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Root canal treatment is a dental procedure that replaces a tooth’s damaged or infected pulp with a filling. The pulp is the tooth's lifeline – its vessels, tissue fibres and nerves in the central hollow of the tooth keep it alive. The procedure to repair and save the tooth involves removing the damaged pulp, cleaning and disinfecting it and then filling and sealing it. The procedure is also known as endodontic treatment.

Usually, root canals are recommended or needed when there is an infection deep within the tooth. Root canal treatment can save a badly infected or damaged tooth. The pulp inside the tooth may have become infected or damaged because of a severe, untreated cavity or due to wear and tear, gum disease, cracked fillings or an injury to the tooth. Without treatment, the infection can become severe enough that the tooth has to be removed.
Saving your own tooth if possible is important. Your own tooth is always better than an artificial tooth for biting and chewing. Losing a tooth can lead to other problems in the mouth. Replacing a lost tooth with an artificial one often needs more complex dental procedures. Root canal treatment is often the best way of saving your tooth.

Severe toothache when chewing
Sensitivity to hot or cold that lasts after the heat or cold has been removed
Darkening of the tooth
Swollen and tender gums
A persistent pimple on the gums or a hole in the tooth swollen and tender gums darkening of the tooth
Swelling of the face or neck

Any old or leaky fillings, tooth decay, infected nerve tissue, pus and debris are removed

In order to be filled well, the canals within the tooth root need to be shaped into smooth, hollow tunnels that are free of irregularities where residual bacteria may sit. This shaping process involves small instruments, special disinfectants and medication. It may take a few weeks to months for these solutions to take maximum effect against stubborn bacteria within the tooth, and this step may have to be repeated several times

To prevent bacteria from re-infecting the empty canals in your tooth, they are permanently sealed with a long-lasting barrier material

To make sure no bacteria can leak back into the tooth, a large, well-sealed restoration is put on the tooth. Teeth that require root canal treatment have sometimes lost considerable tooth structure due to decay or cracks, and may require further protection in the form of a porcelain or gold alloy crown.
A normal tooth with a healthy pulp is yellowish-white in colour. A pulp-free tooth may eventually turn grey. The dentist can advise you on appropriate aesthetic (cosmetic dentistry) procedures.


A root canal treatment removes infected or inflamed pulp from inside the tooth. It cleans and seals the root canals and restores the tooth with a filling or crown to stop pain and avoid extraction.
Under local anaesthetic, the dentist accesses the tooth chamber, removes damaged tissue, cleans and shapes the canals, then fills them with a biocompatible material. The procedure is gentle, and discomfort is typically no worse than having a deep filling.
Some mild tenderness may occur for a few days, which is usually manageable with over‑the‑counter pain relief. A properly restored root canal tooth can last many years—often decades—when cared for with good oral hygiene and regular check‑ups.
All dentists are trained to carry out root canal treatments. Sometimes, the dentist will refer complicated and emergency cases to an endodontist once your tooth has been assessed. Endodontists are dentists who are specialists in root canal treatment.
In most cases, root canal treatment is successful and the tooth will no longer cause pain. However, there is always some risk depending on the condition of the tooth, how well you keep your teeth clean, and the biting forces on the tooth.
Common risks and complications include:
Uncommon risks and complications include: