What Type of Dentist Performs Root Canals?

If you’ve ever been told you need a root canal, your first question might be: “Who actually does this?” It’s a fair question. Root canals have a bit of a reputation — one that’s largely undeserved — and knowing who performs them and what to expect can go a long way toward easing any nerves.

The short answer is that both general dentists and specialists called endodontists can perform root canals. But the longer answer depends on the complexity of your situation, how your dental practice is set up, and what your specific tooth needs.

This guide breaks it all down in plain, straightforward language so you can walk into your next appointment feeling informed and ready.

What Is a Root Canal and Why Would You Need One?

Before we talk about who performs the procedure, it helps to understand what a root canal actually is.

A root canal is a dental treatment designed to save a tooth that has become infected or severely damaged. Inside every tooth is a soft tissue called the pulp, which contains nerves and blood vessels. When this pulp becomes infected — due to deep decay, a crack, or repeated dental work — it can cause significant pain and, if left untreated, lead to an abscess or tooth loss.

During a root canal, the dentist removes the infected pulp, cleans the inside of the tooth, and seals it. In most cases, a crown is placed on top to restore the tooth’s strength and appearance.

Common signs that you might need a root canal include:

Severe or persistent toothache
Prolonged sensitivity to hot or cold temperatures
Darkening or discoloration of the tooth
Swelling or tenderness in the nearby gums
A pimple-like bump on the gum near the affected tooth

If you’re experiencing any of these symptoms, it’s important to see a dental professional as soon as possible.

General Dentist vs. Endodontist: Who Performs Root Canals?

General Dentists

Many root canals are performed by general dentists — the same provider you see for checkups, cleanings, and fillings. General dentists receive training in root canal therapy during dental school, and many are well-equipped to handle straightforward cases.

If your tooth has a relatively simple root structure and the infection is caught early, your general dentist may be able to complete the treatment right in the same office. This can save you time and the inconvenience of a referral.

At Pinnacle Dental, our experienced dental team offers comprehensive care under one roof. Whether you’re coming in for a routine visit or something more involved, we’re here to help — learn more about our family dental services in the Frisco area.

Endodontists

An endodontist is a dental specialist who has completed two or more additional years of training specifically focused on diagnosing and treating issues that affect the inside of the tooth — including root canal therapy.

Endodontists handle the more complex cases, such as:

Teeth with unusual or curved root canals
Retreatment of previously failed root canals
Cracked teeth with internal damage
Cases involving severe infection or dental trauma

Think of it this way: a general dentist is like your primary care physician, and an endodontist is the specialist they refer you to when something more complex is going on.

When Would a Dentist Refer You to an Endodontist?

Not every root canal needs a specialist, but there are situations where your general dentist will recommend a referral to make sure you get the best possible outcome:

The tooth has multiple or curved roots that are difficult to access
The infection has spread more extensively than initially expected
A previous root canal on the same tooth didn’t fully resolve the problem
The tooth has been significantly cracked or fractured
The dentist wants to ensure the highest level of precision and care

A referral isn’t a sign that something went wrong — it’s a sign that your dental team is making sure you get exactly the right treatment for your situation.

What Happens During a Root Canal Procedure?

One of the biggest myths about root canals is that they’re painful. In reality, the procedure is designed to relieve pain — not cause it. With modern anesthesia and techniques, most patients report that the experience feels similar to getting a routine filling.

Here’s a general overview of what to expect:

Examination and X-rays

Your dentist or endodontist will take X-rays to assess the extent of the infection and the shape of the root canals.

Local Anesthesia

The area around the tooth is numbed completely before the procedure begins.

Removal of the Infected Pulp

A small opening is made in the tooth so the dentist can access and remove the infected tissue.

Cleaning and Shaping

The root canals are carefully cleaned, shaped, and disinfected.

Sealing the Tooth

The cleaned canals are filled and sealed with a material called gutta-percha to prevent reinfection.

Restoration with a Crown

In most cases, a dental crown is placed over the treated tooth to restore its full function and appearance.

If dental anxiety is a concern, don’t let it stop you from getting the care you need. Pinnacle Dental offers sedation options to help you stay calm and comfortable throughout the process.

Does It Matter Which Type of Dentist You See?

For most straightforward root canals, either a skilled general dentist or an endodontist can deliver excellent results. The key factor is choosing a dental provider you trust, who uses modern technology, and who takes the time to thoroughly evaluate your tooth before recommending treatment.

At Pinnacle Dental, our team takes pride in offering thorough, personalized evaluations. We’ll let you know upfront whether your root canal can be handled in-office or whether a referral makes more sense for your situation.

You can learn more about our dental team and approach by visiting our Frisco dental office page.

What Happens After a Root Canal?

Recovery from a root canal is generally straightforward. Some mild soreness or sensitivity is normal for a few days, but this can usually be managed with over-the-counter pain relievers. Most patients return to normal activities the same day or the day after.

