It’s not all that bad. Ever done body work on a car with bondo fill, grinding, drilling, and sanding? It smells, sounds, and vibrates just like that, but in your mouth. The drugs will work, unless you take drugs like weed recreationally. Go ahead and tell the dentist this because you will need more than normal. Follow all the dentist instructions, especially about icing afterwards and taking ibuprofen (not for the pain, but to reduce inflammation), even if you feel okay. The worst part for me was always how sore my jaw was just from holding it open so long. Don’t try to go to work afterwards, it’ll just interfere with your aftercare of ice to the jaw. Besides, you’ll just end up drooling on yourself. It’s not so bad really. You’ll be fine.

Had some. Not bad. The worst part is the numbing. It doesn’t hurt, it just feels strange and tastes bitter. Some advice, don’t take laxatives before the procedure. You’ll be fine.

I’ve had two in the past, had my third just three days ago, my gums are still a little raw. My most recent root canal was on a hyper-sensitive tooth, so there was initially some pain, but once the dentist applied another couple of doses of anesthetic, it was painless, basically a more prolonged filling. The only thing I’d add is that my dentist recommended ibuprofen for after the anesthetic wears off, since there may be some pain, I’d second that recommendation since your gums will be sore for a few days

I’ve had two. If there’s an infection and the dentist get’s a person on antibiotics several days beforehand, then the procedure has a pretty limited amount of pain. Usually less pain than a typical filling. As others have pointed out, the local anesthetic shots are often the gardest parts which aren’t that bad. Don’t avoid the local anesthetic. If you need more, speak up. Basically, if you can handle a few seconds of being pinched then a root canal is no problem. There are also bad dentists out there.

I had one, from a tooth that got damaged with braces as a teenager. It finally got to the point in my 40s that it hurt all the time and couldn’t be saved. My dentist suggested the root canal. Like you, I was scared.

I didn’t need to be scared. It barely hurt after - in 48 hours it was like it never happened. During the procedure (maybe 75 minutes total?) they had really good pain blocks. My advise is to let them know your fear. Good dentists/endodontists expect it and have ways to help you.

If you’ve been in pain from this for a while, you have already been feeling the worst of it. It’ll be so much better afterwards. Really!

They will likely fit you with a temporary crown to protect the remaining tooth until a proper crown is ready. Most of the pain will be from your irritated gums after the procedure, which will ache. Root canals terminate the damaged tooth nerves, so you may need to relearn how to chew on that tooth a bit. But did I mention it won’t hurt?

I’ve had two root canals. One in 5th grade, and one in college. Local anesthesia only. It was a long painful process. Both teeth eventually failed anyway, and had to be pulled, and replaced with implants.

So my opinion is, if you can afford it just skip the extra misery and have them yank it out and replace it from the start.

As far as fearing pain: I got drugged up enough as I assume most did that you can’t feel a whole lot—& we aren’t talking anything beyond local anesthesia + strong paracetamol (just make sure you take something before bed or GG sleep). I will never get used to getting needles in gums tho.

If possible, seriously try to get a one-shot appointment. Mine had 5 1-hour visits every 2 weeks (not what I expected or would have signed up for) & each time they would spend like 15–20 minutes of that clearing out & reapplying a temporary resin. In this state your tooth is quite compromised state. My tooth ended up getting a fissure all along it after the penultimate visit—which ended up being irrepairable. Which meant they had to do an entire extraction for an implant wasting more money & time. I do not wish this on anyone.

Adding fuel to the shit fire was after visit 3 I had massive pain on the other side. They were going to start a root canal on that one too but I begged for a temporary filling (was supposed to hold up 2 months but has been a year) so I could still eat. Tooth 18 was under repair so I had moved all chewing to 31 as my mouth favors putting a majority of pressure on these 2 molars. I don’t think I could have reasonable eaten anything enjoyable for months if both sides were out.

Of note: the root canal isn’t like a finalized thing either. They seem to inevitably, eventually break down & will likely require an implant anyways in a few years. When my right side goes out—which it is—I may just consider doing another implant there too since it can be done in just 2 visits here.

I had one on an incisor as a teenager (a wrestling match knocked it loose and it formed an Abscess). It isn’t exactly fun, but it won’t hurt more except the needle at the beginning. I was only under local, but i hear sometimes you get the option to get laughing gas, I would take the gas if you can. It was significantly more painful before the operation than during. The vibrations are pretty intense at times and you have to stay in a pretty uncomfortable open mouth position for an hour (although they prop your mouth open for you). My least favourite part was when they clamped a uv lamp around the tooth, which felt like a big pressure for me. My mouth and tongue also got very dry, and the squirts of water they provided didn’t do much to make that better. I don’t remember much of the after care but it wasn’t bad.

