You won't feel any pain during the root canal procedure, thanks to the local anesthesia that dentists use. The pain associated with root canal treatments comes from the tooth itself before you get it treated. The truth is, removing the infection removes the pain. Painful root canals are actually a myth.
It's very similar to a routine filling and can usually be completed in one or two appointments, depending on the condition of your tooth and your personal circumstances. Getting a root canal is relatively painless and extremely effective. You'll be back to smiling, biting and chewing with ease in no time.
Most patients get mild symptoms, if any. One comparative study of 168 root canal patients in the International Endodontic Journal cited a pain level hovering just above one on a zero-to-10 scale. Researchers noted that 63% of participants recorded no anterior pain at all.
Though no more painful than getting a filling done for a cavity, many people fear getting a root canal because they've heard that they are painful. In reality, the most painful part of a root canal is the pain you are experiencing before the procedure is performed.
In short, when you need a root canal, it may feel like throbbing pain due to infection inside of the root of your tooth. A visible fistula, swelling, or temperature sensitivity might be present. Bacteria can also lead to foul-tasting drainage along the gum tissue near your root.
Talk to Your Dentist About Root Canals
It's perfectly normal to be nervous about a procedure, and your dentist knows that. The best way to conquer this fear is to book a one-on-one consultation where you can safely express your anxieties and apprehensions, and your dentist can address this one by one.
Contrary to popular belief, the modern root canal procedure is no more painful than a standard filling, with many patients only feeling a slight discomfort, thanks to the powerful anesthetic options available.
The maxillary molars, especially the second molars, have the most complicated root canal system in permanent dentition. There are many variations in canal number and configuration in maxillary molars. Treatment may be unsuccessful because the dentist may fail to recognize the unusual canal configuration.
Depending on the amount of infection in your tooth, root canal therapy may require one or two appointments. On average, a root canal takes about 30 to 60 minutes to complete. If you are having treatment on a larger tooth with multiple roots, it can take up to an hour and a half.
Final Verdict: Save the Tooth if Possible
In addition, healing from an extraction takes longer and is often more painful than healing from a root canal, and pulling the tooth means even more dental procedures and healing time to replace it later. Still, pulling the tooth might be right for some situations.
During a root canal, the nerve and pulp are removed, and the inside of the tooth is then cleaned and sealed. It's important to note that a root canal does not kill the tooth. While root canals do remove the nerves inside the tooth, these nerves serve little function in a fully formed tooth.
During the procedure itself, you'll only feel pressure while we work to save your tooth. We make sure the area is thoroughly numbed before we even begin working. You'll probably feel some discomfort or even pain after the procedure and once your mouth has regained feeling.
Root canals are considered to be the most painful because they require removing the nerve tissue on a tooth's root. The removal of the nerve tissue is not only excruciatingly painful but also commonly leads to infection.
Patients should plan to rest the day of their root canal procedure, and most can return to work the very next day. Our bodies need proper healing time, and this time can vary between patients. In most cases we recommend patients can return to work the day after their root canal procedure.
You can eat 30 to 45 minutes after a root canal, which is enough time to allow your temporary filling to fully harden, but it's generally recommended that patients wait to eat until after the anesthetic has worn off to prevent you from biting your cheek or tongue.
Swelling may increase 48-72 hours before diminishing. Swelling may be worse in the morning and usually subsides as the day continues. Slight bleeding or oozing may discolor saliva up to 24 hours after surgery. This is normal.
A tooth can become so severely compromised that very little of the structure remains or the root is unable to provide support. And sometimes, an infection is so severe that root canal treatment and antibiotics don't do the trick.
If a dentist drills too deep, he or she might cut through the bottom of the tooth. This can create an infection, swelling, and failure of the procedure. A failed root canal may lead to loss of the tooth, damage to the jaw bone, and gum issues.
Molars will usually take the longest because they can have up to four roots, requiring treatment for up to four canals. If you require a dental crown, more time will be necessary to place the crown.
The root canal procedure is completed in two separate visits to ensure that the tooth is thoroughly cleaned out, sealed up, and protected from further damage.
The need for a crown is typically determined by the amount of remaining tooth structure after a root canal. Generally, if more than half of the tooth is gone, a crown is indicated to restore the tooth's structural integrity.
Cons of Having a Root Canal
Dentists have to drill through the tooth in order to get to the pulp, and additional decay might have to be removed. If the tooth is too weak to function, the dentist will add a crown to it, which will strengthen the tooth and allow the patient to use it like a natural tooth.
Listen to Music
Music has the power to soothe you when you feel on edge. A familiar favorite song can calm you and help you feel comfortable during uncomfortable moments. Music can also distract you during the procedure, covering up the sounds the endodontist makes as they perform the treatment.
After a root canal, try to eat soft foods that require very little chewing, like applesauce, yogurt, eggs, and fish. Avoid hard or hot foods that might hurt your teeth. Some dentists suggest to not eat for a few hours until the numbness in your mouth wears off so you don't bite your cheek or tongue.
When it comes to root canal vs. extraction, a root canal is the better option when possible. Root canal treatment is safer than extraction, and it allows the patient to keep their natural tooth. According to the East Carolina University School of Dental Medicine, there are 41,000 root canals performed every day.