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I’m Not in Pain – Why Do I Need a Root Canal?

February 4, 2025

Dentist performing root canal.

Let’s say you’re at a routine checkup when your dentist lets you know that a root canal may need to be performed on one of your teeth. A root canal! Don’t you have to be in agony for that to be done? In short, no. Root canals do much more than just fix toothaches. There can still be issues going on that are not causing pain. So, if there’s no pain, how can you know that you need treatment? Here, you’ll learn more about the tell-tale red flags that could indicate you’re in need of a root canal.

What Exactly is Root Canal Treatment?  

Root canal treatment is a dental procedure that treats an infected or damaged tooth. Inside your teeth, there is a soft tissue called pulp, which houses nerves and blood vessels.

If this pulp gets infected, inflamed, or exposed to bacteria, it can possibly cause pain and lead to an abscess, which is a collection of pus that forms in the tissues of your mouth.

During treatment, a dentist cleans out the infected or exposed pulp, disinfects the inside of the tooth, fills it with a rubbery material, and then seals it. Finally, they cap your tooth with a crown to restore its strength and functionality.

If I’m Not in Pain, Why Would I Need Treatment?

Infections of or damage to the pulp inside your teeth can occur without any discomfort. It is even more dangerous to not feel pain because there may be no other immediate or obvious sign of a problem without it. This is why going to the dentist twice a year is important – during a routine checkup, your dentist can spot the infection and begin treatment before it spreads.

Besides Pain, How Else Will I Know a Tooth is Infected or Vulnerable?

Other than pain, indicators of an infected tooth may include:

  • Cracked or chipped teeth: Openings in your teeth created by chipping and cracking can allow germs to enter inside the tooth and infect the pulp. Often there is pain, but if it’s in the early stages of infection, there may not be.
  • Discoloration: If you have noticed one of your teeth is darker than the others, it can point to deep decay inside the tooth.
  • Sensitivity: The development of a new sensitivity to hot and cold food and drinks can be a sign that the nerves in your teeth are exposed. Keep in mind that sensitivity doesn’t automatically point to the need for root canals; it could mean an erosion of the enamel, which makes the tooth more prone to infection.
  • Damaged crown: Crowns strengthen and protect teeth from the onset of germs. If your crown is damaged, it could mean the inside of the tooth may be harmed by an infection.

The best way to know if you need root canal treatment is by seeing your dentist. Your dentist can examine and X-ray your mouth and ascertain whether you have an infected or injured tooth. You may be surprised to discover you need a root canal when you’re experiencing no displeasure, but as discussed above, the lack of pain doesn’t always equate to healthy teeth.

About the Author

Dr. Kevin Grill earned his dental degree from The Ohio State University and has completed continuing education courses focused on root canal therapy and oral surgery. He has also maintained memberships in several renowned organizations, including the Ohio Dental Association and the American Dental Association. If you suspect you need root canal treatment, schedule your appointment by going to the Northwest Family Dental of Huntsville website or call their office at (937) 843-3932.