What Is a Root Canal Procedure? A Step-by-Step Guide to Saving Your Tooth

April 1, 2025

A root canal procedure is a common dental treatment designed to save a tooth that is severely decayed, infected, or damaged. While the term may sound intimidating, advancements in modern dentistry have made root canals much more comfortable and effective. This procedure not only alleviates pain but also prevents the need for tooth extraction, preserving your natural smile.


In this article, we’ll explore everything about root canals—from what they are to how they’re performed step by step. We’ll also discuss recovery, potential side effects, and how Alpine Dental in Lakewood, NJ, can help you easily navigate this essential treatment.


What Is a Root Canal Procedure?

A root canal procedure, also known as endodontic therapy, is a dental treatment that removes infected or damaged pulp from inside a tooth. The pulp is the soft tissue containing nerves, blood vessels, and connective tissues located at the centre of the tooth. A root canal may be necessary when this tissue becomes inflamed or infected due to deep decay, repeated dental procedures, cracks, or trauma.


The procedure involves cleaning out the diseased pulp, disinfecting the area, and sealing it to prevent future infections. Contrary to popular belief, root canals are not painful when performed correctly; instead, they relieve pain caused by infection or inflammation.


What Causes Root Canal?

Several factors can lead to the need for a root canal procedure:


  • Deep Tooth Decay: Untreated cavities can reach the pulp and cause infection.
  • Repeated Dental Procedures: Multiple treatments on the same tooth can weaken its structure and irritate the pulp.
  • Cracks or Chips: Damage to the tooth’s surface can expose the pulp to bacteria.
  • Trauma: Injuries from accidents or sports can damage the pulp.
  • Abscess Formation: A pus-filled pocket at the root tip may develop due to untreated infection.


Understanding these causes emphasizes the importance of proper oral hygiene and regular dental visits.


How Is a Root Canal Done Step by Step?

A root canal procedure typically involves several steps:


1. Diagnosis and Preparation

  • Your dentist will take X-rays to assess the extent of damage and locate the infection.
  • Local anesthesia is administered to numb the affected area.

2. Accessing the Tooth

  • A small hole is drilled into the tooth to reach the infected pulp.

3 .Removing Infected Tissue

  • The pulp, bacteria, and debris are carefully removed using specialized tools called files.
  • The canals are cleaned and shaped for filling.

4. Disinfection

  • The empty canals are disinfected with antimicrobial solutions to eliminate any remaining bacteria.

5. Filling and Sealing

  • The canals are filled with gutta-percha (a rubber-like material) and sealed with adhesive cement.

6. Restoration

  • Depending on the tooth’s condition, your dentist may place a crown or filling to restore its function and appearance.


This process usually takes 90 minutes to 2 hours but may require multiple visits in complex cases.

How Long Does a Root Canal Procedure Take?

The duration of a root canal depends on several factors:


  • Tooth Location: Molars with multiple roots take longer than premolars or incisors.
  • Severity of Infection: Extensive damage may require additional cleaning sessions.
  • Additional Procedures: Placing crowns or posts adds time.


On average, a standard root canal takes 90 minutes per session. Some cases may require one or two follow-up visits for complete restoration.


Is Root Canal Painful?

Root canals have earned an undeserved reputation for being painful. However, with modern techniques and anesthesia options:


  • The procedure itself is typically pain-free.
  • Post-treatment discomfort is mild and manageable with over-the-counter pain relievers.


Patients often report feeling immediate relief from pain caused by infection after undergoing a root canal.


Root Canal Treatment Side Effects

While root canals are highly successful procedures, some side effects may occur:


  1. Temporary Pain: Mild soreness in the treated area for a few days.
  2. Swelling: Inflammation due to infection or irritation during cleaning.
  3. Tooth Brittleness: Without proper restoration (e.g., crowns), treated teeth may become fragile over time.
  4. Change in Tooth Color: Treated teeth may darken slightly if left uncapped.


These side effects are generally minor and can be mitigated with proper care and follow-up treatments.


How to Avoid Root Canal

Preventing the need for a root canal begins with good oral hygiene practices:


  1. Brush your teeth twice daily with fluoride toothpaste.
  2. Floss daily to remove plaque between teeth.
  3. Avoid sugary foods and acidic drinks that weaken enamel.
  4. Wear mouthguards during sports to prevent trauma.
  5. Schedule regular dental checkups for early detection of issues.


Maintaining these habits can significantly reduce your risk of developing infections that lead to root canals.


Is the Nerve Removed During a Root Canal?

Yes, during a root canal procedure, the nerve inside the tooth’s pulp is removed along with other soft tissues. While this nerve provides sensation (e.g., hot or cold), its removal does not affect the overall function of your tooth once it has fully developed.


How Alpine Dental Can Help

At Alpine Dental in Lakewood, NJ, we specialize in providing comfortable and efficient root canal treatments tailored to your needs. Here’s how we can assist you:


  • Advanced Diagnostics: We use digital X-rays and other tools for precise evaluation.
  • Expert Care: Our team includes experienced dentists skilled in performing both simple and complex root canals.
  • Comfort Options: We offer sedation dentistry for patients with anxiety.
  • Restorative Solutions: We ensure your treated tooth regains full functionality from crowns to fillings.


Don’t let fear or discomfort stop you from seeking care—our compassionate team will guide you through every step of your treatment journey!


Conclusion

A root canal procedure is an effective way to save an infected or damaged tooth while relieving pain and preventing further complications. 


If you’re experiencing symptoms like
severe toothache or sensitivity—or suspect you might need this treatment—don’t wait! At Alpine Dental in Lakewood, NJ, we’re here to provide expert care in a comfortable environment that prioritizes your needs.


Schedule an appointment online
—we’ll help restore your smile!


Frequently Asked Questions (FAQs)

  • What is the hardest tooth to get a root canal on?

    Molars, especially upper molars with multiple curved roots or calcified canals, are the most challenging due to complex anatomy and limited accessibility.

  • Should I get a root canal or extraction?

    A root canal is preferred to save your natural tooth; extraction is a last resort if the tooth is severely damaged or infected beyond repair.

  • What are signs you need a root canal?

    Severe tooth pain, prolonged sensitivity to hot/cold, gum swelling, or a pimple-like bump near the tooth often indicate infection requiring a root canal.

  • Why do most root canals fail?

    Failure often occurs due to missed canals, incomplete bacteria removal, or cracks in the tooth, allowing reinfection.

  • Can a dentist go too deep in a root canal?

    Yes, over-instrumentation can perforate the root or push debris beyond the tip, causing complications like infection or tissue damage.

  • How long after a root canal can I eat?

    Wait until numbness fades (1-2 hours) to avoid injury; avoid chewing on the treated tooth until it’s permanently restored to prevent damage.

Need Expert Dental Care? We’re Here for You

At Alpine Dental NJ, we prioritize your oral health and comfort. Our experienced team offers personalized, high-quality dental care to help you achieve a confident, healthy smile.

Book your appointment today and experience exceptional dental care.

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