Do I Need a Root Canal? 3 Key Signs - Laurich Dentistry (2024)

The phrase “root canal” has a predominantly negative connotation among many people. This is largely due to the horror stories about root canals of the past, as well as negative Hollywood depictions. The truth of the matter is that despite their negative reputation, root canals are actually an important restorative procedure. In fact, when the pulp layer of the tooth becomes infected, root canals are the only treatment that can save the tooth.

Do I Need a Root Canal? 3 Key Signs - Laurich Dentistry (1)

Dental pulp is the innermost layer of your tooth and is composed of blood vessels and nerves. If tooth decay erodes both the enamel and dentin layers to enter the pulp chamber, this causes the pulp to become infected. Unfortunately once the pulp is infected, it is unable to heal itself and the infection will continue to spread if not treated. Pulp infections can lead to a tooth root abscess, infection of the surrounding teeth, and eventual tooth loss or need for extraction.

During a root canal, this decayed and infected tissue is removed from the pulp chamber and root canals. Thus, root canals prevent abscesses, further infection, and tooth loss. Simply stated, root canals save your teeth from a much worse fate. However, as with most dental treatments, the sooner you receive treatment the better. Here are three key signs that you may need a root canal:

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Tooth Pain

According to the American Endodontic Association, pain is the most common symptom signaling the need for a root canal. This isn’t to say that just because your tooth hurts, you need a root canal. There are different reasons for tooth pain and not all of them require a root canal. Generally pain that could indicate the need for a root canal is mild or intense in severity, may decrease or increase as the day goes on, or may only become more severe when biting with the affected tooth. Additionally, you may experience tooth sensitivity to hot and cold temperatures that continues even when the source has been removed.

Do I Need a Root Canal? 3 Key Signs - Laurich Dentistry (3)
Do I Need a Root Canal? 3 Key Signs - Laurich Dentistry (4)

Tooth Discoloration

Another possible sign that you may need a root canal is discoloration of the affected tooth. This discoloration is generally described as a darkening of the tooth. However, the affected tooth can be a darker yellow than the others, light brown, grey, or black. Teeth can become discolored as a result of the dental pulp decaying and dying. If you notice a single tooth changing color, you may need a root canal to restore the tooth.

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Surrounding Tissue Symptoms

The final key sign that you may need a root canal are symptoms in the surrounding tissues. In most cases, you may experience pain, tenderness, or swelling in the gums. You may even notice a discharge or a pimple along the gum line. Additionally, you may also experience pain that is deep in your jaw bones rather than simply in your tooth.

Tooth Pain and discoloration, as well as symptoms in the surrounding tissues are three key signs that you may need a root canal. Ultimately, however, only a general dentist can diagnose a pulp infection and the need for a root canal. For the best treatment outcomes, and to relieve any discomfort, timely dental treatment is recommended. If you notice these signs, it may be time for a visit to your local dentist office.

Do I Need a Root Canal? 3 Key Signs - Laurich Dentistry (6)

Dr. Dennis Laurich has been practicing dentistry for over 40 years. He received his DDS degree from the University of Michigan Dental School and regularly attends oral health care conventions to continue his dental education. This allows him to treat patients with the leading dental technology and methodologies. Additionally, he is a member of the American Dental Association, Michigan Dental Association, and the Detroit District Dental Society.

Do I Need a Root Canal? 3 Key Signs - Laurich Dentistry (2024)

FAQs

Do I Need a Root Canal? 3 Key Signs - Laurich Dentistry? ›

Tooth Pain and discoloration, as well as symptoms in the surrounding tissues are three key signs that you may need a root canal. Ultimately, however, only a general dentist can diagnose a pulp infection and the need for a root canal.

What symptoms indicate a root canal is needed? ›

What are signs I may need a root canal?
  • Tooth pain that doesn't go away. Lots of things make your teeth hurt. ...
  • Pressure hurts. If your tooth hurts when you eat or touch it, it may mean something damaged the nerves around your tooth pulp.
  • Swollen gums. ...
  • Pimple on your gums. ...
  • Swollen jaw. ...
  • Discolored tooth. ...
  • Loose tooth.

What indicates the necessity of a root canal? ›

Your dentist may recommend a root canal when your tooth shows signs of infection or significant pulpal nerve damage. When a tooth is cracked or has a significant cavity, bacteria is able to enter the pulp, and if left untreated, can lead to serious infection, bone loss, or the loss of the tooth itself.

How does a dentist tell if a tooth needs a root canal? ›

The dentist will determine the need for a root canal through one or several of the following methods: x-rays, the cavity test, selective anesthesia (to identify where the source of pain is when the patient doesn't know), thermal and electric testing, or by tapping on the problem tooth.

Why do root canals need 3 visits? ›

There is usually an interval of 1-2 weeks between each visit. The first 2 visits involve cleaning the infected pulp out of the tooth and root spaces or canals. This usually leads to an alleviation of pain and swelling. The 3rd visit is where the root spaces are filled and sealed to prevent re-entry of bacteria.

Do I definitely need a root canal? ›

Root canal treatment is needed when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp may become inflamed if it's infected by bacteria, allowing the bacteria to multiply and spread. The symptoms of a pulp infection include: pain when eating or drinking hot or cold food and drink.

Why does my dentist say I need a root canal but no pain? ›

Even if you have not noticed any obvious symptoms of an oral health problem, root canal treatment may still be necessary for one of the following reasons: There is a new infection. An X-ray might alert your dentist to a problem within your tooth that has not yet developed to the point where it is causing pain.

What is an alternative to a root canal? ›

Dental treatment alternatives to a root canal include direct pulp capping, pulpotomy, pulpectomy, endodontic retreatment, endodontic surgery, tooth extraction, dental implants, bridges, or dentures.

How bad will my tooth feel if I need a root canal? ›

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.

How does dentist decide between root canal and extraction? ›

‍ Your dentist should recommend the procedure that best fits you. However, the goal for most dentists is to preserve the tooth rather than just extracting it. Therefore, unless the tooth is too damaged to be saved, they will most likely recommend a preservative procedure like a root canal.

Why do dentists always want to do root canals? ›

Root canals are needed for a cracked tooth from injury or genetics, a deep cavity, or issues from a previous filling. Patients generally need a root canal when they notice their teeth are sensitive, particularly to hot and cold sensations.

Why you don't want a root canal? ›

Critics of root canals suggest that the procedure may leave behind bacteria or toxins in the treated tooth, leading to systemic health issues. They argue that root canals can compromise the immune system and contribute to chronic health conditions.

How painful is a root canal? ›

Are root canals painful? You might assume root canals are painful, but many people report they're no more painful than getting a filling. The discomfort you may have leading up to this kind of dental care can be very painful but not the procedure itself.

Can you have no symptoms but need a root canal? ›

Therefore, if there's a significant fracture to the tooth or a large cavity reaches the pulp, your dentist may encourage you to consider a root canal as a preventive measure to keep your tooth from hurting at some point although you may not have any symptoms at the time of the procedure.

Does tooth sensitivity mean I need a root canal? ›

Teeth that need root canals often cause swelling. Sensitive teeth, known as dentin hypersensitivity, can have many causes. A new sensitivity to hot or cold temperatures, though, may be the only signal that a tooth needs a root canal.

What happens if you don't get a needed root canal? ›

The Consequences of Avoiding a Root Canal

If the infection is concerning and left untreated it can cause you to lose your tooth or part of your jaw or even lead to dental abscesses or a life-threatening stroke, sepsis, or heart attack. As the infection progresses so will the pain which will be excruciating.

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