Do Dentists Perform Root Canals? When to See a Specialist
Quick Answer
Do dentists perform root canals?
Yes. Many general dentists provide root canal treatment for teeth with damaged, inflamed, or infected pulp. When the tooth has complex canals or other challenges, the dentist may refer the patient to an endodontist for specialized care.
Key Takeaways
- General dentists can often provide routine root canal care.
- More complex teeth may require treatment by an endodontist.
- Root canal therapy can help preserve a natural tooth.
- Tooth pain, swelling, or lasting sensitivity should be checked by a dentist.
If you have been told a root canal might be necessary, you may wonder who actually provides the procedure. Does a dentist do root canals, or will you need to visit a specialist?
General dentists receive training in diagnosing and treating common dental conditions, including problems that develop inside teeth. The decision to provide treatment or refer a patient can depend on the tooth, the dentist’s experience, and the complexity of the root canals.
Do Dentists Do Root Canals for Damaged Teeth?
Yes, many do. A general dentist may perform a root canal when the case can be managed appropriately in a general dental office. However, do all dentists do root canals? No. Some dentists refer these cases to an endodontist based on the treatment needed.
Inside each tooth is soft tissue called the pulp, which contains nerves, blood vessels, and connective tissue. Deep decay, cracks, or injuries can allow bacteria to reach the pulp. An infected tooth may cause tooth pain, swelling, sensitivity, or discomfort when chewing.
When Should I See a Dentist or Endodontist?
Whether you see a dentist or an endodontist depends on the condition of your tooth. General dentists often treat straightforward cases. Endodontists have advanced education focused on endodontic treatment, including difficult root canal cases and previously treated teeth.
Your dentist may recommend a specialist if the canals are unusually narrow or curved, the tooth has had previous treatment, or the case presents other challenges.
What Happens During Root Canal Treatment?
Before performing the procedure, the dentist examines the tooth and may take X-rays to view the roots and surrounding bone. Local anesthesia is commonly used to numb the treatment area.
To perform a root canal, the dentist creates a small opening to reach the pulp. A protective sheet called a dental dam is placed around the tooth to help keep it isolated and dry.
The dentist removes infected or damaged tissue from the tooth, including unhealthy pulp within the canals. The canals are cleaned, shaped, filled, and sealed to complete the root canal procedure.
Afterward, a crown, filling, or another type of dental restoration may be recommended to protect the tooth.
Why Is Saving the Natural Tooth Important?
Root canal therapy aims to treat the problem inside the tooth while preserving the natural tooth when it can be restored. Keeping the tooth can help maintain normal chewing and function.
If the tooth is too damaged to save, extraction may be considered. Depending on the patient’s oral health, a dental implant may be one option for replacing the missing tooth.
Final Thoughts
Root canal treatment may allow an infected or damaged tooth to remain in place rather than being removed. An examination can help determine whether a general dentist can provide the treatment or whether specialist care is appropriate.
Find Out What Your Tooth Needs
Pain or sensitivity does not always mean you need a root canal, but persistent symptoms deserve an evaluation. Emergency Dentist in Mission Valley can examine the tooth, identify the possible source of your discomfort, and discuss treatment options based on the findings. Contact the office to arrange a dental evaluation.
Frequently Asked Questions
Can my dentist tell if the nerve inside my tooth is damaged?
A dentist can evaluate your symptoms, examine the tooth, and use tests or X-rays when needed to assess the health of the pulp and surrounding tissues.
Why might a root canal need more than one appointment?
The number of visits can vary based on the tooth, the extent of the problem, and the treatment needed. Your dentist or endodontist can explain what to expect for your case.
Can I need a root canal even if my tooth does not hurt?
Yes. Some teeth with pulp damage or infection may have few or no noticeable symptoms. Dental exams and X-rays can sometimes identify problems before significant pain develops.
Is a root canal the same as having a tooth removed?
No. Root canal treatment treats the tissue inside the tooth while keeping the tooth in place when it can be restored. An extraction removes the entire tooth.



