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What is a Root Canal?

Written by: Dra Lucía Asensio

A root canal (endodontics) is a dental procedure that removes infected or necrotic dental pulp from inside the root canals, cleans, shapes, and seals them hermetically to save the tooth and eliminate the infection without needing extraction.

Many patients fear a root canal more than the infection that causes it. This is a fear inherited from old techniques that are no longer valid today. With modern local anesthesia, microscopes, and lasers, a well-performed root canal is a painless procedure that lasts between 45 and 90 minutes and saves a tooth that would otherwise be lost.

At Asensio Dental Clinic, Dr. Lucía Asensio Romero (Registration No. 46002287) performs root canals using a ZEISS microscope and FOX III laser with a 99% success rate. The first visit is completely free.

molar root canal Valencia

When is a root canal necessary?

A root canal is indicated when the dental pulp has been invaded by bacteria and can no longer recover spontaneously. The most common cause is a deep cavity that has penetrated through the enamel and dentin to reach the pulp chamber. Once bacteria access the pulp, the infection inexorably progresses toward the root apex and periapical bone if not treated.

Other reasons leading to a root canal include dental trauma—blows that fracture the tooth or damage the blood supply to the pulp—deep or repeated restorations on the same tooth that chronically irritate the pulp, and root fractures. In some cases, the pulp necroses without producing noticeable symptoms, and the periapical lesion is discovered during a routine control X-ray.

Warning symptoms indicating the need for urgent evaluation include spontaneous pain that appears without stimulus or persists for several minutes after removing cold or heat, pain when biting or pressing the tooth, swelling in the gums or face, the tooth changing color toward grayish tones, and the appearance of a fistula—a small “pimple” on the gum that drains pus.

Types of root canal based on the number of canals

The complexity of a root canal depends fundamentally on the number of roots and canals of the affected tooth, which varies according to its position in the dental arch. This classification determines the treatment time and, in part, the cost of the procedure.

Type Roots Teeth
Single-root 1 root, 1 canal Incisors, canines
Double-root 2 roots, 2 canals Premolars
Multi-root 3 or more roots Molars

Root Canal with ZEISS Microscope and FOX III Laser

The combination of the ZEISS microscope and the FOX III laser is what allows us to guarantee a 99% success rate in our clinic. The microscope provides a magnification of up to 25x with coaxial lighting that allows seeing the inside of the canal with clarity impossible to the naked eye: additional hidden canals, isthmuses, root fractures, and pulp debris that would go unnoticed with conventional techniques. The FOX III laser acts as a high-power bactericide in the dentinal tubules—the micro-channels inside the dentin where bacteria hide from chemical irrigants—disinfecting areas inaccessible to conventional files and irrigants.

This technology is particularly important in root canal retreatments—cases where a previous root canal has failed and the canal must be treated again—where the diagnostic and technical difficulty is greater and where the advantage of the microscope and laser is more decisive for the result.

For more information on the specific rotary technique, consult our page on rotary endodontics in Valencia. This specialty is part of our other dental treatments area in Valencia.

Frequently asked questions about root canals

Does a root canal hurt?

No. A root canal is always performed under local anesthesia that completely eliminates the sensation of pain during the procedure. After the session, there may be slight sensitivity in the treated tooth for 2-3 days, which is controlled with common analgesics. The pain patients associate with a root canal is the pain of the previous infection, not the treatment.

How long does the treatment last?

A simple root canal on a single-root tooth can be resolved in a single 45-60 minute session. A multi-root molar may require one or two 60-90 minute sessions. In cases of active infection with an abscess, the canal is sometimes left open for a few days to drain before sealing it.

Do I need a crown after a root canal?

It depends on the degree of tooth destruction. If the loss of structure is significant, a crown protects the tooth from fractures and significantly extends its useful life. If enough dental walls remain, a composite reconstruction or a ceramic inlay may suffice. The specialist evaluates each case individually.

