Specialized Procedures
See the Difference: Tooth Before and After Root Canal Therapy
A toothache that won’t quit isn’t just annoying; it could be a sign that something deeper is going on inside your tooth. That’s where root canals come in. Despite their spooky reputation, root canals are one of the most effective ways to relieve pain, stop infection, and save the tooth from needing to be pulled.
5 min read
Jul 09, 2025

If you've ever felt a sharp twinge while sipping coffee or biting into a crunchy snack, chances are your tooth was trying to tell you something important. Not every toothache is a sign of doom, but sometimes, the issue goes deep, literally.
That’s when root canals come into play. The idea might send a shiver down your spine, but trust us: seeing a tooth before and after root canal therapy is often like night and day. Let’s break down what really happens, why it matters, and how your smile can bounce back better than ever.
Root Canals: Not as Scary as You Think
Root canals have a bad rep, but most of it’s based on outdated horror stories. A root canal treatment is actually a dental superhero move. It removes the infected pulp hiding inside the tooth and replaces it with a safe filling material. The pulp, nestled in the innermost part of the tooth (called the pulp chamber), can get inflamed or infected thanks to deep decay, trauma, or repeated dental procedures.
Your endodontist starts by numbing the area with local anesthesia, then carefully opens the tooth and cleans out all the diseased pulp. Once it’s sterilized, a filling is placed inside the cleaned canals to seal it all up. A crown is usually placed on the tooth afterward for extra strength, especially if we’re talking about molars or premolars that handle heavy-duty chewing.
What Happens Before Root Canal Therapy
Before root canal therapy, the tooth can look pretty rough. An infected tooth often shows signs like a dark area on the x-ray, swelling, lingering sensitivity to hot or cold, and pain that lasts even after the trigger is gone. The infection in the tooth can travel all the way to the root of the tooth, causing a dental abscess and even bone loss around the surrounding root. In severe cases, you might even see swelling in the gums or jaw, especially near the back of the mouth where molars hang out.
Some teeth, like an upper molar or a lower premolar, have multiple canals (sometimes up to four canals!) which can make them more difficult to treat, especially if the canals are narrow or calcified. These teeth are often close to the nerve, so any inflamed pulp can cause pretty serious pain. You may even feel like the tooth died. The goal, though, is to save the tooth, and root canal therapy does exactly that.
Molar Root Canal and Crown Restoration: A Big Difference
Let’s talk molars. These guys take a beating from all the chewing and grinding we do. If decay creeps in too deep, thanks to a cavity that went unchecked or recurrent decay under an old filling, the pulp gets infected. In a completed root canal, the pulp is removed, and the inside of the tooth is cleaned, shaped, and sealed. A crown on the tooth is placed afterward to restore structure and protect it from future damage.
Once the crown is in place, the difference is almost magical. In canal before and after pictures, you’ll see a molar that looked like it was heading for extraction now standing tall and healthy, almost like a natural tooth again. That’s because the root canal procedure doesn't just relieve pain; it restores the tooth and keeps your bite balanced.
Front Teeth, Incisors, and That Smile Gallery Finish
Front teeth may not have multiple canals like molars, but that doesn’t mean they’re immune to trouble. A single blow to the face, deep cavities, or even a large infection can lead to an infected pulp in an upper front tooth or incisor. And while the aesthetic pressure is high (no one wants a grayish front tooth in their selfies), the good news is that root canals may solve the problem cleanly.
After the root canal treatment was performed, the tooth is cleaned from the inside out. A temporary filling is placed at first, then often replaced with a more permanent dental filling or even a crown, depending on the case. The restored tooth blends beautifully with your smile, just like the results you’d find in a professional smile gallery.
When Cavities Go Deep: The Need for Root Canal
Not all cavities are created equal. A shallow tooth cavity can usually be handled with a regular dental filling. But when caries sneak their way down to the pulp or when there’s recurrent decay under a filling, that’s when you’re in need of a root canal. You might even feel a constant throbbing or mild soreness that just won’t quit.
Some teeth, especially the premolars and upper molars, are more prone to hidden decay or calcified canals that make treatment tricky. But don’t worry, an experienced dentist or endodontist knows exactly how to spot those problems through an x-ray and treat them properly. Even teeth that seem difficult to treat due to unusual canal shapes can be saved with modern endodontic tools.
What Happens After the Root Canal Was Successful
Once your completed root canal treatment is done and the crown is placed on the tooth, you can expect a big difference. Most people report instant relief from tooth pain and say they feel like they have their life back. The infected pulp is gone, the inside of the tooth is clean, and with good oral hygiene, that tooth will sometimes last a lifetime.
You might have mild soreness for a day or two, especially if the area was inflamed. But a checkup will ensure the healing’s on track. And remember: keeping up with your dental visits can help catch issues early, so you’re never caught off guard by a deep decay or a diseased tooth again.
So if you're in pain, or if your x-ray showed something suspicious, don't ignore it. See your dentist. They might just perform a root canal and save your tooth before it’s too late.
Read Next
Related Posts

Specialized Procedures
LANAP Laser Gum Treatment: What It Is and Why It’s Changing Dentistry
When you hear the words “gum surgery,” your first thought probably isn’t pleasant, and we don’t blame you. But what if treating gum disease didn’t have to involve scalpels, stitches, or weeks of discomfort? That’s where LANAP laser gum treatment comes in.
7 min read
Jul 04, 2025

Specialized Procedures
How Common Are Root Canals in Dentistry Today?
If hearing the words root canal makes you cringe, you’re not alone. For years, this common dental procedure has had a bad rap, mostly thanks to outdated myths and horror stories passed around like ghost tales at the dentist’s office. But just how common are root canals in dentistry today? The answer might surprise you, and even put you at ease.
6 min read
Jul 04, 2025

Specialized Procedures
Why Are Root Canals Bad? Separating Myths from Facts
Root canals have a reputation, and not a good one. Mention the phrase, and most people wince, imagining endless pain and a dental drill from the underworld. But are root canals really as bad as they sound, or are we all just clinging to outdated myths?
6 min read
Jul 04, 2025
Don’t have time to research every dentist around you?





See why 30k+ patients trusted us