What to Expect During a Root Canal Treatment

Jul 12, 2025 - 01:36
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If your dentist or endodontist has recommended a root canal, you might be feeling anxious or unsure about what the procedure involves. But rest assured—root canal therapy is a highly effective and routine treatment designed to save your natural tooth and relieve pain caused by infection or damage.

At Hilltop Internal Medicine and Endocrinology Oxon Hill, and through our partners at Hilltop Endodontics, we prioritize patient comfort, education, and long-term oral health. Here’s what you can expect before, during, and after a root canal procedure.

Understanding the Root Canal

A root canal is needed when the pulp—the soft tissue inside your tooth containing nerves and blood vessels—becomes infected or inflamed. Common causes include:

  • Deep decay

  • Repeated dental procedures on the same tooth

  • Cracked or chipped teeth

  • Trauma or injury to the tooth

Without treatment, the infection can spread, leading to pain, abscesses, and potential tooth loss.

Before the Procedure

Initial Consultation:
Your endodontist will conduct a thorough evaluation using digital X-rays or 3D imaging to assess the affected tooth and determine the extent of the infection.

Local Anesthesia:
A local anesthetic is used to numb the area around the tooth so you feel little to no discomfort during the procedure.

Patient Preparation:
You may be advised to take an anti-inflammatory or antibiotic prior to your appointment, depending on the infection level.

During the Procedure

Step 1: Isolation and Access
A rubber dam is placed around the tooth to keep it dry and free of saliva. The endodontist then drills a small opening to access the pulp chamber.

Step 2: Cleaning the Canals
Using small instruments, the infected pulp is removed, and the inside of the canals is cleaned, shaped, and disinfected.

Step 3: Filling the Canals
Once cleaned, the space is filled with a rubber-like biocompatible material called gutta-percha. This helps prevent future reinfection.

Step 4: Sealing and Temporary Filling
The opening is sealed with a temporary filling. In some cases, especially with advanced infections, medication may be placed inside the canal before sealing.

After the Procedure

Mild Discomfort:
It’s common to experience some soreness or sensitivity for a few days, especially when chewing. Over-the-counter pain relievers are usually sufficient.

Restoration:
You’ll return to your dentist for a permanent crown or filling to restore full function and protect the tooth from future damage.

Follow-Up:
Your endodontist may recommend a follow-up visit to ensure proper healing and confirm that the infection has been completely resolved.

Why Choose Hilltop for Your Root Canal?

Choosing an experienced and compassionate provider makes all the difference. At Hilltop Endodontics, our team uses the latest imaging technology and precision tools to perform root canals efficiently and comfortably. Combined with the integrated care provided by Hilltop Internal Medicine and Endocrinology Oxon Hill, we ensure every aspect of your health is taken into account.

Final Thoughts

Root canal therapy may sound intimidating, but it’s a safe, predictable, and pain-relieving procedure that can save your natural tooth and eliminate infection. With proper care and timely restoration, a treated tooth can last a lifetime.

If you're experiencing persistent tooth pain or have been told you may need a root canal, don’t delay. Contact Hilltop Endodontics today to schedule your consultation and take the first step toward a healthier smile.