If your patient asks, “Is a root canal painful?”—the answer is no, thanks to modern anaesthesia and advanced techniques. However, root canal pain depends on proper aftercare. As a dentist, you know that patient education is key to reducing anxiety and ensuring smooth healing. Let’s break down what a root canal does, recovery tips, and how it compares to alternatives like extraction.
What Does a Root Canal Do?
A root canal removes infected or damaged pulp, cleans the tooth’s interior, and seals it to prevent further decay. This procedure saves the natural tooth, avoiding needing an implant or bridge. While many patients fear root canal pain, local anaesthesia ensures comfort during treatment. Post-op sensitivity is normal but manageable.
Root Canal vs Extraction
When a tooth is severely damaged or infected, dentists must decide between saving it with a root canal and removing it via extraction. Let’s discuss both options to help you determine the best treatment for your patients.
Root Canal: Preserving the Natural Tooth
A root canal treatment removes infected pulp while keeping the tooth intact. The procedure:
- Eliminates infection and pain
- Maintains jawbone structure by preserving the tooth root
- Prevents adjacent teeth from shifting
- Typically requires a crown afterwards for protection
- It involves minimal recovery (just a few days of sensitivity)
Tooth Extraction: Complete Removal
Extraction involves pulling the entire tooth when it can’t be saved. Key points:
- Necessary for severely damaged or non-restorable teeth
- This leads to bone loss over time if not replaced
- It may cause neighbouring teeth to shift, affecting the bite
- Requires additional procedures (implants/bridges) to fill the gap
- Longer healing (1-2 weeks for gums, months if grafted)

Which Should You Recommend?
Generally, a root canal is preferable to save the tooth—it maintains natural function and prevents future complications. However, extractions are sometimes unavoidable for hopeless teeth. Consider long-term oral health, cost, and patient preferences when recommending a root canal.
This concise yet thorough comparison helps dentists explain treatment options clearly to patients while optimizing outcomes.
What Causes the Need for a Root Canal?
Click to Read the Complete Guide hereBest Soft Foods to Eat After Oral Surgery
Soft foods prevent irritation and aid healing if your patient has a root canal or extraction. Recommend these best soft foods to eat after oral surgery:
- Mashed potatoes (warm, not hot)
- Greek yoghurt (high in protein, soothing)
- Scrambled eggs (easy to chew)
- Blended soups (avoid extreme temperatures)
- Oatmeal (soft, nutrient-rich)
Avoid crunchy, spicy, or sticky foods that disrupt healing.

Things to Avoid After Tooth Extraction
Post-surgery care is crucial. Warn patients about these things to avoid after tooth extraction:
- Smoking (delays healing, increases infection risk)
- Drinking through a straw (can dislodge blood clots)
- Hard or chewy foods (may irritate the site)
- Vigorous rinsing (can disrupt clotting)
- Skipping prescribed meds (increases discomfort)
Why Is My Root Canal Tooth Hurting After Years?
Click to Read the Complete Guide hereTooth Sensitivity After Filling: Is It Normal?
Patients sometimes report tooth sensitivity after filling or a root canal. Mild sensitivity to hot/cold is common for a few days. If it persists beyond a week, check for:
- High bite (adjust occlusion if needed)
- Inflamed pulp (may require further treatment)
- Cracked tooth (needs evaluation)

Final Thoughts on Root Canal Recovery
A root canal is not painful when performed correctly, and root canal recovery is straightforward with the right care. Encourage patients to stick to soft foods after oral surgery, avoid harmful habits, and follow post-op instructions.
Patients keep their natural teeth longer by choosing a root canal vs. extraction. If they experience prolonged tooth sensitivity after filling, a follow-up ensures no complications.
As a dentist in North America, your expertise reassures patients and improves their experience. Proper aftercare ensures faster healing and better outcomes.