A root canal is a dental procedure designed to treat infection or damage inside the tooth while preserving its structure. It occurs in the innermost part of the tooth, where the pulp, containing nerves and blood vessels, is located. Here’s a closer look at where endodontic therapy happens in the tooth and how the procedure works:
Tooth Structure Basics
It is helpful to first understand the structure of a tooth before understanding where a root canal happens. Each tooth has several layers, each serving a specific function. The three main layers are the enamel, dentin, and pulp.
The outermost layer is the enamel, which is the hard, protective shell of the tooth. Beneath the enamel is the dentin, a softer layer of tissue that contains tiny tubes connecting to the tooth’s nerve. At the center of the tooth is the pulp, a soft tissue that contains blood vessels, nerves, and connective tissue. The pulp extends from the crown down to the tips of the tooth’s roots.
Root Canal Location
Endodontic therapy takes place inside the tooth, within the pulp chamber and root canals. The pulp chamber is the hollow space in the center of the crown, while the root canals are the narrow passages that run from the pulp chamber down through the roots of the tooth. When the pulp becomes infected or inflamed due to deep decay, repeated dental procedures, or trauma, an endodontic therapy becomes necessary. The endodontic treatment focuses on removing the damaged pulp to save the tooth and relieve pain.
The Procedure
The endodontic therapy involves several steps to clean and seal the inside of the tooth. Here is a general overview of how the endodontic treatment is performed.
- Anesthesia and Access: The endodontist numbs the area around the tooth. A small opening is then made in the crown of the tooth to access the pulp chamber.
- Cleaning the Canals: The infected or inflamed pulp is carefully removed from the pulp chamber and root canals. The inside of the tooth is cleaned and disinfected to remove remaining bacteria.
- Filling and Sealing: Once the canals are clean, they are filled with a rubber-like material called gutta-percha. The access opening in the tooth is sealed with a temporary or permanent filling.
- Restoration: A crown is placed on the tooth to protect it and restore its full function. This final step is fundamental for the long-term health of the treated tooth.
These steps allow the endodontist to treat the infection while preserving the natural tooth structure.
Aftercare and Recovery
Proper aftercare is a key part of the recovery process following endodontic therapy. Following your endodontist’s instructions will promote healing and help you maintain the health of your treated tooth. Here are some aftercare tips:
- Manage Discomfort: It is normal to experience some sensitivity for a few days. Over-the-counter pain relievers can help manage any discomfort.
- Practice Good Oral Hygiene: Brush and floss as you normally would to keep the area clean and prevent other dental problems.
- Avoid Chewing on the Treated Tooth: Until the final restoration is in place, avoid chewing or biting down on the treated tooth to prevent it from fracturing.
- Follow-Up Appointments: Make sure to attend your follow-up appointment to have a permanent crown or other restoration placed.
Taking these steps will help your tooth heal correctly and remain healthy.
Schedule Your Root Canal Appointment
An endodontic therapy is a procedure performed inside the tooth to remove infected pulp from the pulp chamber and root canals. Understanding the tooth’s anatomy and the treatment process assists individuals in preparing for their endodontic therapy. If you are experiencing tooth pain or have been told you need a root canal, contact an endodontist near you to schedule your appointment today.


