I’ve had several, due to childhood trauma making me not take care of my teeth.

It’s a lot better these days. They numb, and if I say it still hurts, they get more novacaine into the tooth. They also listen when I say I need more than typical because of genetics.

Also my primary doctor gives me xanax. It helps.

For me it’s three visits for each root canal. First is the drilling, second is the temp plastic cap, third is the permanent cap. Third is very quick cause is just putting it in basically.

Don’t worry. I’ve had a lot of work done on my front teeth due to an accident when I was a child. Eventually needed root canals on both.

Honestly those root canals weren’t even as bad as cavity fillings.

Most painful part, as others have said, will be the numbing injections. If you still feel pain, let them know and they’ll give you more (different people have different levels).

Make sure to ask for a bite block so you don’t have to hold your mouth open, that’ll help a lot.

They might even let you listen to music, audiobook, or podcast, depending on your dentist.

Here’s what you’ll experience:

They’ll put you in the chair, and they’ll use a q-tip to apply some local anesthetic to your gums. They’ll give that a bit to kick in, then they’ll inject your gums with a tiny little hypodermic needle to really numb them. This is the only part that hurts. I find if I grip the arm of my chair and focus on that, I get through it easier.

They’ll likely do 2-3 injections around the area, depending on the tooth and where the nerves are located. But the first is the worst, because the numbing agent will start to take effect for the others. Also your body is gonna flood with endorphins because of the pain, so the injections following the first won’t be nearly as bad. Then the dentist will probably leave the room for a few minutes while they let that kick in. If the assistant is there, strike up a conversation! In my experience, the relief that the injections are done, along with the aforementioned flood of endorphins, almost feels like a mild high.

The dentist will come back and ask how you’re doing. Your lip will feel huge right now (though it isn’t, it’s just the way the nerves interpret not being able to feel what’s going on).

Here, if they haven’t given you one yet, ask for a bite block. Seriously, it makes the process so much easier.

They’ll start working by drying the area with some air. Then they’ll probably begin drilling. If you feel any pain at all, let them know. They’ll be looking for it, and may even ask you. I’ve only ever had to get an additional injection once or twice. By this point, the injection won’t really hurt because the area is so numb.

When they’ve drilled in they’ll begin using tools to clean out the inside of the tooth, clearing as much of the infected tissue as possible and removing the nerve. The work and the drilling all feel kind of weird, because the area is numb but you can still sense pressure in other parts of your mouth. You can also hear it, unless you choose the music route. I actually find this kind of fascinating.

Once they’ve cleaned the area, they’ll put in what’s called gutta percha, which they use to plug up the canal. This will feel funny, you’ll definitely feel the pressure. It won’t hurt though.

Then they’ll plug the hole with some bonding material or cement or something. This will probably be UV cured.

And then you’ll be done! Unless you’re having the whole tooth replaced with a crown. In that case, they’ll have made a mold beforehand for a temporary and permanent crown. They’ll drill away more of the tooth and put a post in to hold the crown in place. Then they’ll put the temporary crown on while they send the mold out to make a proper one.

Then you get to go home. Take a sick day if you get them, not because you need it but because it’s a good excuse and your co-workers will all feel sorry for you. 🤣

Don’t fret! You’re gonna do great. If you have any questions or concerns don’t hesitate to ask!

I had one, from a tooth that got damaged with braces as a teenager. It finally got to the point in my 40s that it hurt all the time and couldn’t be saved. My dentist suggested the root canal. Like you, I was scared.

I didn’t need to be scared. It barely hurt after - in 48 hours it was like it never happened. During the procedure (maybe 75 minutes total?) they had really good pain blocks. My advise is to let them know your fear. Good dentists/endodontists expect it and have ways to help you.

If you’ve been in pain from this for a while, you have already been feeling the worst of it. It’ll be so much better afterwards. Really!

They will likely fit you with a temporary crown to protect the remaining tooth until a proper crown is ready. Most of the pain will be from your irritated gums after the procedure, which will ache. Root canals terminate the damaged tooth nerves, so you may need to relearn how to chew on that tooth a bit. But did I mention it won’t hurt?

I’ve had two in the past, had my third just three days ago, my gums are still a little raw. My most recent root canal was on a hyper-sensitive tooth, so there was initially some pain, but once the dentist applied another couple of doses of anesthetic, it was painless, basically a more prolonged filling. The only thing I’d add is that my dentist recommended ibuprofen for after the anesthetic wears off, since there may be some pain, I’d second that recommendation since your gums will be sore for a few days

I used to get cavities filled without numbing, until I was 22 and needed a root canal. They make you get numbed and I haven’t gone back when getting work done. I don’t think the tooth pain is bad, and if you feel tooth pain, let them know. It should be completely shut down. The most uncomfortable part is really having your mouth kept open if they do it right. The light in your eyes too, but you can close your eyes. Also the vibrations sometimes make my nose hairs tickle. All that should be worse than the pain.

The worst part in my experience was actually getting numbed. You can’t see the needle going in so a lot of people with needle phobias won’t have any problem, but for me the feeling of a needle is repulsive. After that it was smooth sailing, just a bit boring.

The pop culture reputation of dentists as literal torturers is pretty outdated. Medicine has improved a lot in a short amount of time. Just look up reviews before picking your dentist, and don’t cheap out if you can help it.

As long as its done by a qualified professional with proper anesthesia, you should be fine.

