How Long Can You Delay a Root Canal? Risks of Waiting Too Long
September 9, 2025

When a dentist recommends a root canal, it’s not just a casual suggestion, it’s a sign that your tooth is in serious trouble. Many patients hesitate or delay the treatment, hoping the pain will go away or trying to avoid the procedure altogether. But postponing a root canal can lead to far worse problems down the road.

 

Consequences of Delaying Root Canal: What Happens If You Wait Too Long?

 

Tooth Infections Don’t Heal on Their Own

When decay or injury reaches the pulp of your tooth, infection sets in. A root canal is designed to remove that infected tissue and prevent it from spreading. But without treatment, the infection will continue to grow and worsen. You might think the pain has subsided, but this often means the nerve inside your tooth has died, not that the problem is gone.Delaying treatment increases the risk of the infection spreading to the surrounding bone, nearby teeth, and even other parts of your body through the bloodstream. What could have been a straightforward root canal can quickly turn into a dental emergency.

 

Pain and Swelling Will Likely Return

Even if the discomfort fades, it’s temporary relief. As the infection advances, you may experience:

  • Severe toothache that worsens with pressure or temperature
  • Facial swelling or jaw pain
  • A visible bump or pimple on the gums (indicating pus buildup)
  • Discoloration of the affected tooth
  • Difficulty chewing or biting

Ignoring these signs can result in more invasive treatment or the loss of the tooth altogether.

 

Consequences of Delaying Root Canal Treatment 

 

Greater Damage to the Tooth

Once infection reaches the root, it starts breaking down the bone supporting your tooth. The longer you wait, the harder it is to save the tooth, even with a root canal. In advanced cases, extraction becomes the only option.

 

Spread of Infection

Bacteria from an untreated tooth infection can spread beyond the mouth, causing complications such as:

  • Sinus infections
  • Cellulitis (a skin infection)
  • Osteomyelitis (bone infection)
  • Sepsis (a potentially life-threatening condition)

 

What started as a localized dental issue can become a whole-body health concern if not addressed in time.

 

More Extensive and Expensive Treatment

Early intervention with a root canal is often quick, simple, and relatively affordable. But if the infection spreads or worsens, you may require:

  • Apicoectomy (surgical removal of the tooth root tip)
  • Tooth extraction followed by an implant or bridge
  • Hospital-based care for systemic infection

 

Each of these options is more costly, time-consuming, and invasive than the original procedure.

 

How Soon Should You Get a Root Canal?

 

Don’t Wait Once It’s Recommended

Once your dentist advises you to get a root canal, you should schedule it as soon as possible—ideally within a week or two. The longer you postpone, the greater the risk that the damage will become irreversible.

Bacteria from an untreated tooth infection can spread beyond the mouth, causing complications such as abscesses, sinus infections, or even systemic illness. According to MedlinePlus, these are among the most serious consequences of delaying root canal treatment. Would you risk your health thinking it won’t get worse? This problem can be severe and costly.

 

Even If the Pain Stops, the Risk Remains

Pain may come and go, but that doesn’t mean the problem has resolved itself. In some cases, the nerve may die, which can reduce symptoms but allow the infection to continue spreading silently. That’s why consistent follow-ups and imaging are essential, even if you feel okay.

 

How James A. Penney, DDS Helps You Act Quickly

At our Little Rock dental office, we prioritize preserving your natural teeth with expert, timely intervention. Our root canal treatments use advanced imaging and precise techniques to ensure a comfortable experience and long-term success.

When you visit our office, you can expect:

  • A clear explanation of your diagnosis and treatment options
  • Same-week scheduling for urgent root canal cases
  • A calming environment and gentle care tailored to your comfort
  • Post-procedure guidance to support healing and prevent reinfection

 

Final Thoughts: Don’t Put It Off

Delaying a root canal is rarely a good idea. While it’s understandable to feel nervous or want to wait, the risks outweigh the benefits. Timely treatment can save your tooth, prevent complications, and save you from more serious procedures down the line.

If you’ve been told you need a root canal, or if you’re experiencing ongoing tooth pain, reach out to James A. Penney, DDS. Our experienced team is here to help you protect your smile and your health.
Call us today at 501-227-ROOT (7668) to schedule your consultation. Your future self will thank you.