Root Canal FAQs: Clear Answers to Common Questions

We know root canal therapy is often surrounded by questions and myths. At East Coast Endodontics, our goal is to give you straightforward, honest answers so you feel confident in your care. Explore our FAQs, understand what to expect, and see how our modern endodontic treatment works for you.

Frequently Asked Questions

What is endodontics?

Recognized by the American Dental Association, Endodontics is a specialized branch of dentistry focused on treating diseases of the pulp and surrounding tissues of a tooth. The visible part of your tooth is the crown, and the portion hidden beneath the gum line is the root. The root’s hard outer tissue is called cementum, and the inside channel, or root canal, contains your tooth’s pulp, a soft tissue composed of blood vessels and nerves. When tooth decay, periodontal disease or a fracture introduce bacteria into the pulp, discomfort and severe damage ensue.

Who performs endodontic treatment?

General dentists can provide root canal treatment, but endodontists are dentists who have completed additional years of specialized training focused solely on diagnosing and treating diseases of the dental pulp and surrounding tissues. At East Coast Endodontics, our doctors are dedicated endodontic specialists, managing complex root canal cases, retreatments, and root surgeries with advanced techniques and technology. This focused expertise allows us to provide a higher level of precision, comfort, and long-term success for our patients.

Does a root canal hurt?

Modern root canal therapy is designed to be comfortable and virtually pain-free. We use local anesthesia to profoundly numb the tooth completely before treatment begins. We also offer sedation options for patients with dental anxiety. Most patients report feeling less discomfort during the procedure than they felt before it.

How long does a root canal take?

Each case is unique; however, on average, a root canal takes approximately 45 to 60 minutes to complete.

What happens after treatment?

After your root canal therapy, we correspond with your general dentist to ensure continuity of care and that your tooth is fully restored to proper function. Until the tooth is fully restored, please avoid chewing on the treated tooth and follow the post-treatment care instructions provided to support healing.

Will I need a follow-up appointment?

Yes. You may return to our office for periodic examinations to ensure complete healing of your tooth.

What about infection control?

We adhere to rigorous infection control standards set by the CDC, ADA, and OSAP. Autoclave sterilization, barrier techniques, and strict safety protocols are in place to protect you at every visit.

What signs suggest that I need a root canal?

Signs that you may need a root canal include persistent tooth pain, prolonged sensitivity to hot or cold, discomfort when biting or chewing, swelling of the gums, or the presence of an abscess. If you experience any of these symptoms, an evaluation by an endodontist can help determine the cause and the most appropriate treatment.

What are the signs of an infection after a root canal?

While rare, infection can occur. Watch for swelling, persistent or worsening pain, discharge, or fever. Contact us immediately if any of these symptoms emerge.

How can I relieve pain after a root canal?

Mild soreness or sensitivity after a root canal is normal and usually improves within a few days. Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage discomfort, unless you have been advised otherwise. Avoid chewing on the treated tooth until tenderness subsides and follow any post-treatment instructions provided by our office. If you experience severe pain, increasing swelling, or symptoms that last longer than expected, please contact us so we can evaluate your healing.

What should I eat (and avoid) after a root canal?

Stick to soft foods, avoid chewing on the treated tooth until fully restored, and steer clear of very crunchy, hard, or sticky foods that might disrupt healing.

Are there risks involved with delaying a root canal?

At East Coast Endodontics, we know the idea of a root canal can make people anxious. However, sometimes a root canal is necessary to maintain a healthy mouth and body. The good news is root canals are pain free.  For those who opt out of necessary root canal treatments or delay them unnecessarily the risks and consequences can be severe.

How can I know the difference between root canal pain and general tooth pain?

Toothaches and pain can occur for a number of reasons. When tooth pain is accompanied by sensitivity to hot or cold food or drink, intense or persistent pain, discomfort when applying pressure, an abscess and/or fever you may need a root canal. An endodontist or dentist can properly diagnose you and recommend treatment, but there are several common ways to differentiate between root canal pain and general tooth pain.

What is the difference between a root canal and an extraction?

Root canal treatment saves your natural tooth by removing infection and sealing the inside. Extraction removes the tooth entirely. Saving the tooth is almost always preferable for function, appearance, and long-term oral health.

What happens during a root canal surgery?

Root Canal surgery is performed only in the case where the root canal and the retreatment did not effectively eliminate the decayed root of the tooth and/or if an infection persists.  Root Canal surgery completely removes the infected root tip(s), the deepest portions of the root (called the apex) and any infected surrounding tissue. If you are near Richmond, Virginia and require apical surgery you should understand how East Coast Endodontics conducts this procedure.

Common root canal myths include...

Dental treatments can cause a bit of unnecessary anxiety for some people. This anxiety is often exacerbated by misinformation, or even myths, about particular treatments. This tends to be especially true when it comes to root canals.

What do I need to know about root canal retreatments?

root canal retreatment involves removing the crown or filling from the initial root canal procedure, re-cleaning the canal and then examining the root with a special surgical microscope and digital radiography to pinpoint remaining issues and to define additional treatments, if necessary.

East Coast Endodontics and Dr. Jesse Harris offer Richmond, Virginia the highest quality root canals and root canal therapies. To schedule an appointment, please contact us at: 804.559.3636.

What root canal vocabulary should I know?

When root canal patients arrive at our Richmond, Virginia offices, they are often confused by the various terms used in regard to different treatments. To ensure our patients understand our treatments and procedures, we created a root canal glossary of the most common terms used in discussing them.

How does tooth decay happen?

Tooth decay starts off as a tiny bit of damage to the outer most layer of the tooth (called the enamel), and with time it can evolve into serious dental issues requiring treatments ranging from filling a cavity to root canal surgery. To help our Richmond, Virginia area root canal patients avoid any additional dental complications; we like to share with them these 9 important tips on what causes and how to prevent tooth decay.

What is the history of the root canal?

The first signs of human beings treating the “inside of the tooth” or the root canal were believed to be around the second or third century B.C.

What is regenerative endodontics?

We published a post about treating dental injuries in children. At the time, though, we missed the opportunity to mention an exciting new area of research in our profession: regenerative endodontics.

Why is flossing important?

Brushing your teeth is superb at cleaning the outer surfaces of your teeth, which is important but only flossingcan effectively remove bits of food and tartar that have been lodged in between your teeth.

What tools are used in a root canal?

Root canals are complex dental procedures that require a variety of specialized tools. Your endodontist may use some or all of these root canal tools during your root canal procedure.

How can I overcome my fear of the dentist?

If you’re one of the many people that suffer dentophobia, you’re not alone. Here are some of the ways to overcome fear of the dentist so you can get back to taking care of your oral health appropriately.

What is root resorption?

Root resorption most commonly and naturally occurs in children to break down the roots of their baby teeth so they will fall out. Though it’s ultimately very rare, root resorption in adults can be a complicated issue.