The Root Canal Procedure: What to Expect During Treatment
Are you dreading the idea of a root canal? You're not alone, but the root canal procedure isn't nearly as intimidating as its reputation suggests. The truth is, it can save a damaged tooth and stop pain for good.
Dental anxiety is a real thing, and it often causes people to delay treatment. Knowing what to expect can help you conquer the anxiety (and save a tooth)!
Our guide breaks down each stage of the process, so there are no surprises. We'll also share a few smart dental health tips to protect your smile after treatment.
If a dentist has recommended a root canal, or you're just curious about what it involves, this overview will help you feel prepared and confident. Let's take the mystery (and worry) out of root canals.
What Exactly Is a Root Canal?
Many people have heard of a "root canal," but don't fully understand what it involves. This common dental procedure treats a problem inside the tooth that can't be seen from the outside.
Here's what your dentist sees: Inside each tooth lies a soft tissue, called dental pulp. The pulp contains nerves and blood vessels. When bacteria reach this area due to deep decay, cracks, or injury, infection can develop.
Instead of removing the tooth, a root canal removes the infected tissue. Your dentist can then thoroughly clean the inside chambers and seal them to prevent bacteria from returning.
Saving the natural tooth protects surrounding teeth, preserves chewing ability, and maintains the natural shape of your smile. Advances in dental tools and techniques have made root canals relatively easy, with most patients experiencing little to no discomfort during or after treatment.
What Leads to the Need for a Root Canal?
Sometimes the damage inside a tooth grows undetected until pain drives you to the dental chair. Knowing what can lead to a root canal helps prepare for what comes next. It also highlights why routine dental care is important.
Deep Decay
Cavities that reach past the enamel and dentin allow bacteria to enter the inner tooth tissues. Infection and inflammation often result, causing pain and damage if not treated quickly.
Repeated Dental Work
Multiple fillings or restorations weaken tooth structure over time. Cracks or gaps can form, giving bacteria a path inside and increasing infection risk.
Tooth Fracture or Trauma
Accidents or biting down on hard objects can cause fractures that expose the inner layers of the tooth. Even small cracks let bacteria invade, leading to infection.
Infection Reaching the Pulp
Bacteria that penetrate the soft tissue inside the tooth cause an infection that cannot heal on its own. Removing the infected tissue through a root canal protects the tooth and stops further damage.
Knowing When You Might Need a Root Canal
A tooth can experience trouble long before pain becomes unbearable. Understanding the early warning signs can help catch problems before they worsen and can save your natural tooth from serious damage.
Watch for these symptoms:
- Persistent pain
- Sensitivity to heat or cold
- Swollen or tender gums
- Tooth discoloration
Keep in mind that self-diagnosis isn't recommended. If you're experiencing any of the above symptoms, it's best to schedule an appointment with a dentist.
What to Expect at the Consultation
Before you have any dental work done, you'll have a simple visit with your dentist that focuses on understanding what's going on with your tooth. The dentist takes time to ask about your symptoms, review your health history, and look at X-rays to get a full picture of the problem.
A clear diagnosis helps guide the next steps. Every tooth is different, and this appointment sets the stage for a personalized and comfortable experience during the root canal procedure.
Getting Ready for Treatment Day
Planning ahead helps ease stress and makes the day of the procedure feel more manageable. The dentist will explain the type of anesthesia used and what to expect during the numbing process, so there are no surprises.
If there's anxiety about the treatment, speak up because many dental offices offer ways to help patients feel more relaxed. Before your procedure, ask about any guidelines for eating, medication reminders, or other information that may be helpful to know in advance.
The Root Canal Procedure: Step-by-Step
Root canal treatment follows a simple, structured process that removes infection and protects the tooth. Each step plays a role in restoring comfort and long-term function.
Numbing the Area
The dentist uses a local anesthetic to fully numb the area around the tooth. You stay awake, but you won't feel pain.
Isolating the Tooth
A small rubber barrier surrounds the tooth to keep it dry and clean. This helps create a sterile space for treatment.
