What happens if you don’t get a root canal?

Surgeon holding a light in hand during surgery.

When a tooth becomes severely decayed or infected, a root canal procedure is often recommended to save it. However, if you choose not to undergo a root canal, the consequences can be quite serious. Initially, the infection within the tooth can lead to persistent pain and discomfort. This pain is often due to the inflammation of the pulp, the innermost part of the tooth that contains nerves and blood vessels. Over time, the infection can spread beyond the tooth itself, affecting the surrounding tissues and even the jawbone.

If left untreated, the infection can lead to the formation of an abscess, a pocket of pus that can cause significant swelling, pain, and even fever. An abscess is a clear indication that the infection has spread and is now affecting the bone and other structures around the tooth. This can lead to more severe health issues, such as cellulitis (a skin infection), osteomyelitis (a bone infection), or even sepsis, a life-threatening condition where the infection spreads throughout the body. Additionally, the tooth will eventually die and may need to be extracted, leading to further dental complications such as misalignment of adjacent teeth and potential issues with chewing and speaking.

In summary, avoiding a root canal can result in escalating pain, the spread of infection, and more complex health problems. It is crucial to address dental issues promptly to prevent these severe outcomes and maintain overall oral health.