Here are a few post-treatment tips:

Avoid chewing on the treated tooth until your crown is placed
Stick to soft foods for the first day or two
Brush and floss normally, but be gentle around the treated area
Attend all follow-up appointments so your dentist can confirm healing

Once your permanent crown is in place, the treated tooth should function just like any other tooth — with proper care, it can last a lifetime.

Root Canal vs. Tooth Extraction: Which Is Right for You?

A common question patients have is whether it’s better to save the tooth with a root canal or have it pulled. In most cases, saving your natural tooth is the preferred outcome.

When a tooth is removed and not replaced, surrounding teeth can drift, jawbone can deteriorate, and bite alignment can shift over time.

If tooth replacement ever becomes necessary, dental implants are one of the most effective long-term solutions available. However, preserving your natural tooth through a root canal is almost always the first choice — both for function and long-term oral health. You can also read our blog post on Root Canal vs. Tooth Extraction for a more detailed comparison.

Why Choose Pinnacle Dental for Your Root Canal Treatment?

When it comes to endodontic care, the experience and approach of your dental team makes a real difference. Pinnacle Dental combines clinical expertise with a patient-first philosophy, making sure you feel heard, informed, and comfortable every step of the way.

Here’s what sets us apart:

Experienced dentists trained in root canal therapy
Modern diagnostic tools for precise treatment planning
A calm, welcoming environment designed to reduce anxiety
Sedation dentistry available for patients who need extra comfort
Transparent communication about treatment options and costs
Convenient appointment availability to fit your schedule

To explore all the ways we can support your smile, take a look at our full range of root canal treatment services.

Straightening Your Smile After Treatment

Once your tooth has healed from a root canal, some patients also take the opportunity to explore additional dental improvements — like addressing crooked or misaligned teeth.

For patients interested in a straighter smile without traditional braces, Invisalign clear aligners can be an excellent next step. Our Frisco team is experienced in helping patients achieve both healthy and beautiful smiles.

Ready to Get the Care You Need? We’re Here for You

Root canals don’t have to be scary. Whether you see a general dentist or are referred to a specialist, the goal is always the same: to relieve your pain, save your natural tooth, and protect your long-term oral health.

Pinnacle Dental is committed to making that process as smooth and comfortable as possible. From your initial evaluation to your final crown placement, our team is with you every step of the way.

If you’re ready to take the next step, schedule your consultation with our team today — we’d love to help you get back to smiling with confidence.

Serving Patients Across the DFW Area

In addition to our Frisco and Plano offices, Pinnacle Dental proudly serves patients throughout the greater Dallas-Fort Worth metroplex, including:

Allen — Residents looking for experienced dental care near Allen can count on our nearby team for comprehensive services.
Carrollton — We welcome patients from Carrollton seeking trusted, high-quality dental treatment close to home.
McKinney — If you’re in the McKinney area and need a root canal or other dental services, our practice is conveniently accessible.
Plano — Our Plano patients have long relied on Pinnacle Dental for everything from preventive checkups to complex restorative treatments.

No matter where you’re coming from in the DFW area, Pinnacle Dental is here to provide the compassionate, skilled dental care you deserve. Contact us today to book your appointment.

Frequently Asked Questions (FAQ)

Can a general dentist perform a root canal?

Yes. General dentists are trained to perform root canal therapy, and many do so routinely for straightforward cases. For more complex situations — such as teeth with unusual anatomy or cases requiring retreatment — they may refer you to an endodontist.

What is an endodontist?

An endodontist is a dental specialist with two or more years of advanced training beyond dental school, focused specifically on diagnosing tooth pain and treating conditions affecting the inside of the tooth, including root canals.

Is a root canal painful?

Modern root canal treatment is performed under local anesthesia and is designed to eliminate pain, not cause it. Most patients describe the experience as similar to getting a filling. Any mild soreness afterward typically resolves within a day or two.

How long does a root canal take?

Most root canals take between 60 and 90 minutes. More complex cases — such as teeth with multiple or curved roots — may require a follow-up appointment. Your dentist will give you a timeline based on your specific tooth.

Do I need a crown after a root canal?

In most cases, yes. A crown is placed over the treated tooth to protect it and restore full function. Without a crown, the weakened tooth is more susceptible to fracture.

How much does a root canal cost?

The cost varies depending on which tooth is being treated, the complexity of the case, and whether you see a general dentist or an endodontist. Dental insurance often covers at least part of the cost. Our team can help you understand your benefits before treatment begins.

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

Left untreated, an infected tooth can lead to a painful abscess, spreading infection, and ultimately tooth loss. The infection can also affect surrounding teeth and, in rare cases, spread beyond the mouth. Early treatment is always the best approach.

What Type of Dentist Performs Root Canals? A Complete Guide