By Maylands Dental Centre 
Many people feel anxious about root canal treatment, often because of outdated beliefs or stories they’ve heard from others. These fears are understandable, especially when pain is involved — but modern dental techniques have come a long way. With the right information and care, this procedure may not be as daunting as you think.
Much of the worry surrounding root canal therapy comes from the association with discomfort or uncertainty. In reality, the discomfort is usually caused by the infection inside the tooth, rather than the treatment itself. Advances in dental technology and anaesthetic techniques have made the procedure more predictable in terms of comfort and outcome.
In this blog, we’ll explain what to expect during a root canal treatment and how this common procedure can help relieve pain caused by infection or inflammation inside the tooth. Every patient’s experience is different, but knowing the facts can make the process feel less overwhelming.
- Many people associate root canal treatment with severe pain, but in many cases, the discomfort comes from the infection rather than the procedure itself.
- Some worry that anaesthetics may not be effective, though modern dental techniques aim to provide adequate numbness during treatment.
- Some believe extracting the tooth is a better option, though keeping a natural tooth can support chewing and maintain tooth alignment.
- Root canal treatment is a modern, evidence‑based procedure that focuses on extracting infection and protecting the tooth’s structure.
- The process involves cleaning the root canals and sealing them to reduce the chance of further infection.
- Dentists use local anaesthesia and contemporary equipment to help manage comfort during treatment.
- Many patients describe the experience as similar to having a filling, though individual responses can differ.
- It’s important to talk with your dentist about your medical history, symptoms, and treatment options to choose a suitable approach.
Common Myths About Root Canal Therapy
Root canal treatment is sometimes misunderstood due to persistent myths. Common concerns include the idea that the procedure is highly painful, that anaesthesia may not be effective, or that extracting the tooth is a better option. While these beliefs are widespread, they do not reflect current practices or outcomes in general dentistry.
The Root Canal Procedure Pain Myth
A frequent concern is that root canal treatment causes significant pain. This impression often stems from past dental experiences or outdated information. In many cases, the discomfort that leads to treatment is caused by an inflamed or infected pulp, not the procedure itself.
Root canal therapy is used to manage symptoms by clearing out the damaged or infected pulp and thoroughly cleaning the pulp chamber and root canal system. Local anaesthesia is used to numb the tooth and surrounding soft tissue before treatment begins. While patient experiences can vary, many report tolerable sensations once the anaesthetic takes effect. These may include pressure or vibration as the canals are cleaned with small instruments.
The Extraction Alternative
It’s sometimes assumed that extracting a diseased tooth is a simpler or more effective approach than undergoing canal treatment. While extraction may be recommended in some cases, retaining the natural tooth is often considered when clinically feasible.
The tooth plays a role in maintaining chewing function, distributing pressure during biting, and supporting the alignment of adjacent teeth. Extraction may lead to changes in tooth structure, spacing, and even bone volume in the jaw if the area remains unrestored. However, if the tooth root or surrounding bone is compromised, extraction may be part of the recommended approach. A full clinical examination helps determine whether a restored tooth is achievable.
Anaesthetic Doesn’t Fully Work
Some individuals are concerned that anaesthetics may not be fully effective during a root canal procedure, particularly when infection is present. This can contribute to anxiety about the dental procedure.
Anaesthetic techniques used in dentistry are selected to reduce sensation in the affected area. Numbness is assessed before treatment begins, and additional doses may be applied if sensitivity remains. A dental dam is often used to isolate the tooth and improve comfort. If discomfort occurs during care, the procedure can be paused and adjusted to support the patient’s needs.
The Facts About Endodontic Treatment
Endodontic treatment, also known as root canal therapy, is used to address an infected root canal or inflamed pulp. The pulp contains nerve tissue, connective tissue, and blood vessels. When an infection occurs, bacteria can enter through a deep cavity, crack, or tooth decay, affecting the inside of the tooth.
During the procedure, the infected tissue is carefully cleaned out from inside the tooth. The root canals are then shaped, disinfected, and filled with a rubber-like material called gutta-percha to seal the space. A sealer paste may be applied to help close the system and prevent reinfection.
How Dentists Manage Discomfort
Discomfort management is a central focus during root canal procedures. A range of techniques is used to help minimise sensation and monitor patient responses throughout the appointment. These approaches are adapted to individual clinical needs and treatment complexity.
