"Root canal" has become shorthand for something terrible—a punchline for pain and misery. But here's the truth: that reputation is largely a relic of the past. Modern root canal therapy is designed to relieve pain, not cause it. With today's techniques, anesthesia, and focus on patient comfort, most people report that the procedure is no more uncomfortable than getting a filling. If you've been putting off a root canal because you're afraid it will hurt, it's time to separate fact from fiction.
The Procedure Itself: What to Expect
Before any work begins, the area is thoroughly numbed with local anesthesia. Your dentist will wait until you're fully numb before proceeding. You may feel pressure during the procedure—that's normal—but you shouldn't feel sharp pain. If you do, say something. Additional anesthesia can be administered. The goal is for you to be comfortable throughout.
The procedure involves removing the infected or damaged pulp from inside the tooth, cleaning and disinfecting the canals, and sealing them. It typically takes one or two appointments, depending on the tooth and the complexity of the case. Many root canals are completed in about an hour.
What About the Pain Before the Root Canal?
Here's an important distinction: the pain that sends people to the dentist for a root canal is usually from the infection or inflammation inside the tooth—not from the procedure itself. The root canal removes that source of pain. Patients often report feeling relief soon after the procedure, once the numbing wears off. The infected tissue is gone; the tooth can heal.
After the Procedure: Normal vs. Concerning
Some mild discomfort or sensitivity in the days following a root canal is normal. Your dentist may recommend over-the-counter pain relievers or prescribe something if needed. This is typically manageable and improves within a few days. If you experience severe pain, swelling, or pain that worsens instead of improving, contact your dentist. Those could indicate a need for follow-up care.
Why the Bad Reputation?
The "root canal = torture" myth likely stems from a few sources. Decades ago, techniques and anesthesia were less advanced. Some people may have had difficult experiences and shared them widely. And the pain of the infection that leads to a root canal can be intense—so intense that people sometimes associate that pain with the procedure itself. But the procedure is the solution, not the problem.
How to Feel More Confident
If you're anxious, tell your dentist. Many practices offer:
- Additional time for anesthesia to take effect
- Sedation options for anxious patients
- A calm, communicative approach
- Breaks during the procedure if you need them
You're not alone in feeling nervous—and you don't have to white-knuckle your way through. There are ways to make the experience more comfortable.
The Bottom Line
A root canal doesn't have to hurt. Modern treatment is designed with your comfort in mind. The pain you're trying to avoid by postponing care is often worse than anything you'll experience during the procedure. If your dentist has recommended a root canal, the best step is to get it done—and put the pain behind you for good.