graphic of a tooth with an abscess in the gum needing root canal therapy

4 Signs You Need a Root Canal Immediately

February 21, 2025 9:00 am

Root canals might have a scary reputation, but the truth is—they’re designed to save your tooth and relieve pain, not cause it. Unfortunately, ignoring the signs that you might need a root canal can lead to more serious dental problems. What starts as a simple toothache can progress to tooth loss or infections that spread beyond your mouth. So, here are four signs you shouldn’t ignore that may mean you need a root canal immediately.

    1. Persistent, Severe Tooth Pain

    Pain is one of the most common signs that something isn’t right with your tooth. If you’re experiencing constant, throbbing pain that doesn’t go away—or gets worse when you bite down or apply pressure—it could mean the pulp inside your tooth is infected or inflamed.

    While minor toothaches can be caused by cavities or gum irritation, pain that lingers or intensifies often signals something deeper. If over-the-counter pain relievers aren’t helping, or if the pain wakes you up at night, it’s time to call your dentist. A root canal may be needed to remove the damaged pulp and relieve the pain.

    2. Sensitivity to Hot or Cold That Won’t Go Away

    Do you wince when drinking hot coffee or eating ice cream? While mild sensitivity can be common, especially if you have receding gums or worn enamel, sharp, lingering sensitivity is a red flag.

    If your tooth feels sensitive to hot or cold long after you’ve finished eating or drinking, the nerves inside the tooth could be damaged. This type of sensitivity usually means the tooth’s pulp is inflamed or infected. It also signals a root canal might be necessary to prevent the infection from spreading.

    3. Swollen or Tender Gums Around the Tooth

    Swelling isn’t just uncomfortable—it’s often a sign of infection. If you notice swelling, tenderness, or a small bump near a painful tooth, it could indicate that an infection has spread from the tooth’s root to the surrounding gum tissue.

    One specific sign to watch for is a dental fistula. This small pimple-like bump on the gums may release pus, which can taste bitter and temporarily relieve pressure and pain. While the drainage might make you feel better, it doesn’t mean the problem is gone. A dental fistula is your body’s way of managing an infection, but the source of the infection still needs to be treated.

    Without treatment, the infection can spread to other areas of the face, jaw, or even into the bloodstream, leading to serious health complications. A root canal can remove the infection at its source and prevent further damage.

    4. Tooth Discoloration or Darkening

    A tooth that starts to turn gray or dark may be a sign of internal damage. This can happen when the pulp inside the tooth dies due to trauma, decay, or infection. While external stains from coffee or wine typically affect multiple teeth, discoloration caused by pulp damage usually affects just one tooth.

    If you notice a single tooth looking darker than the rest, even without pain, it’s important to have it checked. The discoloration could mean the tooth’s nerve is dying, and a root canal might be needed to save it.

Don’t Ignore the Signs—Get Help at Alma Dental Care in Petaluma, CA

If you’re experiencing any of these symptoms, don’t wait to seek treatment. Early intervention with a root canal can save your tooth and prevent more serious health problems. At Alma Dental Care in Petaluma, CA, Dr. Serrano offers gentle, effective root canal therapy to relieve your pain and restore your dental health.

Contact us today to schedule an appointment and get the care you need to protect your smile!

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