Tooth Pain? You May Need a Root Canal in Lake Oswego
- Dr. John Holt DMD

- Sep 1, 2025
- 5 min read
Tooth pain is your body’s way of signaling that something’s not right, but not all pain is created equal. A dull ache after a cold drink might pass in a few seconds. But persistent, throbbing discomfort that lingers for days or worsens at night? That could point to a deeper problem: infection inside the tooth. When pain persists, a root canal may be the only way to save the tooth and prevent the damage from spreading.
In this post, we’ll break down what a root canal is, when it’s needed, how it works, and why it’s nothing to fear, especially when handled by an experienced Lake Oswego dentist.
When Tooth Pain Is More Than a Nuisance
It’s easy to dismiss tooth pain as a minor issue until it becomes impossible to ignore. Many patients wait too long before seeking care, hoping the discomfort will go away on its own. But when pain lingers or worsens, it's often a sign of an infection in the pulp, the soft tissue inside the tooth that contains nerves and blood vessels.
Here are a few common red flags that could indicate the need for a root canal:
Severe pain when chewing or applying pressure
Lingering sensitivity to hot or cold temperatures
Swollen or tender gums near the affected tooth
Darkening or discoloration of the tooth
Pimples or abscesses on the gums
Throbbing pain that worsens at night or when lying down
These symptoms can all point to infected pulp tissue, which will not heal on its own. Without treatment, the infection can spread to the surrounding bone, cause abscesses, or lead to tooth loss.
Don’t Wait Until the Pain Gets Worse
Chronic tooth pain is your body’s way of asking for help. Ignoring it can lead to more severe problems, including tooth loss, abscesses, or even systemic infections.
A root canal may sound intimidating, but in skilled hands, it’s a straightforward, effective way to relieve pain and preserve your oral health. If you’re experiencing lingering pain, swelling, or signs of infection, don’t wait. Get the care you need before it becomes an emergency.
What Is a Root Canal and Why Is It So Effective?
A root canal is a dental procedure that removes infected or inflamed pulp from inside the tooth. After cleaning and disinfecting the interior chambers (called the root canals), the dentist fills and seals the space to prevent further infection. In most cases, the dental team will then install a crown to provide strength and protection, restoring the tooth to its natural function.
This treatment is often the best option for saving a tooth that would otherwise require extraction. Despite its reputation, a root canal is not painful. On the contrary, it relieves pain. Modern techniques and anesthesia make the experience similar to getting a standard filling.
A Step-by-Step Look at the Root Canal Process
Understanding the procedure can help ease nerves. Here’s what typically happens during root canal therapy:
Diagnosis and X-rays: Your dentist will examine the tooth and take digital X-rays to assess the extent of the infection and map the root canals.
Local anesthesia: Used to numb the area and ensure a pain-free experience.
Pulp removal: The dentist makes a small opening in the crown of the tooth and carefully removes the infected pulp.
Cleaning and shaping: The inside of the tooth is cleaned, disinfected, and shaped to receive a filling.
Filling and sealing: The dentist places a biocompatible material inside the root canals and seals the opening to prevent reinfection.
Final restoration: In most cases, the dental team places a crown on the tooth during a follow-up appointment to restore function and appearance.
The entire process usually takes one or two visits, depending on the complexity of the tooth and severity of the infection.
Root Canal vs. Tooth Extraction in Lake Oswego: Why Saving the Tooth Matters
When patients hear the words “root canal,” some immediately ask, “Can’t I just pull the tooth?” It’s a fair question, but one that deserves a closer look. While extractions can seem like the simpler solution, they often create new challenges that root canal therapy helps avoid.
A root canal preserves your natural tooth, which is the best-case scenario whenever possible. Natural teeth maintain your bite alignment, support jawbone health, and allow you to chew and speak without compromise. Once a tooth is removed, nearby teeth can shift into the space, increasing your risk of misalignment, jaw strain, and additional dental work.
There are times when extraction is necessary, such as when a tooth is fractured beyond repair or the bone supporting it is too weak to sustain it. But even then, the missing tooth will likely need to be replaced with a bridge or dental implant, both of which can be more invasive and costly than a root canal and crown.
With modern techniques, root canals are typically painless and highly effective, and recovery is often quicker than after a surgical extraction. If you’re unsure which path is right for you, your Lake Oswego dentist will evaluate the tooth’s condition and walk you through both options, ensuring you feel informed, empowered, and confident in your care.
Dispelling the Myths: Root Canals Aren’t What They Used to Be
One of the biggest hurdles patients face is fear, often based on outdated information. Root canals have come a long way in terms of comfort, speed, and results. Today’s treatments use digital imaging, electric handpieces, and precision tools that minimize discomfort and maximize success.
Most patients report feeling immediate relief from pain after the procedure. And with proper care, a tooth that’s been treated with a root canal and crowned can last as long as your other natural teeth.
If the idea of the procedure still causes anxiety, talk to your Lake Oswego dentist about options for sedation or extra comfort measures.
Aftercare and Recovery: What to Expect
After treatment, you may experience mild soreness or sensitivity for a few days, particularly if the infection was severe. Over-the-counter pain relievers are usually enough to manage discomfort. Your dentist will provide care instructions and schedule a follow-up to place your crown if it wasn’t done in the same visit.
It’s essential to keep the area clean, avoid chewing on that side of your mouth until fully healed, and attend all follow-up appointments. Most patients return to normal activities the next day.
5 Root Canal Questions, Answered
Is a root canal painful?
Thanks to local anesthesia and modern techniques, most patients report that root canals feel no more uncomfortable than getting a filling. As mentioned above, the procedure relieves pain, rather than causing it.
How long does the procedure take?
Most root canals can be completed in one to two visits. Your dentist will let you know what to expect based on the complexity of your case.
Will I need a crown afterward?
In many cases, yes. A crown restores the tooth’s strength and protects it from future damage. Your dentist will ensure it matches your natural bite and appearance.
What happens if I delay treatment?
Delaying a root canal allows the infection to spread, potentially leading to abscesses, bone loss, or even systemic illness. Early treatment helps you avoid more serious and more expensive problems.
How long will the tooth last after a root canal?
With proper care, a root-canaled tooth that’s been properly restored can last as long as any other tooth. Brushing, flossing, and regular checkups keep it strong for the long haul.
Restore Comfort and Confidence with Root Canal Treatment in Lake Oswego
Tooth pain can take a serious toll on your comfort and quality of life, but it doesn’t have to. At John Holt Dentistry, we diagnose and treat dental infections with precision and care, utilizing advanced root canal treatments to preserve natural teeth and alleviate pain at its source.
With a compassionate team, modern technology, and a gentle touch, we make the process easier than you might expect.
Whether you’ve been living with persistent pain or just noticed new symptoms, we’re here to help. Reach out today to schedule a consultation and get back to smiling without discomfort.





If you’re dealing with tooth pain, it’s always best to get it checked as soon as possible it might be a sign that you need a root canal or another type of dental treatment. If you’re looking for trusted care, Shire Doctors and Dentists offers professional dental services, including root canal treatments, to help relieve pain and restore your smile. Their experienced team provides gentle, personalized care to make sure you’re comfortable every step of the way.