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Javier De Felipe
2 days ago
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Una clínica muy profesional y muy atentos en todo momento. Son rápidos y con una tecnología muy avanzada en todos lo referente a Odontología. Muy aconsejable!!!
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Houda Kabaj
4 days ago
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Tenía muchísimo miedo al dentista, hasta el punto de que casi era una fobia. Pero gracias al trato tan profesional, cercano y empático de Silvia, desde el primer momento me sentí muy cómoda y tranquila. Todo ha ido fenomenal y, lo que es más importante para mí, ahora voy a mis citas sin miedo. ☺️ Estoy muy, muy contenta con Silvia, Lorena, el resto del equipo, el doctor que me está tratando y las chicas de recepción. Todos han contribuido a que mi experiencia esté siendo tan positiva. Si sois de esas personas que sienten miedo o ansiedad al ir al dentista, os recomiendo esta clínica con los ojos cerrados. ¡No puedo estar más agradecida!
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Rafa Navarro
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Eugenio Mercol
32 days ago
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Estoy aqui en Odontología Asensio, todavía me están atendiendo, no han finalizado y ya estoy tan feliz q escribo esta reseña durante la consulta, feliz por la atención recibida. No es la primera vez que vengo y, como siempre, el trato, el profesionalismo, la calidad humana y la atención son impecables. Sin duda, me quedo aquí para todos mis tratamientos odontológicos. ¡Gracias por tanta dedicación, profesionalismo y, sobre todo, por la calidad humana con la que atienden siempre!
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VANESSA MOYA REQUENI
37 days ago
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Salí muy satisfecho de la Clínica Asensio. La atención fue rápida y eficiente, atendieron mi urgencia sin problemas. Durante el tratamiento de medicina bucal, todo fue totalmente indoloro y me explicaron cada paso con claridad. Se nota que tienen equipamiento moderno, lo que da confianza. Sin duda, una buena opción en Valencia para quienes buscan un dentista cerca. Sin duda la Dra.Marta es una gran profesional, transmite confianza y paz y sobre todo el pinchazo de la anestesia completamente indoloro.
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Luka Georgieski
38 days ago
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I am an international student here in Valencia and was worried about my gums being sore for several weeks. I felt that I needed to see a dentist and get a professional opinion on the matter. I was incredibly lucky to find their clinic since they speak English. Not only that, the experience itself was wonderful! The clinic is very clean and very well organized. The staff is very nice and very caring. They gave me an x-ray, a thorough examination and explained everything in great detail. They also provided me with a treatment plan, informed me about pricing and answered all of my questions. They are truly amazing!
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Benjamín Ledezma Sanchez
42 days ago
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Exelente el trabajo de la Dra Laura y su asistente Una profesional 10 de 10
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gary anderson
45 days ago
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If you're from the UK and are researching into dental work abroad I can't recommend this clinic enough. I have been plagued with dental problems since I was a kid. Four years ago I decided that I'd had enough of loose, missing and painful teeth and started looking into the possibility of having a full set of implants. You will have realised if you're reading this that the cost of Dental surgery in the UK is exorbitant - almost criminal yet people feel that it is somehow 'better' or 'safer'. They are wrong! Four years ago I had a full set of implants at this wonderful clinic. Valencia is a beautiful city...mellow and civilized and so it's no hardship returning each year to have them and my gums checked. - This is recommended and advisable so bear this in mind when considering where to go. The overall cost of my implants was approximately half of what a London clinic was asking.....same procedure, identical materials but better care, hygiene and far more 'personal'. The staff are wonderful!!! Warm, friendly and intelligent......highly professional and the dental surgeons treat you with sensitivity and concern to eliminate pain. And finally.......English is spoken....and spoken well.
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isabel vidal marti
53 days ago
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Una experiencia estupenda, jamás imaginé que en poco mas de dos horas tenía una boca nueva y sin haber tenido ningún tipo de molestia y el personal encantador, lo recomiendo sin ninguna duda.
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Tania Mara Venceslau Demetrio
57 days ago
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Llevo más de un año y medio en tratamiento de ortodoncia (con brackets) y sin duda los recomiendo a todos . Desde el primer día que entré en la clínica Asensio hasta hoy, me han tratado igual de bien; el servicio de todo el personal es excepcional. Estoy muy contenta con los resultados de mi tratamiento.
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