FAQs
At Ivy Endodontics, we're here to answer all your questions about root canal treatments and ensuring your smile stays healthy and bright!
What is endodontics?
Endodontics is a dental specialty focused on diagnosing and treating problems inside the tooth—specifically the pulp (nerve) and root canal system. Endodontists are specialists who receive additional training beyond dental school to perform procedures that relieve pain and save natural teeth.
What is a root canal?
A root canal is a procedure used to treat infection or inflammation inside a tooth. The damaged pulp is removed, the inside of the tooth is cleaned and disinfected, and the space is sealed to prevent reinfection.
What is endodontic retreatment?
Sometimes a tooth that has had a previous root canal may not heal properly. Endodontic retreatment involves reopening the tooth, removing the original filling material, cleaning the canals for the roots again, and resealing them.
What is an apicoectomy?
An apicoectomy is a minor surgical procedure performed when inflammation or infection persists after a root canal or root canal retreatment. The tip of the root is removed and sealed with a special bioceramic material to allow healing and resolution of symptoms.
Why would I need a root canal?
Common reasons include deep decay, cracked teeth, trauma to the tooth, and/or repeated dental procedures on the same tooth (fillings, crowns, etc.).
Symptoms may include severe tooth pain (throbbing, aching, pulsating), sensitivity to hot or cold foods or drinks, swelling or tenderness, and/or discoloration of the tooth.
Does a root canal hurt?
Modern root canal treatment is designed to be comfortable. With advanced techniques and local anesthesia, most patients report that the procedure feels similar to getting a routine filling.
How long does the procedure take?
Most root canal treatments can be completed in one or two visits, depending on the complexity of the case and the level of infection.
What happens after a root canal?
After treatment, mild soreness is normal for a few days to a week with over-the-counter pain medication usually being sufficient to manage these symptoms. You’ll typically need a permanent restoration (such as a crown) from your general dentist to protect the tooth after the completion of the root canal treatment.
Is it better to extract the tooth instead?
Saving your natural tooth can allow you to maintain natural chewing function, preserve surrounding bone and teeth, and avoid more complex and costly procedures like implants or bridges.
How successful are root canals?
Root canal treatments have a very high success rate—often over 90%. With proper restoration and care, a treated tooth can last a lifetime.

Burns LE, Kim J, Wu Y, et al. Outcomes of primary root canal therapy: an updated systematic review of longitudinal clinical studies published between 2003 and 2020. Int Endod J. 2022.
Will my tooth look different after treatment?
In most cases, your tooth will look the same. If discoloration occurs, options like internal bleaching or a crown can restore appearance to your natural esthetics.
How do I care for my tooth after treatment?
You can brush and floss as normal, however, avoid chewing on hard foods until your tooth is fully restored with a definitive crown or filling and you should visit your dentist regularly for checkups.
What technology do we use?
We have a modern endodontic practices that uses advanced technology such as:
- Zeiss dental operating microscopes
- Digital X-rays and 3D CBCT imaging
- Ultrasonic instruments including passive ultrasonic irrigation for a more thorough disinfection process
- Nickel titanium rotary endodontic systems
- Bioceramic sealers and putties
These tools allow for more precise, effective, efficient, and comfortable treatment.
When should I see an endodontist?
You may be referred to an endodontist if:
- Your case is complex
- You have persistent pain or infection
- A previous root canal has failed
- You need specialized treatment or microsurgical care