Guide to Understanding Root Canals

Root canals have a bad reputation—but they’re not the villains they’re made out to be. In fact, root canal treatments are gentle heroes that save your teeth from pain, infection, and even extraction.
Let’s break it down so you know exactly what to expect and why there’s nothing to fear.
Table of Contents
What Is a Root Canal, Anyway?
A root canal is a dental procedure used to treat problems inside a tooth—specifically, issues affecting the pulp.
The pulp is the soft tissue at the center of your tooth, made up of nerves, blood vessels, and connective tissue. When this tissue becomes infected or inflamed (usually due to decay, cracks, or trauma), it causes pain and puts your tooth at risk.
In a root canal, your dentist removes the damaged pulp, cleans out the infection, and seals the inside of your tooth. Later, a crown is placed to restore strength and function.
Will It Hurt?
Not at all. Thanks to modern dental techniques and local anesthesia, a root canal feels no different than getting a regular filling. The intense pain people associate with root canals is actually caused by the infection—not the treatment.
Most patients feel immediate relief once the infected pulp is removed.
Do I Still Need a Root Canal If Antibiotics Made Me Feel Better?
Yes—here’s why:
Antibiotics may reduce inflammation and relieve pain temporarily, but they don’t solve the underlying problem. The dead or infected pulp inside your tooth is still there. If left untreated, the infection will return and can spread to surrounding bone or other teeth.
A root canal physically removes the source of infection and permanently protects your tooth.
Why Do I Need a Crown After a Root Canal?
After your root canal, your tooth is hollowed out and more fragile. A dental crown:
- Protects your tooth from cracking or breaking
- Restores your bite and chewing ability
- Seals off the tooth to prevent reinfection
Think of the crown as a helmet for your newly saved tooth.
What Happens After the Procedure?
After your root canal, it’s normal to feel some tenderness for a few days. Here’s what to expect:
- Mild soreness—easily managed with OTC pain relievers
- A temporary filling in place until your permanent crown is ready
- A follow-up visit to place your crown (usually 2–3 weeks later)
Once the crown is placed, your tooth should look, feel, and function like any other tooth!
Will My Insurance Cover a Root Canal?
Most dental insurance plans do cover root canal therapy, especially if it’s deemed medically necessary. Coverage levels can vary depending on:
- Your provider
- Your plan’s benefits
- Whether the procedure is done by a general dentist or endodontist
We always recommend checking with your insurance provider beforehand—and we’re happy to help you navigate the paperwork!
Quick Signs You Might Need a Root Canal
- Persistent toothache
- Pain when chewing
- Swelling or tenderness in nearby gums
- Sensitivity to hot or cold that lingers
- A tooth that has darkened
Root Canals = Tooth Savers
If you’re dealing with tooth pain or have been told you need a root canal, don’t stress. It’s a straightforward, low-pain procedure that helps preserve your natural smile—and keep it pain-free for years to come.
Need more info? Feel free to call your dentist or schedule a consult. We’re here to help make your dental care easy and worry-free.