Why You Shouldn’t Delay a Root Canal: Risks of Waiting Too Long

Written by Ethan Perkins  »  Updated on: June 16th, 2025

Why You Shouldn’t Delay a Root Canal: Risks of Waiting Too Long

Tooth pain can be easy to ignore at first — a dull ache when biting into something cold or hot, a bit of discomfort that comes and goes. But when it persists or worsens, it could signal something more serious: an infection inside your tooth. In such cases, a root canal may be necessary. Despite its intimidating reputation, root canal treatment is a routine and effective procedure. However, many people still choose to delay it — often due to fear, cost concerns, or simply misunderstanding the importance of prompt treatment.

Unfortunately, postponing a needed root canal can lead to serious consequences, both for your oral health and your general wellbeing. This article explores why delaying root canal therapy can be risky, and why addressing the problem early is almost always the better option.


Understanding What a Root Canal Is

A root canal is a dental procedure that removes infected or inflamed pulp from inside the tooth. The pulp is the soft tissue containing nerves and blood vessels, and it lies at the centre of each tooth. When this tissue becomes infected — usually due to deep decay, repeated dental procedures, or trauma — it cannot heal on its own. Left untreated, the infection can spread further into the tooth and even into the surrounding bone and bloodstream.

The root canal procedure involves cleaning out the infected pulp, disinfecting the root canals, and sealing the space to prevent further infection. While the process may sound invasive, it is often no more uncomfortable than having a filling, and it can save your natural tooth for many years to come.


What Happens When You Delay Treatment?

Delaying a root canal gives the infection time to grow, and this can trigger a chain reaction of complications. Here are some of the most common risks associated with putting off this vital treatment:


1. The Pain Will Likely Get Worse

Infected pulp inside a tooth doesn’t simply get better over time — it continues to deteriorate. What starts as mild discomfort can progress to intense throbbing pain, often spreading to the jaw, ear, or even causing headaches. You might also experience extreme sensitivity to hot and cold, making it difficult to eat or drink.

2. The Infection Can Spread

When left untreated, a dental infection doesn't stay confined to the affected tooth. It can spread to surrounding tissues, including the jawbone and even other parts of the face or neck. In severe cases, untreated dental infections can lead to a dental abscess, which is a pocket of pus caused by the bacterial infection. This can be incredibly painful and may require urgent surgical drainage.

In rare but serious cases, the infection can enter the bloodstream and lead to a condition called sepsis, which is life-threatening.

3. Tooth Loss Becomes More Likely

One of the key benefits of a timely root canal is that it allows you to keep your natural tooth. If you wait too long, the damage to the tooth structure may become too severe to repair, even with root canal therapy. At that point, the only remaining option may be extraction.

Losing a tooth creates additional problems: changes in your bite, shifting of adjacent teeth, and the potential need for implants or bridges, all of which can be more costly and invasive than a root canal.

4. You May End Up Paying More

While some delay treatment to avoid the cost of a root canal, postponing it may end up being far more expensive in the long run. Advanced infections can require multiple visits, emergency treatment, or even surgery. You might also need additional procedures such as bone grafts or dental implants if the tooth cannot be saved.

In short, acting early usually means less pain, fewer complications, and lower costs.

Warning Signs You Shouldn’t Ignore

Recognising the early signs of infection can help you seek treatment before the situation worsens. Some common symptoms that may indicate the need for a root canal include:


  • Persistent toothache or throbbing pain
  • Sensitivity to hot or cold that lingers after exposure
  • Swelling of the gums near the affected tooth
  • Discolouration or darkening of the tooth
  • A small pimple-like bump on the gum (sign of an abscess)


If you notice any of these symptoms, it’s essential to contact your dentist promptly. Even if the pain subsides, the infection could still be active and silently causing damage.

Consequences That Go Beyond Oral Health

Your mouth is closely connected to the rest of your body. Poor dental health has been linked to broader health issues such as heart disease, diabetes, and respiratory infections. An untreated dental infection, particularly one that enters the bloodstream, increases the risk of serious systemic conditions.

For people with weakened immune systems, diabetes, or existing heart conditions, the risks can be even higher. Delaying root canal treatment isn’t just a dental issue — it’s a general health concern.

Benefits of Timely Root Canal Treatment

While much of the focus is on the risks of delay, it’s worth highlighting the benefits of early intervention. A prompt root canal can:


  • Eliminate pain and allow you to eat and speak normally
  • Preserve your natural tooth, avoiding the need for extraction
  • Prevent further complications such as abscesses or bone loss
  • Restore function and appearance through a follow-up crown
  • Improve your overall wellbeing by removing a source of infection

Why Some People Delay — And Why They Shouldn’t

It’s natural to feel anxious about dental treatment, especially when you’ve heard horror stories about root canals being painful or complicated. However, modern techniques and anaesthetics have made the procedure far more comfortable and efficient than in the past.

Others may worry about cost, time off work, or needing multiple visits. But the reality is that delayed treatment usually ends up being more time-consuming and costly, not to mention painful.

Final Thoughts

Root canal treatment is a safe and effective way to treat an infected tooth and save it from extraction. While it may be tempting to wait and see if the problem improves, dental infections do not heal on their own. The longer you delay, the greater the risk of serious complications — from tooth loss to systemic infections.

If you’re experiencing symptoms or have been advised to have a root canal, don’t put it off. Addressing the issue now can save you significant discomfort, preserve your natural teeth, and protect your health in the long run.

For those looking for expert advice and safe, modern dental care, you may consider visiting MD Dental London. Their team provides professional root canal treatments with a focus on patient comfort and long-term oral health.


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