A root canal doesn’t have to be something you fear. At East Wind Dental Care, Dr. Merat Ostovar uses advanced techniques and modern technology to make root canal therapy as comfortable and painless as possible. If you’re experiencing severe tooth pain, sensitivity, or swelling, don’t wait—a root canal can save your natural tooth and eliminate your pain.
What is Root Canal Therapy?
Root canal therapy (also called endodontic treatment) is a dental procedure that removes infected or damaged tissue from inside your tooth, eliminating infection and pain while saving your natural tooth.
Understanding Your Tooth Anatomy
Each tooth has several layers:
- Enamel: The hard, white outer layer that protects your tooth
- Dentin: The layer beneath the enamel, softer and more sensitive
- Pulp: The innermost part containing nerves, blood vessels, and connective tissue
- Root canals: Channels running through the roots that contain the pulp
When the pulp becomes infected or damaged, a root canal removes this tissue, cleans and disinfects the inside of the tooth, and seals it to prevent future infection.
When is a Root Canal Needed?
A root canal is necessary when the pulp inside your tooth becomes infected or inflamed. This can happen due to:
- Deep decay that reaches the pulp
- Repeated dental procedures on the same tooth
- A crack or chip in the tooth
- Trauma to the tooth (even without visible damage)
- A failed filling or crown
The Goal of Root Canal Therapy
The primary goals are to:
- Eliminate infection and bacteria
- Relieve pain and discomfort
- Prevent the spread of infection to surrounding teeth or bone
- Save your natural tooth (avoiding extraction)
- Restore normal function and appearance
Signs You May Need a Root Canal
Not all tooth pain requires a root canal, but certain symptoms suggest the pulp may be infected or damaged:
Severe Tooth Pain
- Intense, throbbing pain that may come and go or be constant
- Pain that worsens when you bite down or put pressure on the tooth
- Pain that wakes you up at night
- Pain that radiates to your jaw, ear, or temple
Sensitivity to Hot and Cold
- Sharp pain when eating or drinking hot or cold foods/beverages
- Sensitivity that lingers long after the hot or cold stimulus is removed
- Increasing sensitivity over time
Swelling and Tenderness
- Swelling in the gums near the affected tooth
- A pimple-like bump on the gums (abscess)
- Tenderness when touching the gums or tooth
- Swelling in the face, jaw, or neck
Tooth Discoloration
- A tooth that has become noticeably darker than surrounding teeth
- Grayish or brownish discoloration
- This indicates the pulp may be dying or dead
Other Warning Signs
- A persistent bad taste in your mouth
- Bad breath that doesn’t improve with brushing
- Loose tooth
- Drainage from the tooth or gums
Important: If you’re experiencing any of these symptoms, don’t wait! Early treatment can save your tooth and prevent more serious complications. Call us at (503) 614-0198 immediately.
What Causes Tooth Infections?
Understanding the causes of tooth infections can help you prevent them:
Untreated Tooth Decay
The most common cause of root canal infections. When a cavity isn’t treated, bacteria continue eating through the enamel and dentin until they reach the pulp.
Trauma or Injury
A blow to the tooth—even if it doesn’t cause visible damage—can injure the pulp. Symptoms may appear immediately or develop years later.
Cracks and Chips
Cracks in teeth allow bacteria to enter and infect the pulp. Some cracks are visible, but others are too small to see without magnification.
Advanced Gum Disease
Severe periodontal disease can create pockets where bacteria accumulate and eventually reach the tooth roots.
Repeated Dental Procedures
Teeth that have undergone multiple fillings, crowns, or other procedures may eventually develop pulp problems due to repeated trauma.
The Root Canal Procedure: Step by Step
Modern root canal therapy is nothing like the procedures of decades past. With today’s technology and techniques, most patients report the experience is similar to getting a filling—with little to no discomfort.
Step 1: Diagnosis and Treatment Planning
Dr. Ostovar begins with a thorough examination, including digital X-rays to assess the extent of infection and the tooth’s root structure. We’ll explain the procedure and answer all your questions.
Step 2: Local Anesthesia
We’ll numb the area completely using local anesthetic. You won’t feel any pain during the procedure—just some pressure. For anxious patients, we offer sedation options to help you relax.
Step 3: Isolation
A small rubber dam is placed around the tooth to keep it clean and dry during the procedure, preventing bacteria from entering and protecting your mouth from the cleaning solutions.
Step 4: Access Opening
Dr. Ostovar creates a small opening in the top of the tooth (for molars and premolars) or the back of the tooth (for front teeth) to access the pulp chamber.
Step 5: Pulp Removal and Cleaning
Using specialized instruments, Dr. Ostovar removes the infected or damaged pulp tissue from the pulp chamber and root canals. The canals are then cleaned, shaped, and disinfected using antimicrobial solutions.
