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February 23, 2026

How do you know if you need a root canal​?

How do you know if you need a root canal​

Chronic tooth pain or sensitivity can signal that something more serious is happening beneath the surface. This is when many people begin asking, “How do you know if you need a root canal?”, especially when the discomfort starts affecting daily life. When pain persists or new warning signs appear, it may indicate a deeper infection that requires professional attention.

A dental root canal is more than just an appointment. The treatment consists of removing the infected pulp from the tooth and protecting it from further infection. Recognizing the signs early can prevent more serious problems downstream. We’ve outlined the key considerations you should know before scheduling an appointment with a dentist.

What Is a Root Canal Treatment?

The most common is root canal therapy, which saves teeth that are decayed or infected by bacteria. Inside the tooth is a soft-tissue chamber known as the pulp, which contains nerves, blood vessels, and connective tissue. If this tissue becomes infected or inflamed, the tooth will not heal. An abscessed tooth is a serious condition in which infection has spread to the bone and surrounding tissues near the tooth.

Once a tooth has erupted, it is important to seal the chewing surface to reduce the risk of caries. Dental root canal therapy is a safe, effective ­way to save an infected tooth and restore its natural function.

Who Needs Root Canal Treatment?

When bacteria or trauma cause the dental pulp to become inflamed and infected, a root canal therapy is needed. This occurs with deep, old cavities (wounds or older fillings) or fractures that extend to the tooth’s pulp. These lead to infection of the nerve tissue (pulp), which must be removed, and the tooth canal cleaned, disinfected, and filled to prevent further damage. This technique serves to preserve your natural tooth, prevent the infection from spreading, and restore your tooth’s normal function.

Common Signs That You Need a Root Canal

When the pulp and nerve of a tooth are infected or inflamed, the body mounts a response. Signs and symptoms may appear suddenly, necessitating an emergency root canal. The following are the key warning signs that could indicate a dental root canal is needed:

1. Persistent Tooth Pain

The initial red flag is often chronic pain. This isn’t just a twinge of pain; it’s a deep, relentless ache that can make chewing or talking difficult. It may:

  • Feel sharp, throbbing, or dull
  • Spread to the jaw, face, or other teeth
  • It gets worse when lying down
  • Elevates on chewing or pressure

Such persistent pain almost always indicates that the nerve in the tooth is either already dying or dead. A significant opportunity to save the tooth is that, if root canal therapy is initiated promptly, the problem may become more severe and necessitate root canal therapy.

2. Sensitivity to Hot or Cold

A toothache after eating hot or cold foods could indicate a variety of issues. While normal sensitivity decreases rapidly, prolonged or increasing sensitivity serves as an alarm signal. Potential issues include:

  • Persistent pain upon withdrawal of heat or cold
  • Throbbing or sharp pain
  • Increased discomfort when biting down

However, if the sensitivity persists, it may indicate pulp inflammation or infection. A root canal can alleviate pain and preserve the tooth structure.

3. Swollen or Tender Gums

Infections are often characterized by tenderness or swelling around the gums, which may appear painful and may have a small pimple-like bump. Additional symptoms include:

  • A heightened discomfort upon palpation
  • Increased sensitivity in the affected tooth
  • Apex of the tooth with a swelling and a drain with pus 

This set of signs often illustrates the presence of untreated infections, which could lead to more serious consequences. In many cases, root canal treatment is necessary to eliminate the infection and preserve the tooth.

4. Tooth Discoloration

A tooth that is discolored relative to the surrounding dentition may indicate internal pathology. If the damage is internal, a tooth may appear gray or even black. This is also known as tooth necrosis and can develop following trauma or a tooth infection. You may observe the following:

  • A tooth that looks dead or lacks vitality
  • It does not go away with cleaning or periodontal therapy
  • A tooth discolored or dark in color following a chip or crack

Most often, this discoloration indicates pulpal necrosis, and a dental root canal will be necessary to save the tooth.

5. Pain When Chewing or Touching

Biting or nibbling a tooth causes discomfort and may indicate an underlying problem ranging from mild distress to severe pain. You might feel and see some common behaviors:

  • Aggravation of pain on pressure
  • Pain that comes and goes, the longer you walk
  • Aggravation by extreme temperatures

Pain of this type can indicate that an infection or irritation has reached the nerve in the tooth. The only way to relieve the pain is through a root canal.

6. A Chipped or Cracked Tooth

When a tooth is broken or cracked, bacteria can enter the pulp (the central part of the tooth) and infect it. This frequently leads to inflammation or infection within the tooth. Be alert for:

  • Pain when biting or chewing
  • Sensitivity to hot and cold foods and beverages
  • Visible cracks or chips

An open pulp chamber is a dental emergency, and a root canal is typically performed to prevent further damage and infection of the tooth.

Conclusion

Understanding when you need a root canal can save your teeth and prevent more serious problems. If you notice any of the following pain, sensitivity to hot and cold , swelling, or changes in tooth color, the pulp may be infected: The longer you delay getting treatment, the more likely you are to end up facing these kinds of more serious conditions, such as abscesses or even tooth loss.

The root canal removes the infection and saves your tooth. Pinnacle Dentistry, a trusted dental service in Colorado Springs, adheres to all established protocols and ensures patient well-being and optimal outcomes. We are dedicated to providing personalized care and answering all questions to streamline the office visit. Don’t wait for your tooth to hurt badly.

Schedule an appointment by calling us or visiting our website to access hassle-free dental care for one year and beyond.

Visit Us:

Contact: info@pinnacledentistryco.com
Call: 719-590-7100Headquarters:
Briargate Business Center, 2430 Research Pkwy, Suite #200
Colorado Springs, CO 80920

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About Pinnacle Dentistry

Personal. Individualized. Relationships. When you come to Pinnacle Dentistry, you will feel more like you’ve entered a good friend’s living room, not a dental practice. The warm tones and friendly staff will instantly ease your burdens and let you know you’ve made the right choice for your dental wellness provider.

Our passion is providing truly acclaimed care that takes into consideration your total wellbeing. Dr. Jennings and Dr Perrett are both extremely personable, approachable, conservative and attentive. “Your committed and empathetic Pinnacle Dentistry care providers welcome you as part of our family! We strive to maximize your well-being and happiness by providing comfortable, conservative, and long-lasting solutions to eliminate unnecessary treatment, save you money and have you look amazing. We look forward to meeting you.” Drs Jennings and Perrett. www.pinnacledentistryco.com

How do you know if you need a root canal​

Author

Pinnacle Dentistry Co.