Below are common methods used to address discomfort in dental settings:
- Local anaesthesia:
Administered prior to the procedure, the local anaesthetic is intended to reduce sensation in the targeted area. The effectiveness of the anaesthesia is usually assessed before proceeding. Additional doses may be provided as needed to maintain comfort. The goal is to help block pain signals during care. - Use of dental equipment and visual aids:
Tools such as rotary instruments, magnification devices, and radiographic imaging are commonly used. These assist with locating the root canals and cleaning them with precision. Treatment may be more efficient when instruments are selected according to the tooth’s anatomy. Improved visibility during care may also assist with procedural accuracy. - Comfort monitoring during care:
Patient feedback, body language, and observable signs are often used to assess comfort levels during treatment. If discomfort occurs, treatment can be paused and adjustments made. Additional anaesthesia may also be administered. These steps are part of standard care aimed at managing discomfort during procedures.
What Patients Usually Experience
Perceptions of root canal treatment can vary depending on oral health, personal sensitivity, and the stage of infection. While experiences differ, some patterns have been described in clinical settings. Many individuals have reported tolerable sensations, especially once anaesthesia takes effect.
The following points outline commonly reported aspects of the treatment process:
- During the procedure:
Common sensations include vibration, movement, or pressure, rather than sharp pain. These responses are often related to the dental instruments used during cleaning and shaping. Local anaesthesia generally reduces discomfort during these steps. If discomfort arises, the procedure may be adjusted accordingly. - After the appointment:
Once anaesthesia wears off, temporary soreness or sensitivity in the area may occur. This is considered a typical response following root canal procedures. Mild discomfort is often managed with non-prescription medication. The sensation usually subsides over several days. - Return to daily activity:
Many individuals are able to resume daily routines shortly after treatment. Some residual sensitivity or fatigue may occur, depending on the individual’s response. Instructions for care after the procedure are usually provided to guide recovery. Further review may be arranged if symptoms persist or change unexpectedly.
Why Preserving the Natural Tooth Matters
When clinically appropriate, keeping a natural tooth can play a role in maintaining aspects of oral structure and function. Decisions about whether to restore or extract a tooth depend on a range of factors, including the condition of the tooth, the surrounding bone, and overall oral health. In cases where restoration is feasible, the existing tooth may contribute to anatomical stability within the mouth.
Where restoration is possible, the outcomes below may be considered as part of the treatment discussion:
- Chewing function and pressure distribution:
Teeth contribute to how biting forces are distributed across the dental arch. When a tooth is extracted, the force pattern can change, particularly if the gap remains unaddressed. Retaining the tooth may allow chewing function to remain consistent with previous patterns. The degree of change depends on bite alignment and dental history. - Changes in adjacent tooth position:
Gaps left by extracted teeth may allow neighbouring teeth to shift over time. This movement can lead to changes in spacing or bite contact. In cases where the original tooth remains, the risk of such movement may be reduced. Positional changes vary by individual and timeframe. - Bone volume in the jaw:
Natural teeth contribute to the stimulation of the underlying bone during chewing. When a tooth is extracted, the stimulation of the bone may be reduced, which can contribute to gradual bone resorption. Maintaining the tooth may assist in preserving bone volume in some cases. Bone changes are influenced by age, oral hygiene, and biological response. - Bite alignment relationships:
A tooth that remains in position may help maintain the alignment of the upper and lower teeth. Extraction can alter this relationship, which may lead to uneven wear or new bite contacts. Where restoration is achievable, maintaining this contact point can help retain existing alignment. Long-term alignment outcomes are assessed on a case-by-case basis. - Treatment scope and procedural planning:
In some situations, restoring a natural tooth may involve fewer stages than replacing it with a prosthetic alternative. This can vary depending on the complexity of the case and the presence of infection or damage. A root canal procedure followed by a structural restoration may be an option in certain cases. Clinical examination is required to determine suitability. - Relationships with surrounding teeth:
The presence of a tooth may influence the function and positioning of nearby teeth. Extraction can change how forces are distributed along the dental arch. Retaining the tooth, where possible, may assist in maintaining these interrelationships. Each situation requires individual assessment.
When to Discuss Options With Your Dentist
Each individual’s dental condition is different, and treatment recommendations depend on many clinical and personal factors. Root canal therapy can be appropriate in some circumstances, while extraction or other forms of restoration may be considered in others. Dentists evaluate tooth structure, surrounding bone condition, and the presence of infection before outlining suitable options. Discussion about available procedures helps align clinical findings with the patient’s overall oral health status.