Step 6: Filling the Canals
Once the canals are thoroughly cleaned and shaped, they’re filled with a biocompatible rubber-like material called gutta-percha. This seals the canals and prevents bacteria from re-entering.
Step 7: Temporary or Permanent Filling
The access opening is sealed with a temporary or permanent filling to protect the tooth until your final restoration.
Step 8: Crown Placement (Follow-Up Visit)
Most teeth that have had root canal therapy need a crown to protect them from fracture. This is typically placed 1-2 weeks after the root canal, once the tooth has healed.
Does a Root Canal Hurt? Myths vs. Reality
The root canal has an undeserved reputation as a painful procedure. Let’s separate fact from fiction:
Myth: Root Canals Are Extremely Painful
Reality: Modern root canal therapy is performed under local anesthesia, and most patients report feeling little to no pain during the procedure—about the same as getting a filling. The pain you experience from an infected tooth is usually far worse than any discomfort from the treatment itself.
Myth: It’s Better to Just Pull the Tooth
Reality: Saving your natural tooth is almost always the best option. Extracted teeth need to be replaced (with implants, bridges, or dentures) to prevent shifting of surrounding teeth and bone loss. Root canal therapy is typically less expensive and less invasive than extraction plus tooth replacement.
Myth: Root Canals Cause Illness
Reality: This myth dates back to the early 1900s and has been thoroughly debunked. There is no valid scientific evidence linking root canal therapy to disease. In fact, root canals eliminate infection—they don’t cause it.
Myth: Root Canals Require Multiple Visits
Reality: While some complex cases may require two visits, most root canals can be completed in a single appointment at East Wind Dental Care.
Recovery and Aftercare
Immediately After Your Root Canal
- Your mouth will be numb for 2-4 hours—avoid eating until sensation returns
- Some tenderness or sensitivity is normal for a few days
- Take over-the-counter pain relievers as needed (ibuprofen is often most effective)
- Avoid chewing on the treated tooth until your permanent crown is placed
The First Few Days
- Mild discomfort or sensitivity is normal and should improve each day
- Stick to soft foods if the tooth is tender
- Continue brushing and flossing normally, but be gentle around the treated tooth
- Avoid biting hard foods with the treated tooth
When to Call Us
Contact East Wind Dental Care if you experience:
- Severe pain that doesn’t improve with medication
- Swelling that increases after the procedure
- Your bite feels uneven
- The temporary filling comes out
- Symptoms of allergic reaction
Getting Your Crown
It’s essential to follow up with a crown placement within 1-2 weeks of your root canal. A tooth that has had root canal therapy is more brittle and prone to fracture without the protection of a crown.
Success Rate and Longevity
Root canal therapy has an excellent success rate:
- Initial success rate: 85-97%
- With proper care: Root canal-treated teeth can last a lifetime
- Key factors for longevity: Timely crown placement, good oral hygiene, regular dental checkups
Factors That Affect Success
- Severity of the original infection
- Anatomy of the tooth’s root canals (some are curved or have multiple canals)
- Quality of the final restoration (crown)
- Your oral hygiene habits
- Whether you follow post-treatment instructions
Root Canal vs. Extraction: What’s the Better Choice?
When facing an infected tooth, you may wonder whether to save it with a root canal or simply have it extracted. Here’s a comparison:
Benefits of Root Canal (Saving Your Tooth)
- Preserves your natural tooth
- Maintains natural appearance and function
- Prevents bone loss that occurs with missing teeth
- No need for replacement prosthetics (implants, bridges)
- Often less expensive than extraction plus replacement
- Shorter overall treatment time
When Extraction May Be Necessary
- Severe fracture that extends below the gum line
- Insufficient tooth structure to support a crown
- Severe bone loss around the tooth
- Multiple failed root canal attempts
- Patient preference (though we recommend saving teeth when possible)
Cost Comparison
Root Canal + Crown: $1,800 – $3,500 (one-time cost)
Extraction + Dental Implant: $3,000 – $6,000 (plus time for healing and multiple appointments)
Extraction + Bridge: $2,500 – $5,000 (requires altering adjacent healthy teeth)
Extraction Only (No Replacement): $150 – $400, but leads to bone loss, shifting teeth, and bite problems
Root Canal Cost and Insurance Coverage
What Does a Root Canal Cost?
The cost of root canal therapy varies based on several factors:
- Front teeth (incisors): $800 – $1,200 (usually one canal)
- Premolars (bicuspids): $900 – $1,400 (usually one or two canals)
- Molars: $1,200 – $2,000 (usually three or four canals)
- Crown (required for most root canals): $1,000 – $1,500
Insurance Coverage
Most dental insurance plans cover root canal therapy:
- Typically covered at 50-80% (after deductible)
- May be subject to annual maximums
- Crown coverage varies by plan
- We’ll verify your benefits and provide a detailed estimate before treatment
Financing Options
We believe everyone deserves quality dental care. If cost is a concern, we offer:
- CareCredit: Low monthly payments with promotional 0% interest options
- In-house payment plans: Spread costs over time
- EWDC Membership Plan: 15% discount on procedures for uninsured patients
Same-Day Emergency Root Canal Treatment
Tooth pain doesn’t wait for convenient timing. At East Wind Dental Care, we understand the urgency of dental emergencies and offer same-day appointments for patients with severe tooth pain or infection.
