Woman applying cold compress to jaw due to tooth nerve pain.

Nerve Pain in Teeth: Can a Root Canal or Extraction Fix It?

Tooth Nerve Pain and the Dental Procedures That Treat It

Intense nerve pain in a tooth can feel like a jolt that radiates through your entire jaw—or a lingering throb that never lets up. It’s one of the most common reasons people seek urgent dental care. Understanding what’s causing the discomfort is the first step in choosing the right treatment—whether it’s a root canal or an extraction.

 

At the first sign of this type of pain, many patients in the northwest suburbs turn to Schaumburg Dentistry. Our practice offers modern, patient-focused care with a strong emphasis on comfort, precision, and long-term results. With advanced imaging, minimally invasive techniques, and a compassionate team, we help patients get to the root of the problem and provide relief through treatments like root canals or gentle extractions.

 

Here’s how to determine when a tooth can be saved—and when it may need to come out.

Causes of Nerve Pain in Teeth

Inside every tooth lies a soft tissue center called the pulp, which contains nerves and blood vessels. When this tissue becomes inflamed or infected, the result is often sharp or persistent pain. Causes vary, but most fall into three primary categories.

1. Advanced Tooth Decay

When cavities aren’t treated early, they can reach the inner pulp and expose the nerves. According to the CDC, over 21% of adults aged 20–64 have untreated dental decay. Once bacteria invade the nerve space, inflammation can lead to nerve pain that worsens with hot, cold, or sweet foods.

2. Cracks or Trauma

Cracks that extend to the tooth’s root can irritate or even sever the internal nerves, resulting in recurring pains, even if there are no visible signs. These injuries might come from accidental trauma or years of grinding (bruxism).

Nerve pain caused by trauma often lingers and may feel sharper when pressure is applied during chewing.

3. Abscesses

An abscess is a buildup of pus caused by infection. As pressure increases around the tip of the root, the nerve is compressed, leading to severe and often continuous discomfort. If left untreated, abscesses can spread infection to surrounding bone and tissue.

Cases like these require immediate attention, especially when nerve pain escalates suddenly or is accompanied by swelling.

 

In such cases, emergency care is essential. If you’re searching for emergency dentistry near me, our emergency dental services offer same-day appointments whenever possible.

Dealing with tooth nerve pain? Schaumburg Dentistry offers same-day care to provide fast, lasting relief. Whether you need a root canal or emergency extraction, our experienced team is here to help.

Call (847) 985-8100 to schedule your visit today!

When a Root Canal is the Right Solution?

A root canal allows us to preserve your natural tooth by removing the inflamed or infected pulp, which houses the affected nerves. The space is then cleaned and sealed to prevent further bacterial growth.

How Root Canals Help:

  • They eliminate the source of pain without removing the tooth.
  • They allow patients to maintain bite alignment and avoid shifting teeth.
  • Long-term success rates are high—with studies showing a 95% success rate when properly restored with a crown.

Our advanced digital imaging systems ensure that the procedure is precise, and local anesthesia ensures comfort throughout the treatment. Patients typically return to normal activities the next day.

 

Root canals are commonly performed under our general dentistry in Schaumburg services, often with no more discomfort than getting a filling.

 

To better understand why nerve pain often worsens at night and how to manage it before treatment, read our guide on severe tooth pain at night and what it could mean.

When an Extraction is Necessary?

Sometimes the damage to a tooth is too severe for it to be saved. If decay, fractures, or infection have destroyed too much of the structure—or if the root is no longer stable—an extraction may be necessary.

Situations That May Require Removal:

  • Tooth is split in two or fractured below the gumline
  • Infection has weakened the surrounding bone
  • Retreatment of a failed root canal is not feasible

Removing the tooth eliminates the source of nerve-related pain and allows the surrounding tissues to heal. This option is especially common when dealing with impacted wisdom teeth or advanced gum disease.

 

Extraction is often the last resort when nerve pain can no longer be managed with conservative treatments.

If a tooth gets knocked out before you can reach the dentist, here’s how to handle it for the best possible outcome: what to do with a knocked-out tooth before seeing an emergency dentist.

 

While the idea of extraction may feel intimidating, it’s often a relief for patients who’ve been dealing with prolonged or recurring pain. If you’re in Schaumburg or nearby areas, our clinic provides quick relief for those searching for an emergency dentist in Schaumburg.

Patient undergoing root canals treatment at Schaumburg Dentistry for a pain-free dental procedure.
Expert Root Canals Care at Schaumburg Dentistry

Recovery Tips After Root Canal or Extraction

Proper healing depends not only on treatment but also on how you care for the area afterward. Here are post-treatment tips to help avoid complications and recover comfortably.

After a Root Canal:

  • Pain relief: Mild discomfort is normal for a few days; over-the-counter medication is usually sufficient.
  • Avoid chewing: Until a permanent crown is placed, avoid chewing on the treated tooth.

  • Oral hygiene: Continue brushing and flossing but be gentle around the affected area.

After an Extraction:

  • Bleeding control: Bite gently on gauze for the first few hours to control bleeding.
  • Swelling management: Apply an ice pack for 10–20 minutes at a time during the first 24 hours.
  • No suction: Avoid using straws or smoking for at least 48 hours to prevent dry socket.

Post-operative nerve pain may occur in rare cases, especially if the surrounding tissue was affected; always follow up if discomfort persists or worsens.

Get Relief from Tooth Nerve Pain—Start with the Right Care

Persistent tooth nerve pain isn’t something to ignore. The earlier it’s addressed, the more options you’ll have—and the less risk there is of complications. Whether you’re a new patient or a returning one, our team is here to provide expert guidance and gentle care.

 

If you’re dealing with discomfort or think you may need a root canal or extraction, don’t wait. Reach out to the friendly team at Schaumburg Dentistry today. We’re proud to offer advanced general dentistry in Schaumburg, emergency services for urgent situations, and specialized care like Invisalign—all under one roof.

 If you’re searching for expert, compassionate dental care or need emergency dental care, we’re ready to help. Call us at (847) 985-8100 to schedule your visit—we’ll take care of the rest.