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Uncomfortable Answer: Is Pain a Requirement for a Root Canal?

October 8, 2025

Filed under: Uncategorized — dr_nichols @ 7:07 pm
Woman in dental chair undergoing root canal

Do you have a severe toothache that won’t abate no matter what you try? Many patients who contact their dentist for help alleviating pain require a root canal procedure. Although persistent throbbing often points to an underlying infection or injury that requires this standard service, it’s not the only symptom. In fact, some patients need one even when they show no obvious signs of discomfort.

If you’re unsure why your dentist recommended a root canal, continue reading to learn more about the procedure and when it might be necessary!

What Happens During a Root Canal?

It may vary slightly depending on your individual circumstances, but your dentist typically begins the procedure by numbing the area to help you feel comfortable and relaxed. Then, they carefully create a small opening in your enamel to alleviate pressure buildup and remove any damaged or infected materials in the pulp. Next, they’ll carefully sanitize your tooth to eradicate any remaining bacteria and seal it closed to prevent a repeat infection.

In most cases, they’ll also recommend placing a dental crown to protect the recently treated tooth while simultaneously restoring its appearance and functionality.

How do I Know if I Need a Root Canal?

Persistent discomfort is one of the main indicators that a root canal is needed, but it’s not the only symptom. Your dentist might also suggest this procedure if they examine your mouth and find other concerning signs, such as:

  • Discoloration. If your gums or enamel appear darker than surrounding teeth, you might have developed nerve damage.
  • Swollen gums. Puffy connective tissues often point to an infection.
  • Prolonged sensitivity. If you notice a sharp sensation that doesn’t fade when you bite down, especially when eating anything overly hot or cold, you might have an issue.
  • Injured enamel. Chips and cracks allow bacteria to more easily penetrate your tooth to harm the tender nerves inside.  

Do I Need a Root Canal if My Tooth Doesn’t Hurt?

Many people need this treatment to address intense throbbing that won’t subside, but it’s not necessarily a requirement. When bacteria penetrate your tooth, they can trigger a painful reaction in the tender nerves. But the infection can still be present without discomfort.

For example, if you called your dentist with a toothache that suddenly dissipates, you might assume your condition has improved and that the procedure is no longer necessary. Unfortunately, the truth is that it’s more likely that the infection has finally killed off the nerves so they can no longer send signals to your brain. But the disease can spread to your neighboring teeth, gums, or jawbone, and must still be treated.  

Most dentist are happy to answer any questions you have regarding your upcoming procedure, such as why they recommended it, so that you feel confident moving forward!

Meet the Author

Dr. Sowmya Kumar takes pride in enhancing people’s lives by improving their oral health. She earned her dental doctorate from the University of Florida College of Dentistry and has remained committed to continuing education to offer the most up-to-date treatment options. Her caring and compassionate approach is combined with advanced technology to deliver a wide array of quality services to meet your unique needs under one roof. You can contact the office on the website or call (321) 631-4334.

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