Do consult a professional though, every situation is different, and we’re generally not professionals around here.

I had a double root canal a few months ago, no anesthesia, and literally couldn’t feel anything. The nerves on both teeth were already completely dead, there was simply no sensation at all.

Like everyone else, I agree that pain management can be pretty good these days. For me the experience was:

• dentist comes in, says hi, reviews what’s going to happen, asks if you have any questions; tell them if you feel nervous, it’s ok
• doctor puts a “local anesthesia” (something on a q-tip) to your gum, so the needle won’t hurt too much
• then the doctor injects the “real” anesthesia in the gum. (an assistant may do this part - it varies) Depending on how deep they need to put it, you may feel a bit of pain, but not too bad. Pinch your arm moderately hard, and imagine that happening in your gum, and that’s the most I’ve ever felt for a very deep injection for a removal. it lasts about 1 second. (some places might give you nitrous oxide for this part, but I’ve never had that.) They may give more than 1 injection, depending on the situation. From this point on you should feel no pain.
• doctor/assistant goes away for 10-15 minutes to let the anesthesia spread. your mouth starts to feel numb.
• the dentist comes back with an assistant, they get organized (figuring out what tools they need, etc) From this point on they’re mostly just drilling or doing whatever they need, and your job is just to move your head however they want and keep your mouth open and spit when they tell you. it’s a little boring, tbh, at one point I almost dozed off and made a bit of a snoring sound.
• it can be a little weird having saliva pool in your mouth. the assistant should be vacuuming it out regularly. if they’re not doing this often enough, let them know. It is also very very helpful if you can breathe through your nose. if you have a problem with this just let them know.

Good luck, let us know how it goes!

I had one done recently due to breaking a filling while eating a Jolly Rancher. The whole thing took maybe 2 hours.

The shot of novocaine to numb my jaw was the only pain, and even that wasn’t bad because the dentist used topical numbing before that. It was no different than getting a cavity filled.

My dentist has a cnc machine (CEREC) in the office to make the crown, so I didn’t need a temporary cap. Waiting for that to be milled was the longest part.

I had a bruise on my gums for a couple days from the shot and the retainer clamp, but it wasn’t even bad enough to stop me from eating.

Many. There wasn’t fluoride in the water where I grew up for the first decade of my life. Tips:

Bring earbuds and clear it with the dentist that they’ll tap your arm if they need to talk to you. Have a playlist ready. If you can afford it / have the right insurance, ask for gas to help you zone out. If you feel pain, they didn’t give you enough novocaine. My dentist informed me that people with red hair are less sensitive to the drug and need more of it (she noticed my beard comes in kinda reddish when she told me about that). Don’t be afraid to let them know of discomfort; they want you to be ok during the procedure so not to make you avoid getting treatment right away in the future, thus making whatever problem worse.

You can maybe ask for a single pill script for a downer like zanex if you don’t drive to the appt.

I have a long involved horror story that led up to me needing a root canal that I decided not to post here because it probably isnt nteresting to anybody but me.

For the most part, a root canal is kind of minor. They numb your gums where they’re going to inject a numbing agent, then they inject a numbing agent, worst case they go a little nutso and try to inject a few places in there but the pain is there and gone in 5 seconds. If at any point you feel pain they can do a better job of numbing you. Honestly, any pain caused in the numbing process goes away pretty quickly when they successfully do it.

They poke around, there’s a little drilling, some bad smell maybe heat maybe cold a lot of spitting out little sandy chunks of debris. If the tooth is still in pretty good shape they just pack it back up and you’re good to go.

If you end up needing a crown there’s a good bit more drilling a good bit more spitting a good bit more smoke. But it’s really just the same thing prolonged.

It won’t kill you, it will annoy you and it’s marginally unpleasant, The anxiety of being there in the anxiety of not knowing what’s going on is much worse than the actual procedure. Meditate, chill, roll with it you’ll be fine.

I’ve had one and I am straight up terrified of needles in general. The only thing that hurt me was the initial needle. I won’t lie, getting a shot in the roof of the mouth is not a good time, but literally everywhere else is on par, if not less than a regular needle. I don’t know how to explain it, but it’s less resistance, and a good dentist will numb along the way. Also, let your dentist know. You’re not the only one who finds it scary. They’ll do what they can to make it comfortable. And if it’s long, they usually let you wear headphones. It’s not a spa by any means, but once you get the injection (which I promise is not bad), that’s it. Hard parts done. And you’ll sleep great that night because it’ll be all over. 👌🏾

I had half of one. It fixed the pain, never went back to get the other half done.

I literally had one on Friday! Long story short: mine was nowhere near as bad as I was expecting.

I had a wisdom tooth removed a couple of years ago and that sucked but it was bearable - it hurt for about two weeks, but Tylenol made it manageable. So I was expecting something along the same lines here. The actual procedure itself was fine - the scraping out of the inside of the tooth is a weird sensation, but not painful 'cause they freeze you up. Then afterwards, once the freezing wore off it hurt for about three hours and I was expecting it to suck for a while. But I had a Tylenol and a nap, and when I woke up it wasn’t hurting at all and it’s been fine ever since.

Other people have told me that they had pain for a week or so, so your mileage may vary, but yeah for me it was literally just a few hours of discomfort and then back to normal. Nowhere near as big a deal as I thought it was going to be.