What is endodontics?
Inside every tooth there is the pulp, a tissue with nerves and blood vessels. If deep decay, a fracture or an injury reaches it, it can become inflamed or infected and cause pain. A root canal treatment cleans and disinfects the inside of the tooth and then seals it.
Despite its reputation, it is done under local anaesthetic and, in most cases, feels like a normal dental appointment.
Who is it for?
It is considered when the inside of the tooth is damaged. Symptoms aren't always obvious: sometimes an infection only shows up on an X-ray.
- Strong toothache, or pain that wakes you at night
- Lasting pain with hot or cold, even after the trigger is gone
- Pain when biting, or swelling near the tooth
- A tooth that changes colour after an injury
How the treatment works
After the check-up and an X-ray, treatment usually involves:
- Local anaesthetic
- Opening the tooth and removing the damaged pulp
- Cleaning and disinfecting the inner canals
- Sealing the canals and rebuilding the tooth
- Sometimes a crown, to protect it in the long run
Afterwards
Some mild soreness can last a few days, which is usually managed with ordinary pain relief if the dentist recommends it. Avoid chewing on the treated side until the anaesthetic has worn off. A tooth that has had a root canal can be more fragile, so in some cases a more protective restoration is advised.
More than one appointment may be needed, depending on the tooth and the situation.
When to come in
If you have pain that won't go away, swelling or unusual sensitivity, don't wait: the sooner the tooth is treated, the better the chance of keeping it. If you're not sure what's wrong, a check-up will help you find out.
Frequently asked questions
Does a root canal hurt?
With local anaesthetic you normally don't feel pain during the treatment. Some discomfort may follow for a few days.
Why not just remove the tooth?
Keeping your natural tooth is generally preferable, as it supports chewing and the balance of your mouth. The dentist will assess whether the tooth can be saved.
How many appointments are needed?
It depends on the tooth and the situation: sometimes one, in other cases two or more.
Further reading (in Italian)
- Devitalizzazione: cos'è e quando serve
- Mal di denti: cosa fare subito e quando chiamare il dentista
- Carie: come riconoscerla e come si cura
- Dente rotto o scheggiato: cosa fare
Other treatments
- Oral surgery
- Restorative dentistry
- Cosmetic dentistry
- Preventive care
- Dental implants
- Orthodontics
- Pediatric dentistry
- Prosthodontics
- Teeth whitening
General information only: it does not replace a check-up. Only a dentist can assess your individual case.
Would you like a first visit?
Write to us: we will explain everything calmly.