What Happens if You Don’t Get a Root Canal?

March 3, 2026

Dentist performing root canal on patient.

Hearing that you need a root canal can make some patients feel anxious or hesitant about treatment. Because of this, some people consider delaying or avoiding the procedure altogether. However, ignoring a tooth that needs a root canal can lead to serious oral health problems. A root canal is typically recommended when the inner portion of the tooth, known as the pulp, becomes infected or severely inflamed. The procedure removes the infection, cleans the inside of the tooth, and seals it to prevent further damage.

Without treatment, the infection can continue to spread and worsen over time.

Increasing Pain and Sensitivity

One of the first consequences of avoiding a root canal is worsening pain. An infected tooth often causes persistent toothaches that may become more severe as the infection progresses.

You may also notice heightened sensitivity to hot or cold foods and drinks. Over time, the discomfort can become constant and may even interfere with eating, sleeping, or concentrating on daily tasks.

The pain typically will not resolve on its own because the underlying infection remains inside the tooth.

The Spread of Infection

When the pulp inside a tooth becomes infected, bacteria can travel beyond the tooth and into the surrounding tissues. This can lead to the formation of a dental abscess, which is a pocket of pus caused by a bacterial infection.

An abscess can cause swelling in the gums, jaw, or face and may lead to a bad taste in the mouth or persistent bad breath. In some cases, the infection may spread to nearby teeth or deeper areas of the jawbone if it is not treated promptly.

Tooth Loss

Without a root canal, the affected tooth may eventually become too damaged to save. As the infection weakens the tooth structure and surrounding bone, the tooth can become unstable or break.

At this point, the tooth may need to be extracted. While tooth extraction can remove the infection, it also leaves a gap that may require additional treatment, such as a dental implant or bridge, to restore function and appearance.

Saving the natural tooth through a root canal is often the best long-term solution.

Potential Health Complications

In rare cases, untreated dental infections can spread beyond the mouth and affect other parts of the body. Severe infections may lead to complications that require more extensive medical treatment.

Although this outcome is uncommon, it highlights the importance of addressing dental infections early.

A root canal is designed to eliminate infection, relieve pain, and preserve your natural tooth. Modern root canal procedures are safe, effective, and typically no more uncomfortable than receiving a standard dental filling. If your dentist recommends a root canal, seeking timely treatment can prevent complications and help protect both your smile and your overall health.

About the Author

Dr. Dana Kim earned her Doctor of Dental Surgery degree from the prestigious New York University College of Dentistry, where she serves as an adjunct clinical faculty member. This role allows her to stay current with the latest techniques and research while sharing her expertise with the next generation of dental professionals. Dr. Kim brings 8 total years of experience to her profession: 7 years as a general dentist and 1 year as a dedicated endodontist. If you need root canal therapy, schedule your appointment online or call (201) 265-3334.