Does root canal treatment hurt?

The short answer

Root canal treatment is done with the tooth fully numbed, so you shouldn't feel pain during the procedure itself. In fact, most people come in because they're in pain — from an infected or inflamed nerve — and the treatment is what takes that pain away. The discomfort people associate with a root canal is almost always the toothache beforehand, not the treatment.

Why root canals have such a fearsome reputation

The reputation is decades out of date. Years ago treatment could be slow and less predictable, and the memory that stuck was the raging toothache people arrived with. Today, with better anaesthetic, magnification and 3D imaging, the experience is far gentler — much closer to a routine filling than the ordeal people imagine.

What it actually feels like

Once the area is numb, you'll feel some pressure and vibration at times, but not pain. Treatment is carried out under a dental operating microscope, so I can work precisely and efficiently, and most cases are completed in a single visit. You're welcome to ask for a break at any point.

What about afterwards?

It's normal for the tooth and gum to feel a little tender for a few days as things settle, especially if there was infection to begin with. This is usually mild and eases with ordinary over-the-counter painkillers such as paracetamol or ibuprofen, taken as directed. I'll always explain what to expect before you leave, and how to reach me if you have any concerns.

If you're nervous

Feeling anxious is completely understandable, and helping people through it is a big part of what I do — with a calm, unhurried approach and as many breaks as you need. For those who'd prefer it, intravenous (IV) sedation can be arranged, provided by Dr Damien Reilly, Consultant in Special Care Dentistry, leaving you relaxed and comfortable throughout. You can read more on my page for nervous patients.

The bottom line

If you're putting off treatment because you're worried it will hurt, please don't let that stop you being seen — the pain you're trying to avoid is usually the very thing root canal treatment resolves. If you'd like an honest assessment of your tooth and your options, get in touch.