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Root Canal Treatment: Myths, Pain, Cost & Life After RCT – Dentist Explains

Hearing the words root canal treatment often makes people nervous. Many patients delay treatment because they believe it’s painful, risky, or unnecessary. But the truth is, modern root canal procedures are safe, comfortable, and one of the best ways to save a natural tooth.

In this blog, a dentist explains the most common root canal myths, answers the big question “is root canal painful?”, shares the root canal cost in India, and helps you understand life after RCT including how long does root canal last and whether root canal vs extraction is the better choice.

What Is Root Canal Treatment?

Root canal treatment (RCT) is a dental procedure used to remove infection from inside the tooth. The inside portion of the tooth contains soft tissue called pulp, which can become infected due to deep cavities, cracks, or injury.

During RCT, the infected pulp is removed, the canals are cleaned and disinfected, and the tooth is sealed to prevent reinfection.

✅ Root canal treatment helps you:

  • Save your natural tooth
  • Stop tooth pain and infection
  • Avoid tooth extraction
  • Restore chewing and normal function

When Do You Need Root Canal Treatment?

You may need root canal treatment if you experience:

  • Severe toothache while chewing or biting
  • Sensitivity to hot/cold that lasts long
  • Swelling or pus near the tooth (gum boil)
  • Tooth discoloration
  • Pain that spreads to jaw/ear
  • Deep cavity close to the nerve

Sometimes, a tooth infection can be silent. That’s why regular dental checkups are important.

Is Root Canal Painful? (Dentist’s Honest Answer)

Let’s answer the most searched question: is root canal painful?

✅ Root canal treatment is not painful in most cases, because the procedure is done under local anesthesia. Patients usually feel pressure, but not sharp pain.

What You Might Feel During RCT

  • Mild pressure while cleaning the canals
  • Slight discomfort from keeping mouth open
  • No major pain due to anesthesia

After the Procedure

Some mild soreness for 1-3 days is normal, especially when biting. This can be managed with painkillers prescribed by your dentist.

Truth: Root canal treatment actually relieves the pain caused by infection.

Root Canal Myths vs Facts (Must Know!)

Many people fear RCT due to misinformation. Let’s clear the most common root canal myths:

Myth 1: Root Canal Treatment Is Extremely Painful

Fact: With modern techniques and anesthesia, RCT is usually as comfortable as getting a filling.

Myth 2: It’s Better to Remove the Tooth

Fact: Saving your natural tooth is almost always the best option. Extraction may lead to further expenses like implants or bridges.

Myth 3: Root Canal Weakens the Tooth Forever

Fact: A tooth becomes stronger and functional again when restored properly with a crown.

Myth 4: Root Canal Causes Other Health Problems

Fact: This is one of the oldest root canal myths. There’s no valid modern evidence proving root canal causes systemic diseases.

Myth 5: One RCT Means No More Dental Problems

Fact: The tooth still needs good oral hygiene and usually a crown to prevent fracture.

Root Canal Treatment Procedure (Step-by-Step)

Here’s how a typical root canal treatment is done:

1. Diagnosis & X-Ray

The dentist checks the infection level and number of canals using an X-ray or digital scan.

2. Local Anesthesia

The tooth is numbed completely to ensure comfort.

3. Removing the Infection

An opening is made, and infected pulp is removed.

4. Cleaning & Shaping the Canals

The canals are cleaned and disinfected to remove bacteria.

5. Filling the Canals

They are sealed with a biocompatible material to prevent reinfection.

6. Tooth Restoration

A temporary or permanent filling is placed. In most cases, a crown is recommended for long-term strength.

Root Canal Cost in India (2026 Guide)

The root canal cost in India depends on multiple factors such as the tooth type, number of canals, infection severity, and technology used.

Average Root Canal Cost in India

✅ Typical range: ₹4,500 to ₹15,000 per tooth

What Affects the Root Canal Cost in India?

  • Front tooth vs molar (molars cost more due to more canals)
  • Re-RCT (repeat treatment)
  • Level of infection and abscess drainage
  • Use of microscope or advanced equipment
  • Crown cost (extra but often recommended)

Note: It’s best to ask for a complete estimate including crown placement.