Creating Access
The dentist makes a small opening in the top of the tooth. This creates a path to reach the damaged area inside.
Removing the Pulp
Using precise tools, the dentist clears out the infected tissue inside the tooth. The space is also gently shaped to allow for proper sealing.
Disinfection
Antibacterial solutions flush out remaining bacteria and debris. This step lowers the chance of future infection.
Filling the Canals
The dentist fills the cleaned space with a soft material that supports the tooth from within. A sealant goes on top to close everything tightly.
Temporary or Permanent Restoration
A temporary filling or crown may go on right after the procedure. In many cases, a permanent crown is added later to protect the tooth for the long term.
What to Expect During the Procedure
Most root canal treatments last between 60 and 90 minutes. Back teeth can take a little longer because they have more canals to clean and seal.
Pressure or vibration is common during the procedure, but there shouldn't be any pain. You'll stay awake the whole time, but the area remains fully numb, allowing you to stay relaxed. If you feel anything unexpected, the dentist can pause and make adjustments.
Root Canal Recovery: The First 24 Hours
The numbing effect will start to wear off within a few hours after your root canal procedure. Mild soreness is common, but most people feel well enough to return to their usual routine by the next day.
Helpful tips for the first 24 hours:
- Avoid hot food and drink until full sensation returns
- Chew on the opposite side of your mouth
- Brush gently and keep the area clean
- Take over-the-counter pain relief if needed (as directed by your dentist)
- Rest if you feel tired or sore
Post-Root Canal Care
It's normal to feel some mild soreness or sensitivity for a few days, especially when chewing. Discomfort usually fades on its own, but your dentist may suggest taking non-prescription pain medication for a few days.
Reach out to your dentist if pain increases, swelling develops, or anything doesn't feel right. These could be signs that you need additional care. As we mentioned earlier, most people feel back to normal within a few days, though full healing inside the tooth continues over the next week or two.
If your tooth was left with a temporary filling, your dentist will schedule a follow-up to place a permanent crown. This final step helps protect the tooth from future damage.
Long-Term Outcomes and Dental Health Tips
Most root canals last many years with the right care. Research from the Regenstrief Institute and Indiana University School of Dentistry found that teeth typically remain healthy for around 11 years after treatment. That timeline often extends when the dentist places a permanent crown or strong filling promptly.
Following these dental health tips after the procedure may extend the life of the treated tooth even further:
- Routine dental visits
- Regular dental cleanings
- Good hygiene habits
- Avoiding hard foods until fully restored
- Long-term monitoring by your dentist
Root Canal Myths Debunked
Many people feel uneasy about root canals, often because of confusing or exaggerated information online. A recent survey given by the American Association of Endodontists highlights that nearly half of younger adults say they fear root canal treatment because they struggle to separate fact from fiction.
Here are a few of the most common misconceptions:
Myth: Root canals are extremely painful.
Fact: With today's dental advancements, the procedure is designed to relieve pain, not cause it. Local anesthesia keeps patients comfortable throughout.
Myth: It's better to pull the tooth.
Fact: Saving the natural tooth is usually the best course of action. Root canals preserve the structure and function of the tooth, often lasting many years with proper care.
Myth: Root canals can make you sick.
Fact: This outdated belief has been widely discredited. There's no scientific evidence linking root canals to other health issues.
Myth: Recovery takes a long time.
Fact: Most patients feel back to normal within a day or two and can resume daily activities shortly after treatment.
Take Charge of Your Dental Health Today
Never delay seeking care if something feels off. Early detection can prevent complications and keep your smile healthy. A root canal procedure protects your natural tooth and supports your overall well-being.
At Arverne Dental, Dr. Lyuba Taft and her dedicated team treat every patient like family, combining advanced technology with compassionate care. Our state-of-the-art Rockaway Beach office offers everything from routine cleanings to root canal therapy.

Our mission is to make sure we meet your entire family's dental needs with skill and kindness.
Dr. Lyuba Taft
General Dentist
Dr. Baruch Tetri
Periodontist
Dr. Mike Lee
Endodontist