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Victoria Ramos – D.M.D.  at Aleris Salem Dental Center
Elena Siniaver – D.M.D.  at Aleris Salem Dental Center

What Happens if You Don’t Get a Root Canal When Needed?

  • Sep 9, 2020
  • 3 min read

Updated: Jan 29

If you delay or avoid a root canal, the infection inside your tooth can spread to the surrounding bone and tissue, leading to severe pain, abscess formation, and eventually tooth loss. In extreme cases, untreated dental infections may even impact your overall health. Early treatment at Aleris Salem Dental Center can save your tooth and prevent these serious complications.

What Is a Root Canal and Why Might You Need One?

A root canal is a dental procedure used to treat a tooth with infected or inflamed pulp (the soft tissue inside the tooth). This usually results from deep decay, a cracked tooth, repeated dental procedures, or trauma.

During the procedure, the pulp is removed, the inside of the tooth is cleaned and disinfected, and then sealed to prevent further infection.

Signs you may need a root canal include:

  • Persistent tooth pain

  • Sensitivity to heat or cold

  • Swelling or tenderness in the gums

  • Darkened or discolored tooth

  • Pimple-like bump on the gums (abscess)

What Happens If You Don’t Get a Root Canal?

1. The Infection Will Spread

If the infection in the pulp is not treated, it can spread to:

  • The surrounding bone

  • Adjacent teeth

  • Jaw tissue and facial areas

In severe cases, untreated dental infections can enter the bloodstream, causing serious health risks like sepsis or systemic inflammation.

2. You May Develop a Dental Abscess

An abscess is a pocket of pus that forms at the root tip or in the surrounding gum tissue. It is extremely painful and can lead to:

  • Swelling in the face or neck

  • Fever

  • Difficulty swallowing or breathing

  • Emergency hospitalization if not treated promptly

3. Tooth Loss Becomes Inevitable

As the infection destroys the root and surrounding support structures, your tooth will eventually loosen and require extraction. Losing a tooth can lead to:

  • Jawbone deterioration

  • Shifting of adjacent teeth

  • Expensive restorative options like implants or bridges

4. Pain and Swelling Will Get Worse

Pain from an infected tooth can intensify quickly. You might start with mild discomfort and end up with throbbing, sharp pain that disrupts sleep, eating, and daily activities.

5. You May Face Higher Costs Later

Delaying a root canal could mean:

  • Emergency treatment fees

  • Surgical intervention

  • Replacing a missing toothAll of which are costlier than a standard root canal performed early.

During the procedure, the pulp is removed, the inside of the tooth is cleaned and disinfected, and then sealed to prevent further infection.

Can a Tooth Heal Without a Root Canal?

No, a tooth that requires a root canal cannot heal on its own. Antibiotics may temporarily reduce symptoms but will not eliminate the infected pulp tissue. Only a root canal—or extraction—can permanently resolve the problem.

FAQ: Root Canal Therapy

How do I know if I really need a root canal?

Your dentist may recommend it after X-rays and an exam show pulp damage or infection. Symptoms like severe pain or abscess formation are strong indicators.

Is a root canal painful?

No. Modern root canal therapy is typically no more uncomfortable than getting a filling. At Aleris, we ensure your comfort every step of the way.

How long can I wait before getting a root canal?

The sooner, the better. Waiting even a few weeks can lead to worsening infection, increased pain, and higher treatment costs.

Can I just take antibiotics instead?

Antibiotics only manage infection temporarily. They do not remove infected pulp or heal the tooth. A root canal is still required.

What happens after a root canal?

Most teeth need a crown placed after the procedure to restore strength and function. With proper care, the treated tooth can last a lifetime.

Don’t Wait—Save Your Tooth with Timely Care

Ignoring the need for a root canal won't make the problem go away—it will only get worse. Timely treatment can prevent serious pain, protect your health, and help you keep your natural smile. At Aleris Salem Dental Center, we provide gentle, expert root canal therapy using the latest techniques to ensure your comfort and success. Call us today at (855) 745-0055 or book an appointment online.

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