Do You Need a Root Canal if Your Tooth Stops Hurting?

July 2, 2025

Dentist performing root canal.

When a toothache strikes, it can be one of the most uncomfortable pains to endure. Many people assume that if the pain suddenly goes away, the problem must have resolved itself. However, when it comes to dental health, this isn’t always true. In fact, if your toothache suddenly disappears, it could be a sign that your tooth is in worse condition than you think and you may still need a root canal.

Why Tooth Pain Happens

Toothaches often occur when decay, infection, or trauma affects the pulp — the innermost part of the tooth that contains nerves and blood vessels. When the pulp is irritated or inflamed, it sends pain signals that you feel as sharp, throbbing, or lingering discomfort. This pain is your body’s way of telling you something is wrong.

When the Pain Stops — A Warning Sign

If your tooth pain suddenly stops, it doesn’t necessarily mean the issue has healed. In many cases, it means the nerve inside the tooth has died. When the pulp tissue is too damaged or infected to survive, it can no longer send pain signals. While this might sound like good news, it’s actually a red flag. A dead tooth pulp leaves the tooth vulnerable to infection, which can spread to the surrounding bone, gums, and even other areas of the body if untreated.

Why a Root Canal May Still Be Necessary

A root canal is a procedure that removes the infected or dead pulp from inside the tooth, disinfects the area, and seals it to prevent further infection. If your tooth has stopped hurting because the pulp has died, a root canal is usually the best treatment to save the tooth. Without it, the infection can worsen, leading to an abscess (a painful pocket of pus), bone loss, or eventual tooth loss.

Other Signs You Might Still Need a Root Canal

Even if your pain is gone, you may notice other symptoms that point to an underlying problem, such as:

  • Swelling in the gums or jaw near the tooth.
  • A pimple-like bump on the gums (a sign of abscess).
  • Darkening or discoloration of the tooth.
  • Tenderness when chewing or biting down.
  • Persistent bad taste or odor in the mouth.

If you notice any of these signs, it’s important to see your dentist right away.

Don’t Wait for Pain to Return

Ignoring a “silent” dental infection can be dangerous. The infection doesn’t go away on its own — it continues to spread, often without causing pain until it’s advanced. In severe cases, untreated dental infections can impact your overall health, contributing to systemic problems.

If your toothache suddenly disappears, it doesn’t mean the problem has healed. In fact, it may mean the nerve has died, making a root canal more urgent than ever. The only way to know for sure is to visit your dentist for an evaluation. Catching the issue early gives you the best chance of saving your tooth and protecting your oral and overall health.

About the Practice

Do you have a damaged tooth that needs saving? Even if you’re not in pain, there still may be an underlying issue. That’s why you should trust our expert team at North Jersey Endodontic Group of Jersey City for root canal treatment. We’ll get you in with a same-day appointment if you are in pain. Our solution is virtually pain-free, and our trustworthy, experienced endodontic experts ensure that you’re getting the very best care possible. Don’t delay – schedule your appointment today online or call us at (201) 484-5404.