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Hearing the words “root canal” can make many people nervous. It’s one of the most misunderstood dental procedures, often associated with pain and discomfort. But the truth is, root canals are not painful—they actually relieve pain!

Modern dentistry has made root canal treatment quick, comfortable, and virtually painless. In this guide, we’ll explain what to expect before, during, and after a root canal, so you can feel confident about your treatment.

What is a Root Canal?

A root canal is a dental procedure that treats infection or damage inside a tooth’s pulp (the soft tissue containing nerves and blood vessels). The treatment removes the infected tissue, disinfects the inside of the tooth, and seals it to prevent future infection.

Root canals are necessary when the pulp becomes inflamed due to:

  • Deep decay (cavities) that reach the pulp
  • Cracked or fractured teeth allowing bacteria to enter
  • Repeated dental procedures weakening the tooth
  • Injury or trauma to the tooth

Without treatment, the infection can spread, causing severe pain, swelling, and even tooth loss.

Is a Root Canal Painful? The Truth Behind the Procedure

The Procedure Itself is NOT Painful

One of the biggest myths about root canals is that they hurt. In reality, the procedure is performed under local anesthesia, so you won’t feel pain.

  • Before the Procedure: The dentist numbs the area with a local anesthetic.
  • During the Procedure: You may feel pressure, but not pain.
  • After the Procedure: Some mild soreness is normal but easily manageable with pain relievers.

Most patients say that getting a root canal feels similar to getting a filling—not nearly as scary as they imagined!

Root Canals Actually Relieve Pain

If you need a root canal, chances are you’re already experiencing severe tooth pain. The pain comes from the infection inside the tooth, not the treatment itself.

Once the infected pulp is removed, the pain goes away almost immediately. This makes root canals a pain-relieving treatment, not a painful one!

Modern Technology Makes Root Canals Easier

Thanks to advancements in dental technology, root canals are quicker, safer, and more comfortable than ever. Modern techniques ensure:

  • Precise numbing for a completely pain-free procedure
  • Faster treatment times (usually within an hour)
  • Minimal post-procedure discomfort

What to Expect During a Root Canal

Understanding the process can help ease your anxiety. Here’s what happens step by step:

  • Step 1: Diagnosis & X-Rays: Your dentist takes X-rays to examine the infection and plan your treatment.
  • Step 2: Numbing the Area: A local anesthetic is applied to completely numb your tooth and surrounding gums.
  • Step 3: Cleaning the Infected Pulp:
      • The dentist makes a small opening in the tooth.
      • The infected pulp, bacteria, and dead tissue are removed.
      • The inside of the tooth is thoroughly disinfected.
  • Step 4: Filling & Sealing: 
      • The empty root canals are filled with a biocompatible material (gutta-percha) to prevent re-infection.
      • A temporary filling or crown is placed to protect the tooth.
  • Step 5: Final Restoration (Crown Placement): A permanent crown is usually placed in a follow-up visit to restore strength and function.

The entire procedure takes about 60–90 minutes and may require one or two visits, depending on the complexity.

What to Expect After a Root Canal

After the procedure, you may experience mild discomfort, but it’s temporary and manageable. Here’s what to expect:

  • Mild soreness for a few days (manageable with ibuprofen or acetaminophen)
  • Sensitivity when biting (until the final crown is placed)
  • Swelling (rare, but can be relieved with cold compresses)
  • Most patients return to normal activities within 24 hours.

FAQs

A root canal is much less painful than an extraction. With local anesthesia, you won’t feel pain during the procedure. An extraction, on the other hand, can be more uncomfortable and requires more healing time.

Most root canals take 60–90 minutes, and some may require two visits if the infection is severe.

In most cases, yes. A dental crown strengthens and protects the treated tooth, preventing fractures.

Wait until the numbness wears off (2–3 hours) before eating. Stick to soft foods for the first 24 hours.

A root canal permanently removes infection, but the tooth still needs proper care. With good oral hygiene, it can last a lifetime.

The infection will spread, leading to severe pain, an abscess, and possibly tooth loss.

Yes! Most people return to normal activities the same day or the next.

Yes! A root canal saves your natural tooth, while extraction may require costly replacements like implants or bridges.

Don’t Fear the Root Canal—It’s a Pain Reliever!

A root canal is a safe, effective, and pain-relieving procedure that saves your natural tooth and prevents severe dental complications. If you’re experiencing persistent tooth pain, don’t wait—seek treatment immediately.

At Bright Valley Dental, our expert team provides comfortable and high-quality root canal treatments to restore your smile and oral health.

Schedule Your Consultation Today by calling at (847) 742-1700 or you can also visit our clinic at 16 N Airlite St, Suite 2, Elgin, IL 60123

Bibliography & Sources

Welcome to Bright Valley Dental! We are a cosmetic and family dental practice located in Elgin, Illinois, just off Randall Rd. Our team is devoted to providing the best possible preventative and restorative care that suits your unique needs, and we are always looking for new patients to join our dental family.
Medically Reviewed by Dr. Karan Varma. Expert Dentist in Garner, North Carolina