10years later fwiw, my root canal developed an infection and I needed dental surgery to clear it out. During this the local numbing was ineffective for some reason and the dentist had to go in 3 times to try and renumb it, but it never really worked. That really really hurt, but it is not exactly a typical case.

I used to have really bad dentist anxiety, so my teeth got pretty bad before I finally saw someone. My dentist prescribed some kind of twilight drug before my procedures, so I could still respond to commands, but I’d have no memory of the event. I’ve had two root canals and the surgeon had me use the same drugs for both procedures. I don’t know if that’s a viable option, but I don’t think I could have done them without.

Otherwise, when you go in for your consult, be honest about your anxiety. If you don’t want to hear the details of the procedure, tell them that. They have to inform you of risks, but they don’t have to go into detail about the procedure. I brought in headphones, which helped me calm down until the drugs kicked in, though, oddly, I can remember the music I woke up to and not much else. I was so scared in the days leading up to the first procedure, but the pain relief was so great that I’m glad I did it. If nothing else, focus on that.

Many. There wasn’t fluoride in the water where I grew up for the first decade of my life. Tips:

Bring earbuds and clear it with the dentist that they’ll tap your arm if they need to talk to you. Have a playlist ready. If you can afford it / have the right insurance, ask for gas to help you zone out. If you feel pain, they didn’t give you enough novocaine. My dentist informed me that people with red hair are less sensitive to the drug and need more of it (she noticed my beard comes in kinda reddish when she told me about that). Don’t be afraid to let them know of discomfort; they want you to be ok during the procedure so not to make you avoid getting treatment right away in the future, thus making whatever problem worse.

You can maybe ask for a single pill script for a downer like zanex if you don’t drive to the appt.

My nerves were dead in that tooth. They died before the appointment date. All the pain from the toothache disappeared. The doctor did the root canal without anesthesia and i didn’t feel a thing. Also because i went to a specialist it was far more professional than a cavity at my main doctor. Two thumbs up

I have a long involved horror story that led up to me needing a root canal that I decided not to post here because it probably isnt nteresting to anybody but me.

For the most part, a root canal is kind of minor. They numb your gums where they’re going to inject a numbing agent, then they inject a numbing agent, worst case they go a little nutso and try to inject a few places in there but the pain is there and gone in 5 seconds. If at any point you feel pain they can do a better job of numbing you. Honestly, any pain caused in the numbing process goes away pretty quickly when they successfully do it.

They poke around, there’s a little drilling, some bad smell maybe heat maybe cold a lot of spitting out little sandy chunks of debris. If the tooth is still in pretty good shape they just pack it back up and you’re good to go.

If you end up needing a crown there’s a good bit more drilling a good bit more spitting a good bit more smoke. But it’s really just the same thing prolonged.

It won’t kill you, it will annoy you and it’s marginally unpleasant, The anxiety of being there in the anxiety of not knowing what’s going on is much worse than the actual procedure. Meditate, chill, roll with it you’ll be fine.

If you are in pain now, you will love it when they are finished with the root canal. I have had six of them over the years, and every time I went from feeling absolutely horrible to 100% in the 1 hour it took them to do the operation.

The only thing that is not comfortable are the initial numbing shots.

Make sure they get you good and numb. If you have any doubt as to whether you need another shot, just get another shot.

After 3 or 4 or 5 shots of numbing agent, you won’t feel a thing.

Once the numbing wears off you will feel totally fine.

It’s really not that bad, much better than living with tooth pain.

Also, ask for a big gloop of topical anesthetic where they are planning to do the injections, it helps a little bit.

Lastly, ask for 10 milligrams of diazepam if you have someone to drive you. A little benzo to take the edge off goes a super long way and dentists have no problem prescribing it. Have the dentist prescribe it and take it 1 hour before the appointment. I am 200lbs and 10mg does the trick.

The analgesics today are really good, so you won’t feel much, just pressure as the dentist drills through the roots.

Otherwise, tell your dentist if you feel anxious or afraid, they are pretty used to that and will generally try to make you comfortable.

Afterward, your gum will be a bit sensitive, but your tooth won’t hurt since you don’t have nerves endings anymore.

You got this.

I had my first root canal recently. Honestly it was no worse than a filling, the most painful part was simply having to lie still with my mouth open for so long.

(I hate the injections, but I always hate injections, worth it to go through the procedure pain free though)