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Pain Is Gone, Do I Still Need a Root Canal?

Young Woman With Tooth PainMy Tooth Doesn’t Hurt Anymore—Do I Still Need a Root Canal?

It’s a common misconception that if your toothache goes away, the problem has resolved itself. Unfortunately, when it comes to dental infections, a lack of pain doesn’t always mean you’re in the clear. In fact, disappearing pain can sometimes indicate that the infection has progressed, potentially putting your tooth and overall health at greater risk. Understanding why this happens and seeking professional care early is essential to protecting your smile.

Why Tooth Pain Disappears

Tooth pain is often caused by inflammation in the pulp, the soft tissue inside your tooth that contains nerves and blood vessels. When an infection or injury first irritates the pulp, it becomes inflamed, which creates that sharp, throbbing pain you feel. Over time, if the pulp tissue dies, the pain may subside—not because the infection is gone, but because the tooth’s nerves are no longer functioning. The bacteria that caused the problem can continue to spread silently, leading to more serious complications.

No Pain? The Hidden Dangers of Untreated Infections

Even without pain, an untreated infection inside your tooth can create an abscess. (A pocket of pus that forms around the root.) This can damage surrounding bone and tissue, making it harder to save the tooth and increasing the risk of systemic health problems. In severe cases, dental infections can spread to other parts of the body, underscoring the importance of prompt treatment, even if the discomfort subsides.

When a Root Canal is Needed

The purpose of root canal therapy is to eliminate infection, preserve the natural tooth, and prevent further damage. During this procedure, we remove the diseased pulp tissue, disinfect the canals, and seal the tooth to protect it. Delaying care because you “feel fine” could allow the infection to progress to the point where saving the tooth becomes more difficult—or impossible.

Contact Us Today!

Pain relief is not always a sign of healing, especially when it comes to tooth infections. If a dentist had diagnosed you as needing a root canal, don’t wait until the pain comes back. Acting promptly ensures we can treat the infection, protect your oral health, and help you avoid more complex and costly dental problems in the future.

About Tom Massarat, DDS, MS

Tom Massarat DDS, MS is a Diplomate of the American Board of Endodontics. Dr. Massarat received his Certificate in Endodontics from Northwestern University in 1992. He also received his Dental Degree and Advanced General Dentistry Degree from Northwestern University in Chicago, Ill. Dr. Massarat is a member of the American Dental Association (ADA), American Association of Endodontists (AAE), San Diego County Dental Society (SDCDS) and American Board of Endodontists (ABE). He is also an advisor for the Experdent and Summit Study Groups. He has lectured extensively on many aspect of endodontics.

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