If you’ve ever Googled “root canal treatment hurt”, you’re probably either in pain now or dreading a dentist visit. The phrase alone has scared generations of Malaysians – often because of horror stories passed around more than real experiences.
But how painful is a root canal really? Does it hurt more than a regular filling? What about the recovery process? And how can you make it less painful at home?
Let’s clear up the myths, explain how modern root canals work, and share practical aftercare tips to help you recover faster and more comfortably.
Why People Think Root Canal Treatment Hurts
For years, root canals have had a reputation for being the scariest procedure at the dental clinic. But much of this fear is outdated. In reality, it’s the infection inside the tooth that causes the worst pain – not the treatment itself.
With today’s technology, including advanced anaesthesia, precise tools, and better planning, most patients report the experience as no more painful than a standard filling. The goal of the treatment is to stop pain, not cause it.
Still, it’s normal to feel nervous. Knowing what to expect can help reduce that fear significantly.
How Does Root Canal Treatment Work?
What Happens During the Procedure
A root canal is done to remove infected or damaged pulp tissue from inside your tooth. The dentist starts by numbing the area around the tooth with local anaesthetic. Once you’re numb, they create a small opening in the top of the tooth to access the pulp chamber.
Using fine tools, they clean out the infection from the root canals, shape the space, and then fill it with a material called gutta-percha. This seals the tooth from future infection. The tooth is then topped with a temporary or permanent filling – and usually a crown at a later visit.
How Long Root Canal Treatment Takes
The entire procedure can take one to two visits, depending on how complex the case is. On average, a straightforward root canal takes about 60 to 90 minutes.
Molars with more roots may require a second appointment for full cleaning and sealing. In some cases, a specialist called an endodontist may be recommended.
What Hurts More – The Infection or the Treatment?
Here’s the truth: the pain most people fear is actually caused by the infected pulp before treatment. Once it’s removed, and the canal is cleaned, the source of pain is gone.
There might be some soreness after the procedure due to inflammation or from keeping your mouth open, but this is usually manageable with over-the-counter pain relief.
Read more: Wisdom Tooth Removal & Extraction
When Do You Need Root Canal Treatment?
Signs You Might Need It
- Severe, lingering toothache
- Sensitivity to hot or cold that doesn’t go away
- Swollen or tender gums
- A pimple on the gums
- Darkening of the tooth
These are signs that the nerve inside your tooth might be infected or dying. The sooner you act, the better your chances of saving the tooth without complications.
What Happens If You Delay?
Delaying root canal treatment can lead to a dental abscess, intense pain, bone loss, and even tooth extraction. Avoiding root canal treatment now can mean more expensive and invasive procedures later.
Benefits of Root Canal Treatment
Stops the Pain
Root canal treatment is one of the most effective ways to get rid of persistent tooth pain caused by infection.
Saves Your Natural Tooth
It allows you to keep your tooth rather than extracting it. Keeping your natural teeth helps with chewing and prevents surrounding teeth from shifting.
Restores Function & Aesthetics
After the tooth is restored with a crown, it functions and looks just like your original tooth.
Cheaper than Extraction + Implant in Long Run
Root canal treatment is generally more affordable than having a tooth extracted and replaced with a bridge or dental implant.
5 Aftercare Tips to Ease the Pain at Home
Tip 1 – Eat Soft, Cool Foods
Right after your root canal, your mouth may be numb or tender. Stick to soft foods like porridge, yogurt, or blended soups. Avoid hot, spicy, or crunchy foods that might irritate the area.
Tip 2 – Don’t Skip Medication
Take your painkillers and antibiotics (if prescribed) as directed. Don’t wait until the pain gets intense. Managing discomfort early makes a big difference in recovery.
Tip 3 – Avoid Chewing on That Side
Give the treated tooth a break. Chew on the opposite side until your dentist gives the all-clear. This helps prevent pressure or damage to a temporary filling.
Tip 4 – Keep Your Mouth Clean
Continue brushing and flossing gently around the area. Use a saltwater rinse if advised by your dentist. Keeping the area clean helps reduce inflammation and prevents infection.
Tip 5 – Follow Up With Your Dentist
A final restoration (usually a crown) is often needed to protect the treated tooth. Make sure you complete the treatment to avoid reinfection or fracture.
Alternatives to Root Canal Treatment
Extraction + Bridge or Implant
If you don’t want a root canal, the main alternative is removing the tooth. But this creates a gap that needs to be filled with a bridge or implant, which can cost more and involve longer treatment.
Temporary Pain Relief Methods
Some people try antibiotics or painkillers to delay treatment. While this may reduce symptoms temporarily, it won’t solve the underlying infection.
Why Preserving the Tooth is Still Best
Your natural tooth is almost always worth saving. Root canals allow you to do that with less long-term maintenance and better bite function.
FAQs
Is root canal painful after anaesthesia wears off?
You may feel some soreness or tenderness, but it’s usually manageable with mild painkillers like paracetamol or ibuprofen.
How long does recovery take?
Most patients feel back to normal in 1-2 days. Any discomfort should steadily improve. Call your dentist if pain worsens after 3 days.
Can you go to work after a root canal?
Yes, most people can return to work or school the same day. Avoid strenuous activity for 24 hours if possible.
How long do root canal-treated teeth last?
With proper care and a final crown, root canal-treated teeth can last a lifetime.
What’s the cost of root canal treatment in Malaysia?
Costs vary by tooth type and clinic. On average, expect RM800 to RM2000 per tooth. Payment plans may be available at clinics like Dental Home.
Are there clinics that specialise in gentle, pain-free root canal?
Yes. At Dental Home, we focus on patient comfort using advanced techniques and personalised care to ensure your experience is as smooth as possible.
The Pain You Feel Now Isn’t Worth Keeping
Root canal treatment may sound scary, but in reality, it’s the solution to pain, not the cause. At Dental Home, our modern techniques, expert care, smart aftercare steps, can protect your tooth and get back to your normal life quickly.
If you’re experiencing persistent tooth pain or think you might need a root canal, contact us at our Bukit Jalil or Puchong clinic today! Let’s fix your smile before it gets worse.