Signs You Need Emergency Root Canal Treatment
- Severe, unrelenting tooth pain
- Significant facial swelling
- Fever accompanying tooth pain
- Difficulty swallowing or breathing
- Abscess (pus-filled bump on gums)
Call (503) 614-0198 immediately if you’re experiencing these symptoms. Dental infections can spread and become dangerous if left untreated.
Frequently Asked Questions About Root Canals
1. How long does a root canal take?
Most root canals take 60-90 minutes for front teeth and 90-120 minutes for molars. Complex cases may take longer or require two visits.
2. Will I feel pain during the procedure?
No. The area is thoroughly numbed before we begin. You’ll feel some pressure but no pain. We also offer sedation for anxious patients.
3. How long does recovery take?
Most patients feel significantly better within 24-48 hours. Mild tenderness may last a few days but is easily managed with over-the-counter pain relievers.
4. Can I go back to work after a root canal?
Most patients return to normal activities the same day. However, if you receive sedation, you’ll need someone to drive you home and should rest for the remainder of the day.
5. Do I really need a crown after a root canal?
In most cases, yes. After a root canal, the tooth becomes more brittle and is prone to fracture. A crown protects and strengthens the tooth. Front teeth may sometimes be restored with a filling instead.
6. What happens if I don’t get a root canal?
An untreated tooth infection will not resolve on its own. The infection can spread to surrounding teeth, the jawbone, and in severe cases, other parts of your body. Eventually, the tooth will likely need to be extracted.
7. Can a tooth that had a root canal get infected again?
While rare (3-5% of cases), reinfection can occur. This may require retreatment or, in some cases, a minor surgical procedure called an apicoectomy.
8. Is there an alternative to root canal treatment?
The only alternative is extraction. We strongly recommend root canal therapy when possible because saving your natural tooth is almost always the better option.
9. Why is my tooth still sensitive after a root canal?
Some sensitivity is normal for a few days to a week after treatment. The tissues around the tooth need time to heal. If sensitivity persists beyond two weeks, contact us.
10. Can children need root canals?
Yes. Children can develop tooth infections from decay or trauma. A procedure called a pulpotomy (partial root canal) is often performed on baby teeth, while full root canals may be needed for permanent teeth.
11. What should I eat after a root canal?
Stick to soft foods for the first day or two: yogurt, soup, mashed potatoes, smoothies. Avoid hard, crunchy, or chewy foods until your permanent crown is placed.
12. How do I care for my tooth after a root canal?
Continue brushing and flossing normally, but be gentle around the treated area. Avoid chewing on that side until your crown is placed. Attend all follow-up appointments.
13. Will my tooth look different after a root canal?
The tooth itself won’t change color from the root canal. However, if the pulp was dead before treatment, the tooth may have already darkened. A crown will restore natural appearance.
14. Can I drive myself home after a root canal?
If you only receive local anesthesia, yes. If you choose sedation, you’ll need someone to drive you home.
15. How do I know if my root canal was successful?
Pain and sensitivity should resolve within a week. At follow-up appointments, Dr. Ostovar will monitor healing with X-rays. A successful root canal results in elimination of infection and pain.
Why Choose East Wind Dental Care for Your Root Canal
Expert Care
Dr. Merat Ostovar has performed countless root canal procedures and stays current with the latest techniques and technology.
Advanced Technology
We use digital X-rays for precise diagnosis, rotary instruments for efficient cleaning, and apex locators for accurate measurement—all contributing to higher success rates and more comfortable procedures.
Comfort Options
From gentle local anesthesia to sedation options for anxious patients, we prioritize your comfort throughout the procedure.
Same-Day Crowns
With our CEREC technology, we can often provide same-day crowns—completing your root canal and crown in fewer appointments.
Emergency Availability
We understand tooth pain is urgent. We offer same-day emergency appointments when you need us most.
Stop the Pain—Save Your Tooth
If you’re experiencing tooth pain, don’t suffer any longer. A root canal at East Wind Dental Care can eliminate your pain and save your natural tooth.
Schedule Your Appointment Today
Call: (503) 614-0198
Visit: 7546 NE Shaleen St, Hillsboro, OR 97124
Serving: Hillsboro, Beaverton, Aloha, and Surrounding Areas
Dr. Ostovar will examine your tooth, explain your options, and develop a treatment plan to get you out of pain and back to your life.
Written by Dr. Merat Ostovar, DDS
Doctor of Dental Surgery | 15+ Years Experience
Aloha Modern Dentistry | Beaverton, Oregon
Last updated: November 22, 2025