Debunking Common Root Canal Myths: What You Really Need to Know

Root Canals

As a leading dental service provider in Bay Village, Mikula DDS is committed to educating our patients about proper dental care and the various treatments available to maintain optimal oral health. One common procedure that often raises questions and concerns among patients is the root canal. That’s why we’ve put together insights into what a root canal is, why it’s performed, how the procedure works, and how to recognize if you might need one.


What is a Root Canal?

A root canal is a dental procedure designed to save a tooth that has been severely damaged due to decay, infection, or injury. The term “root canal” actually refers to the natural cavity within the center of the tooth that houses the pulp chamber and root canals. These canals contain the tooth’s nerve and blood vessels, which are essential for the tooth’s growth and development.

When the pulp becomes infected or inflamed due to deep decay, repeated dental procedures, or trauma to the tooth, a root canal procedure becomes necessary. This treatment involves removing the damaged pulp, cleaning and disinfecting the inside of the tooth, and then filling and sealing it to prevent further infection.


Why are Root Canals Performed?

The primary goal of a root canal is to save the natural tooth and alleviate pain. By removing the infected or inflamed pulp, the procedure eliminates the source of pain and prevents the spread of infection to surrounding tissues. Saving the natural tooth offers several advantages over extraction, including:

  1. Maintaining natural appearance and function
  2. Preserving proper chewing and biting force
  3. Protecting other teeth from excessive wear or strain
  4. Preventing the need for more costly dental implants or bridges

The Root Canal Procedure: Step-by-Step

  1. Diagnosis and Preparation: The process begins with a thorough examination, including X-rays to assess the extent of damage. Your dentist will then administer local anesthesia to ensure you’re comfortable throughout the procedure.
  2. Access Opening: A small opening is created in the crown of the tooth to access the pulp chamber and root canals.
  3. Pulp Removal: Using specialized instruments, the dentist carefully removes the infected or damaged pulp from the pulp chamber and root canals.
  4. Cleaning and Shaping: The empty canals are thoroughly cleaned, disinfected, and shaped to prepare them for filling.
  5. Filling and Sealing: The cleaned canals are filled with a biocompatible material called gutta-percha, which is sealed in place with adhesive cement.
  6. Restoration: Finally, a temporary filling is placed to close the access opening. In most cases, a permanent crown or other restoration is later placed to protect the tooth and restore its full function.

Signs You May Need a Root Canal

Recognizing the signs that indicate the need for a root canal is crucial for timely intervention. Here are some common symptoms to watch out for:

  1. Persistent Tooth Pain: Severe, lingering pain, especially when biting or applying pressure, can signify pulp damage or infection.
  2. Prolonged Sensitivity: Heightened sensitivity to hot or cold temperatures that persists long after the stimulus is removed may indicate pulp inflammation.
  3. Tooth Discoloration: A tooth that becomes darker or grayish in color could be a sign of pulp damage or death.
  4. Swollen or Tender Gums: Swelling or tenderness in the gums around a specific tooth may indicate an underlying infection.
  5. Pimple-like Bump on the Gums: A small, pimple-like bump (also called a dental abscess) near the affected tooth is often a sign of infection that requires immediate attention.
  6. Cracked or Chipped Tooth: A tooth that has been cracked or chipped due to injury may expose the pulp to bacteria, leading to infection.
  7. Loose Tooth: An infected tooth may feel loose due to softening of the bone around the root caused by acidic bacterial byproducts.

Debunking Root Canal Myths

Despite advancements in dental technology and anesthesia, many people still fear root canals due to persistent myths. Let’s address some common misconceptions:


Myth 1: Root canals are extremely painful. 

  • Reality: Modern techniques and anesthesia make root canals no more uncomfortable than getting a filling.

Myth 2: It’s better to extract the tooth than have a root canal. 

  • Reality: Saving your natural tooth through a root canal is almost always the best option for your oral health.

Myth 3: Root canals cause illness.

  • Reality: There is no scientific evidence linking properly performed root canals to disease elsewhere in the body.

Aftercare and Recovery

After a root canal, it’s normal to experience some sensitivity for a few days. This can usually be managed with over-the-counter pain relievers. To ensure proper healing and prevent complications:

  1. Avoid chewing on the treated tooth until the permanent restoration is placed
  2. Practice good oral hygiene, including regular brushing and flossing
  3. Follow up with your dentist as scheduled for the permanent restoration
  4. Continue regular dental check-ups and cleanings

While the prospect of a root canal may seem daunting, understanding the procedure and recognizing its necessity can alleviate much of the anxiety associated with it. At Mikula DDS, we’re committed to providing compassionate, state-of-the-art dental care to ensure your comfort and oral health. If you’re experiencing any symptoms that might indicate the need for a root canal, don’t hesitate to schedule an appointment for a thorough evaluation. Remember, early intervention is key to saving your natural tooth and maintaining a healthy, pain-free smile.