What a root canal actually does
Inside every tooth is the pulp — soft tissue with nerves and blood vessels. Deep decay, a crack or an injury can let bacteria reach it. Once the pulp is infected, it can't heal on its own, and the infection can spread to the bone around the root, forming an abscess.
A root canal removes the infected pulp, cleans and disinfects the canals inside the root, and seals them. The tooth no longer has a live nerve, but it stays in your jaw, working like any other tooth. The alternative is extraction, which then leaves a gap to replace.
Signs you may need a root canal
Only an exam and X-ray can confirm it, but these symptoms are common reasons patients come in:
- A persistent or throbbing toothache, especially one that wakes you at night
- Pain when you bite down or touch the tooth
- Sensitivity to hot or cold that lingers after the drink is gone
- Swelling or tenderness in the gum, or a small pimple-like bump near the tooth
- A tooth that has turned darker than its neighbors
Why choose our Root Canal Dentist Howell team
Dr. Abraham Y Husney earned his DMD at Rutgers School of Dental Medicine, and his clinical training spans direct restorations, complex extractions and endodontics — the field of root canal treatment. That means most root canals are completed here instead of being referred to another office, and the same team handles the crown afterward.
We confirm the diagnosis before recommending treatment. Digital X-rays (with up to 80% less radiation than traditional film) and intraoral camera images show the infection or crack, and we walk you through them so you understand why the tooth needs care.
What happens during treatment
Most people are surprised by how routine a root canal feels; many compare it to having a filling. Here are the steps:
- Numbing — the tooth and surrounding area are thoroughly numbed. Comfort aids and sedation options are available if you're anxious.
- Isolation — a small rubber shield called a dental dam keeps the tooth clean and dry.
- Cleaning — a small opening is made in the top of the tooth, and the infected pulp is removed from the chamber and canals.
- Disinfecting and shaping — the canals are cleaned and shaped so they can be sealed completely.
- Sealing — the canals are filled with a protective material and the opening is closed.
Why a crown usually follows a root canal
A tooth that needs a root canal has usually lost a lot of structure to decay or a crack, and back teeth in particular take heavy chewing force. A crown covers and reinforces the tooth so it doesn't fracture later. Skipping it is one of the most common reasons a root-canal-treated tooth is eventually lost.
The crown takes two short visits: we shape the tooth and fit a temporary, then bond the permanent crown once it is ready. Don't put off that second step — a root-canal-treated tooth left without a crown is the one most likely to crack. Learn more on our crowns and bridges page.
Recovery, cost and next steps
Expect the tooth and gum to feel tender for a few days; over-the-counter pain relievers usually manage it. Avoid chewing hard foods on that side until the final crown is in place, and call us if swelling increases or pain gets worse instead of better.
Most PPO plans cover part of root canal treatment. We're in-network with 32 PPO plans, give you a written estimate first, and offer in-house and third-party financing. If you're in pain now, see our emergency dentistry page, book online, or call (732) 751-4028.
Root Canal Dentist Howell: frequently asked questions
How do I know if I need a Root Canal Dentist Howell office or just a filling?
Does a root canal hurt?
How long does a root canal take?
Do I really need a crown after a root canal?
What happens if I don't get the root canal?
Is it better to pull the tooth instead?
Stop the toothache and keep your tooth
Book online or call (732) 751-4028. We hold same-day time for painful teeth every day we're open, including Sundays.