When Might a Root Canal Be Recommended?

Root canal treatment is a procedure used to help preserve a tooth when the soft tissue inside it — the pulp — becomes damaged or infected. During the procedure, the affected pulp is removed, the inside of the tooth is cleaned and shaped, and the space is sealed.

The goal of the treatment is to help you keep your natural tooth rather than removing it.

A root canal may be recommended in several situations, including when deep decay has reached the pulp, when a tooth has become infected or developed an abscess, or when a tooth has been injured or traumatized.

Persistent sensitivity or pain in a tooth may also prompt an evaluation to determine whether the pulp is involved.

After examining the tooth and reviewing x-rays, your dentist numbs the area and accesses the pulp. The damaged pulp is removed, and the inside of the tooth is cleaned and shaped. The space is then sealed to help prevent further issues.

A crown is often recommended afterward to help protect and restore the tooth, which can become more brittle over time.

The main alternative to root canal treatment is typically extracting the tooth. Your dentist can explain the considerations of each option so you can make an informed decision.

If a tooth is extracted, replacing it with a bridge, implant, or partial denture may be recommended to help maintain function and alignment.

If you are experiencing tooth pain or sensitivity, scheduling an evaluation is a good next step. After examining your tooth, your dentist can explain whether a root canal or another treatment may be appropriate for your situation.