The circumstances below commonly prompt discussion of treatment options during dental assessment:
- Persistent discomfort or sensitivity:
Ongoing pain when biting or exposure to hot or cold may indicate inflammation or infection within the tooth. A dental examination can help determine the cause and identify whether endodontic care is suitable. Without assessment, symptoms may progress or spread to adjacent tissues. Early evaluation can assist in establishing an appropriate management plan. - History of dental trauma:
A cracked or fractured tooth can result in internal damage that is not immediately visible. This may include changes to the pulp that develop gradually after an injury. Radiographs and clinical testing can assist in detecting underlying problems. The management approach depends on the extent and location of structural damage. - Local swelling or discolouration:
Swelling of gum tissue or darkening of a tooth surface can indicate internal change or infection. These signs often require diagnostic imaging to confirm the cause. Identifying the source of discolouration or swelling helps determine the suitable treatment. The specific findings guide whether restoration or extraction is recommended. - Existing extensive dental work:
Teeth that contain multiple restorations or crowns can be more susceptible to internal complications. If symptoms occur in such teeth, further investigation may be necessary to determine whether the pulp is involved. Endodontic therapy may be considered if the tooth structure allows for restoration. The treatment plan depends on the condition of both the tooth and the surrounding tissue. - Medical conditions or medication use:
General health and certain medications can influence the healing process and risk of oral infection. Examples include reduced salivary flow, immune compromise, or metabolic disorders. These factors are considered when assessing treatment timing and suitability. Full disclosure of medical history assists in aligning dental care with overall health management. - Uncertainty about treatment direction:
When several treatment options are presented, it is important to clarify their purpose, limitations, and procedural steps with the dental professional. Each approach carries different implications for maintenance and longevity. Additional imaging or tests may be arranged to support planning. Questions can be raised during consultation to clarify any uncertainties regarding outcomes or techniques.
Final Thoughts
Root canal therapy is a commonly performed procedure in dental care and is used to manage concerns such as infection or inflammation within a tooth. It is intended to address discomfort associated with pulp damage and may form part of a broader treatment plan. Over time, approaches to this dental procedure have developed alongside changes in techniques and materials used in general dentistry.
As with any form of treatment, the experience and outcomes can vary depending on factors such as the condition of the tooth structure, the extent of the infected pulp, and general oral health. Root canal treatment may be considered when it is possible to retain the natural tooth, while extraction or other forms of restoration may be appropriate in different situations. Clinical decisions are guided by findings such as the status of the surrounding bone, the presence of infection, and the potential for the tooth to be restored.
Further information about root canal therapy can be obtained by contacting Maylands Dental Centre. Consultations involve a clinical examination and discussion of available treatment options tailored to individual needs. Care is provided in line with current professional standards and based on the findings from your dental assessment.
Our Practitioners
This information is provided by the registered dental practitioners at Maylands Dental Centre:
- Dr. Anh Nguyen, General Dental Practitioner (AHPRA Reg. No. DEN0002667036)
- Dr. Amir Treifi, General Dental Practitioner (AHPRA Reg. No. DEN0002914706)
- Dr. Ashanth Phillips, General Dental Practitioner (AHPRA Reg. No. DEN0001596256)
- Dr. Emilia Bonfanti, General Dental Practitioner (AHPRA Reg. No. DEN0001974929)
- Dr. Jackie Bridgwood, General Dental Practitioner (AHPRA Reg. No. DEN0002667443)
- Dr. Jasmin Htun, General Dental Practitioner (AHPRA Reg. No. DEN0002897652)
- Dr. Jonathan Lo, General Dental Practitioner (AHPRA Reg. No. DEN0001995824)
- Dr. Joseph Marino, General Dental Practitioner (AHPRA Reg. No. DEN0002667701)
- Dr. Justin Soon, General Dental Practitioner (AHPRA Reg. No. DEN0001784699)
- Dr. Sandra Joseph, General Dental Practitioner (AHPRA Reg. No. DEN0002001371)
- Dr. Sinya Zheng, General Dental Practitioner (AHPRA Reg. No. DEN0002897678)
Each practitioner is registered with the Dental Board of Australia under the Health Practitioner Regulation National Law.
General Dentistry
Cosmetic Dentistry
Restorative Dentistry
Dental Implants
Orthodontics
Sleep Dentistry
Childrens Dentist
Cosmetic Procedures
Health Funds
Government Schemes
Payment Plan Options