What happens if I need a root canal and don't get it?
Emily Ross
Published Jan 23, 2026
The only option apart from a root canal is extraction of the tooth. If you do not undergo treatment or get the tooth removed, then the consequences can be severe. If left untreated, the bacterial infection can spread to the jaw, brain, blood and rest of the body.
What happens if you need a root canal and don't get one?
If a root canal is delayed for too long, the bacterial infection can spread to other areas of the mouth, putting the patient at risk for serious dental problems and other medical conditions. The infection can cause something called a dental abscess, which is a pus filled sac that requires immediate medical attention.
What happens if you delay a root canal?
Delaying a root canal procedure can cause even more discomfort down the line as the infection is likely to spread. Leaving an infected root canal system untreated can result in an abscessed tooth, the pain of which can be incapacitating—and complications that can be serious, even life-threatening.
Can root canal be avoided?
Root canals are performed when bacteria, introduced through a cavity or crack, compromise the nerves located inside the tooth. The bacteria cause an infection, which eventually kills the nerves. But root canals can be avoided, Teitelbaum says, in cases where the nerves are not yet infected.
Can a tooth that needs a root canal heal itself?
The long answer is fairly straightforward. The infected tissue inside a tooth cannot heal by itself and will only get worse over time if left untreated. Even if you experience no pain, you should still seek treatment. Having no pain in the tooth does not mean the pulp has healed itself.
39 related questions foundCan antibiotics heal an infected root canal?
Most antibiotics like Amoxicillin are not viable to cure a root canal infection. Once the disease has reached its roots, it means the blood vessels with antibacterial defenses have broken down. Hence, antibiotics cannot penetrate inside the tooth into the root where the problem lies.
What are the signs you need a root canal?
Root canal symptoms
- Persistent pain. Persistent tooth pain is one of the signs that you may need a root canal. ...
- Sensitivity to heat and cold. ...
- Tooth discoloration. ...
- Swollen gums. ...
- Pain when you eat or touch the tooth. ...
- A chipped or cracked tooth. ...
- Tooth mobility.
Is it better to pull a tooth or get a root canal?
In most cases, root canal therapy is a better way to treat an infected tooth than an extraction. However, there are exceptions, such as if the tooth has suffered extreme damage. Your dentist will carefully analyze your oral health before making a treatment recommendation.
How does a dentist know if you need a root canal?
The dentist will determine the need for a root canal through one or several of the following methods: x-rays, the cavity test, selective anesthesia (to identify where the source of pain is when the patient doesn't know), thermal and electric testing, or by tapping on the problem tooth.
Do I need a root canal if there is no infection?
You might still need a root canal even if you do not feel any pain because not all infection results in pain. The purpose of a root canal is to handle any infection that has developed in your tooth pulp, not just stop you from feeling pain. A root canal can save your infected tooth from having to be extracted.
Can I wait a month for a root canal?
You cannot afford to wait any longer. You are describing a tooth infection that is spreading. If you act quickly, a dentist might be able to save your tooth with root canal treatment. Otherwise, a dentist might need to remove the tooth.
Can I wait two weeks for a root canal?
Sealing the tooth is the last step and can be done on the same day. However, if your dentist determines that you need medication placed within the tooth to further eliminate any possible infection, they will usually wait a week before sealing your tooth.
What is the alternative for root canal?
An alternative to a root canal is a tooth extraction, in which your dentist can replace a damaged tooth with a bridge, partial denture, or implant. This can be an expensive treatment and usually requires several visits to your doctor. If you're a candidate for a root canal, you'll likely experience less pain over time.
How long can you delay get a crown after root canal?
Oral care following a root canal
After your first root canal appointment, you may wait 1 to 2 weeks to have your crown placed and finish the treatment. During that time, limit your diet to softer foods to avoid harming your tooth.
How long can you delay getting a crown?
Typically, you may be able to delay getting the crowns for 1-2 months but beyond that point, they risk breaking. That is how long a temporary crown can last, 1-2 months at most so please do not wait too long for the permanent crown!
Can an xray show if you need a root canal?
Step #1: Performing Dental X-Rays
X-rays allow an endodontist to clearly identify damage to the pulp and determine the shape of your root canal. This technique also helps the specialist identify the location of a dental infection, and damage to the surrounding bone.
How long can you have a cavity before it needs a root canal?
Some people have softer tooth enamel than others, which makes it easier for bacteria or acid to penetrate the tooth. As a broad timeline, on average, it can take anywhere from six months to four or five years before a cavity needs treatment. The conditions of your mouth change daily.
Do you always need a crown after a root canal?
After a root canal, they can simply be restored with dental filling and left without a crown. However, if the front tooth has been discolored by decay, then a crown should be fitted for cosmetic purposes.
How painful is root canal treatment?
Root canal treatment (endodontics) is a dental procedure used to treat infection at the centre of a tooth. Root canal treatment is not painful and can save a tooth that might otherwise have to be removed completely.
What are the disadvantages of a root canal?
Cons of Having a Root Canal
Dentists have to drill through the tooth in order to get to the pulp, and additional decay might have to be removed. If the tooth is too weak to function, the dentist will add a crown to it, which will strengthen the tooth and allow the patient to use it like a natural tooth.
How do I avoid a root canal?
Prevention is Key to Avoiding a Root Canal
- Brushing and Flossing. Brushing and flossing are the two most straightforward ways to prevent issues that can lead to a root canal. ...
- Avoid Sticky or Hard Foods. ...
- Wear a Mouthguard. ...
- Watch What You Drink. ...
- Get Regular Checkups.
Will amoxicillin stop tooth pain?
Amoxicillin is one of the first antibiotics recommended for the treatment of a tooth infection. It has shown to be widely effective and have fewer gastrointestinal side effects compared to other options. Antibiotics do not relieve pain directly, but pain may be reduced as the infection is knocked out by the antibiotic.
What does a root canal infection feel like?
A root canal infection brings severe pain in its wake. The pain intensifies when you bite down or place pressure on the affected tooth. Additionally, you may experience tooth sensitivity when you eat hot or cold food and drinks. The pain can also originate from inflammation of the gums.
How do you know if you have an infection under a crown?
Infection
- Redness at or around the site of the crown placement.
- Swelling of the gums or jaw around the area that now has the crown.
- Tenderness or pain around the crown.
- Unusual warmth that you only feel in one area of your mouth and is unrelated to any hot food or drink that you may have just had.
What helps pain while waiting for a root canal?
Try these simple at-home remedies to ease the pain while you wait:
- Place ice over the area to soothe the tender nerve.
- Don't put pressure on the painful tooth.
- Take an over-the-counter pain reliever.
- Get an antibiotic if you have an infection.
- Try to rest and relax until your treatment.