Fact Check: 4 Truths About Root Canals You Should Know

June 1, 2026

Dentist performing root canal.

Few dental procedures have a reputation as intimidating as the root canal. Thanks to outdated stories and misinformation, many people associate root canals with pain and discomfort. In reality, modern root canal therapy is a safe, effective treatment that helps save natural teeth and relieve pain, not cause it.

Let’s separate fact from fiction by exploring 4 important truths about root canals.

Truth #1: Root Canals Relieve Pain

One of the biggest myths about root canals is that they are extremely painful. The truth is that root canals are performed to eliminate pain caused by an infected or inflamed tooth pulp.

When the soft tissue inside a tooth becomes infected due to deep decay, cracks, or trauma, it can cause severe toothaches, sensitivity, and swelling. During a root canal, your dentist removes the infected tissue, cleans the inside of the tooth, and seals it to prevent further infection.

Modern anesthesia and dental technology make the procedure comfortable for most patients. In fact, many people compare the experience to receiving a routine dental filling.

Truth #2: Saving Your Natural Tooth is Usually Best

Another common misconception is that it’s easier to simply remove a damaged tooth than to save it with a root canal. While tooth extraction may sometimes be necessary, preserving your natural tooth is often the preferred option.

Your natural teeth help maintain proper chewing function, speech, and jaw alignment. Losing a tooth can lead to shifting teeth, bite problems, and bone loss over time. Although replacement options such as dental implants and bridges are effective, keeping your natural tooth whenever possible is generally the most conservative and beneficial approach.

A successful root canal allows you to continue using your natural tooth for many years.

Truth #3: Root Canals Have a High Success Rate

Some patients worry that a root canal won’t last. Fortunately, root canal therapy has a long history of success.

When performed properly and followed by an appropriate restoration—such as a dental crown—the treated tooth can often function normally for decades. Maintaining good oral hygiene, attending regular dental checkups, and addressing any issues promptly can help maximize the lifespan of the treated tooth.

Many root canal-treated teeth remain healthy and functional for the rest of a patient’s life.

Truth #4: Delaying Treatment Can Make Things Worse

If your dentist recommends a root canal, postponing treatment can allow the infection to spread. What starts as a localized infection may eventually lead to an abscess, increased pain, swelling, or damage to surrounding bone and tissues.

In some cases, delaying treatment may even result in the loss of the tooth altogether.

Seeking treatment early often makes the process simpler and helps preserve your oral health.

Root canals are one of the most misunderstood procedures in dentistry. The truth is that they are designed to relieve pain, save natural teeth, and prevent more serious dental problems. If your dentist recommends a root canal, understanding the facts can help you feel more confident about protecting your smile and maintaining your long-term oral health.

About the Author

Dr. Jennifer Pham has more than a full decade of experience practicing dentistry. She completed her Doctorate of Dental Medicine degree at Temple University and has since advanced her education through numerous training courses at the renowned Las Vegas Institute. Dr. Pham also volunteers her time providing care for underserved populations at Northern Virginia Dental Clinic, Mission of Mercy, and Remote Area Medical. Do you have a troublesome tooth that needs repairing? We can provide root canal treatment to relieve your pain. Book online or call our Leesburg office at (703) 666-3867.

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