Do Dentists Perform Root Canals? What Patients Should Know
Quick Answer
Do dentists perform root canals?
Yes. Many general dentists provide root canal treatment when the pulp inside a tooth is infected, inflamed, or damaged. Some cases are more complex and may be referred to an endodontist, who has advanced training in treating the inside of teeth.
Key Takeaways
- General dentists often perform routine root canals.
- An endodontist may handle more challenging cases.
- Root canal therapy may help keep a natural tooth.
- Treatment depends on the condition and structure of the tooth.
- Ongoing tooth pain or swelling should be checked.
Being told you may need a root canal can bring up an important question: does a dentist do root canals, or do you need to find a specialist?
General dentists receive training in diagnosing and treating many problems involving the teeth, gums, and surrounding tissues. This can include conditions affecting the pulp inside a tooth. Whether your dentist provides the treatment may depend on their experience and how complicated the tooth is to treat.
Do Dentists Do Root Canals in General Practice?
Yes. A general dentist may perform a root canal when the case is suitable for treatment in their office. However, do all dentists do root canals? No. Some dentists routinely offer this care, while others refer patients to an endodontist.
The pulp inside a tooth contains nerves, blood vessels, and connective tissue. Deep decay, cracks, or injuries can allow bacteria to reach it. An infected tooth may cause tooth pain, swelling, sensitivity to temperature, or discomfort when chewing.
Why Might I Need a Dentist or Endodontist?
Whether you need a dentist or an endodontist depends on the affected tooth and the complexity of treatment. A general dentist can often manage routine cases. An endodontist has additional education focused on endodontic treatment and conditions involving the pulp and root canals.
A dentist may recommend specialist care if the canals are narrow, curved, difficult to reach, or have already been treated.
How Is a Root Canal Procedure Done?
Before performing the procedure, the dentist examines the tooth and may take X-rays to evaluate its roots and nearby bone. Local anesthesia is commonly used to numb the treatment area.
To perform a root canal, the dentist creates an opening in the tooth to reach the pulp. A protective sheet called a dental dam is placed around the tooth to help keep the area isolated and dry.
The dentist removes damaged or infected tissue from the tooth, including unhealthy pulp within the canals. The canals are then cleaned, shaped, filled, and sealed.
After the root canal procedure, a crown, filling, or another type of dental restoration may be needed to protect the tooth.
Can Root Canal Therapy Help Preserve My Tooth?
The purpose of root canal therapy is to treat infection or damage inside the tooth while preserving the natural tooth when possible. Keeping your tooth can support normal chewing and help maintain your oral health.
If the tooth is too damaged to restore, extraction may be necessary. A dental implant may be discussed as one option for replacing the missing tooth, depending on your individual needs.
Final Thoughts
Root canal treatment can address problems inside a tooth while helping preserve the tooth when it can be restored. An evaluation can help determine whether your general dentist can provide care or whether an endodontist is better suited to the case.
Understand What Your Tooth Is Telling You
Persistent pain, swelling, or sensitivity can signal a dental problem that needs evaluation. Emergency Dentist in San Marcos can examine the affected tooth, identify the possible cause of your symptoms, and discuss suitable treatment options. Contact the office if your discomfort continues or worsens.
Frequently Asked Questions
Can my dentist do a root canal on a back tooth?
Possibly. Back teeth can have several roots and canals, which may make treatment more complex. Your dentist can examine the tooth and determine whether they can treat it or recommend an endodontist.
Why does my dentist test my tooth before recommending a root canal?
Tests can help assess the health of the pulp and determine whether pain is coming from inside the tooth. X-rays and an examination may also help identify infection or damage.
If my tooth stops hurting, could I still need treatment?
Yes. Pain may sometimes decrease even though a problem remains inside the tooth. A dentist can evaluate the tooth to determine whether treatment is still needed.
Can a root canal be done on a tooth with a filling?
Yes, depending on the condition of the tooth. A tooth with an existing filling may still need root canal treatment if the pulp becomes inflamed, infected, or damaged.
What should I expect after my root canal is finished?
Some tenderness may occur after treatment. The tooth may also need a filling or crown for protection. Contact your dentist if pain becomes severe, swelling develops, or symptoms worsen.

