all, and the infection is found on an X-ray during a routine exam. If you’re experiencing any of these signs, call us for an evaluation.

An untreated tooth infection will not heal on its own. The infection can spread to surrounding bone and tissue, cause an abscess, and eventually the tooth will need to be extracted. In rare cases, untreated dental infections may spread to surrounding areas. Saving the tooth with a root canal is almost always the better option.

Most root canals are completed in a single visit lasting 60 to 90 minutes, depending on the tooth and complexity. Front teeth with a single canal are faster; molars with multiple canals may take a bit longer. In some cases, a second visit may be needed to complete the treatment.

In most cases, yes. A root canal removes the living tissue inside the tooth, which can make the remaining structure more brittle over time. A crown protects the tooth from fracturing and restores its full strength and function. For front teeth, a crown may not always be necessary—your dentist will recommend the best approach.

Root canal therapy typically ranges from $700 to $1,200, depending on the tooth (front teeth are less complex than molars). Most dental insurance plans cover a portion of root canal treatment. Keep in mind that a crown will also be needed in most cases, which is a separate cost. Our team will verify your coverage and provide a full estimate before starting.

Whenever possible, saving your natural tooth is the better long-term option. A natural tooth maintains your jawbone, keeps neighboring teeth aligned, and functions better than any replacement. Extraction leads to bone loss and requires a bridge or implant to fill the gap, which is more complex and costly. A root canal preserves what nature gave you.

Most patients return to normal activities the same day. You may experience mild tenderness for a few days, which can be managed with over-the-counter pain medication. Avoid chewing on the treated tooth until the permanent crown is placed. If you experience severe pain or swelling after the procedure, call us right away.