Root Canal vs Extraction: Which One Is Better?

Patients often ask about root canal vs extraction when tooth pain becomes unbearable.

FactorRoot Canal TreatmentTooth Extraction
Main GoalSaves the natural tooth by removing infectionRemoves the damaged/infected tooth completely
Pain ReliefRelieves pain by cleaning infected pulpRelieves pain by removing the tooth
Tooth Preservation✅ Yes, your original tooth is saved❌ No, tooth is removed permanently
Chewing & Function✅ Maintains normal chewing and bite⚠️ May reduce chewing ability until replaced
Impact on Nearby Teeth✅ No shifting when tooth is saved❌ Nearby teeth may shift into the empty space
Jawbone Health✅ Helps maintain jawbone strength❌ Bone loss can happen over time in the missing tooth area
Treatment TimeUsually 1–2 visits (depends on infection)Single visit, but replacement takes extra time
Long-Term Solution✅ Strong and lasting with crown❌ Needs replacement (implant/bridge/denture) for function
Cost ComparisonModerate costExtraction is cheaper initially, but replacement costs more
Best ForTeeth that can be saved and restoredTeeth that are severely broken or beyond repair

Life After Root Canal Treatment: What to Expect

After a successful root canal treatment, most patients feel relief quickly. But your tooth needs proper care to last long.

After RCT, You Can Expect:

  • Pain relief within a few days
  • Ability to chew normally once restored
  • Improved comfort and no swelling
  • Tooth becomes stable and functional

Do You Need a Crown After Root Canal?

In many cases especially molars ✅ yes.

Why?

  • Root canal-treated teeth can become brittle
  • Crowns protect the tooth from cracks
  • It increases long-term success

How Long Does the Root Canal Last?

Another common question is: how long does the root canal last?

A well-done root canal can last 10 – 20 years or even a lifetime, especially when:

  • A crown is placed on time
  • You maintain good oral hygiene
  • You avoid chewing hard objects (ice, pens, bones)
  • You visit the dentist regularly

Signs Your Root Canal Might Need Attention

  • Pain returning after months/years
  • Swelling or gum boil near the treated tooth
  • Sensitivity while biting
  • Crown loosening or tooth crack

If these happen, your dentist may recommend re-treatment (Re-RCT).

Tips to Take Care After Root Canal Treatment

Follow these tips for smooth healing after RCT:

  • Avoid hard foods for 24 – 48 hours
  • Take medicines as prescribed
  • Don’t delay crown placement
  • Brush and floss daily
  • Get dental checkups every 6 months

FAQs About Root Canal Treatment (Quick Answers)

1. Is root canal treatment painful?

Most patients do not feel pain during a root canal because the tooth is numbed with local anaesthesia. You may feel pressure or mild discomfort, but not sharp pain.

2. Which hurts more: root canal or tooth extraction?

With proper anaesthesia, both procedures can be done comfortably. However, a root canal usually causes less post‑treatment discomfort than an extraction followed by replacement procedures.

3. How much does a root canal cost in India?

In India, the cost of a root canal typically ranges from about ₹4,500 to ₹15,000 per tooth, depending on tooth type, number of canals, infection severity, and clinic location.

4. Why do molar root canals cost more?

Molars have more roots and canals, making the procedure more complex and time‑consuming. They may also require advanced equipment, which adds to the cost.

5. How long does a root canal last?

A well‑done root canal with a proper crown and good oral hygiene can last 10–20 years or even a lifetime in many cases.

6. Root canal vs extraction – which is better for me?

If the tooth can be saved and restored, root canal treatment is usually the better long‑term option. Extraction is considered when the tooth is too broken, cracked below the gumline, or cannot be restored.

Final Thoughts: Root Canal Treatment Is Safe & Worth It

Root canal treatment is a safe and effective way to save your natural tooth and get long-lasting relief from pain and infection. With modern technology, the procedure is more comfortable, accurate, and faster than ever. If you’re experiencing tooth sensitivity, swelling, or severe toothache, don’t delay your treatment early care can prevent complications and protect your smile.

For advanced and precise microscopic root canal treatment, visit Amaya Dental Clinic.

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