Medically reviewed by Dr. James Ko

Decisions You Should Make Before Having a Root Canal Treatment

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Your doctor has told you that something has to be done with one of your molars. The recommendation is to undergo a root canal treatment . While this approach to endodontic therapy will certainly increase the odds that the tooth will last you for quite a few more years, is this the choice you want to make? And if so, what other decisions have to be settled before your appointment day? Here are some things you should think about and only proceed once you have made the choices that are right for you.

Should I Ask Why My Dentist Recommends a Root Canal?

Absolutely. There are more root canal causes that most people realize. Your dentist likely has specific reasons for recommending this type of treatment. As the patient, you certainly want to be aware of what those reasons happen to be.

Feel free to ask your dentist direct questions. for example, what causes you to need a root canal? Why does the dentist think this particular treatment is the best option? Given what you’ve heard about risks, why is a root canal dangerous?

Your dentist will be happy to point out why you need treatment to save the tooth and why this approach will serve you better than any other solution. You’ll also learn a few facts to offset some of the myths you’ve heard about root canals. For example, you’ll learn that the risks of this treatment make it no more dangerous than any type of invasive procedure.

Read more: Dental crowns what are they and when is one needed

Do I Want to Talk About Alternative Treatments?

Satisfy your curiosity and ask the dentist about those other forms of treatments. Your goal is to get a better idea of what it is about them that make those treatments a less than ideal fit for your particular situation.

While you’re at it, ask a few more questions about having anything done at all. In the short term, what happens if you don’t get a root canal? Over the long term, what happens if you leave the root canal untreated? Can a root canal heal itself? The answers to these questions will likely reinforce your perception that the dentist is right in recommending a full root canal.

Who Will Perform the Root Canal?

In most circumstances, your general dentist will be able to manage all of the root canal treatment steps. Most likely, the procedure will take place in the same type of room where you undergo dental exams. Remember this is the type of treatment you can have done over the course of a few hours.

In some cases, your dentist may refer you to an endodontist. This is a dental professional who specializes in treating conditions involving tooth pulp as well as nerves and tissue found in a tooth. Remember that if your dentist does refer you to another professional, there is usually a reason, such as something about the X-rays that makes the dentist think there may be something other than just a standard root canal needed. Once you hear the reasons and have a better idea of what the specialist can do, it will be easy to see why agreeing to the referral is the right move.

Read more: Do you need root canal treatment

How Soon Do I Want to Have the Procedure Done?

Now that you’ve decided to move forward with the procedure, there’s the matter of scheduling the date and time for the treatment. To some extent, this depends on when the dental professional can arrange for the procedure. There’s also the need to determine the best time for you to have the work done.

Assuming there is not a pressing reason to have the procedure, mention that you have something on the schedule coming up that cannot be changed. However, you would be able to rearrange you schedule any time after you have the upcoming three weeks out of the way. That makes it possible for the dental team to check the current schedule and offer a date and time that is convenient for everyone.

How Much Time Should I Take Off Work?

You will need to ask for some time off so you can have the procedure. The question is how much time is sufficient? You already understand that it will take time for the tissue to heal and for the soreness to subside, but it’s usually not bad after a day or two. Is it really necessary to take off several days to recuperate?

Definitely arrange to take the day of the procedure off. This gives you time to recover from any lingering effects from the sedation that’s used for the actual root canal. If your dentist has reason to believe that you may have significant discomfort into the day after the procedure, asking off for two days is not out of the question.

The nature of your work may also influence how long you need to be away from the job. If your position requires a lot of lifting, the dentist may recommend having the procedure on a Thursday, taking Friday off, and giving yourself the weekend to recuperate more fully.

Read more: Everything you need know getting veneers

Who Will Drive Me To and From the Procedure?

One aspect of the process that’s not negotiable is having someone there to drive you home after the procedure is complete. While you will be awakened before allowing to leave, the lingering effects of the sedation make it unwise for you to operate any machinery for several hours. That includes driving a vehicle.You can bet that none of the root canal treatment steps will begin until the team knows there is someone waiting to take you home afterward.

Your best bet is to ask a relative or other loved one to be your driver as soon as you lock in the date and time for the appointment. Consider asking someone as a backup, just in case your first choice has an unexpected situation arise.

Should I Stock Up on the Recommended Foods Before the Procedure?

Part of the aftercare involves the types of foods you will consume the first few days. Soft foods are often recommended, since it will mean less chewing involved. Even if you plan on trying to chew on the opposite side of the mouth, it’s all too easy for foods to make it over to the root canal site. That’s not something you want to experience.

Do buy the recommended foods in advance. They’ll be in the pantry and the refrigerator when you get home and when you begin to feel a little hungry. That’s much better than trying to do any grocery shopping while you are still recovering from the sedation.

What are My Preferences for Managing the Pain During My Recovery?

How painful is root canal treatment? Some people experience a little soreness and nothing else. Others seem to have pain that they have trouble controlling. It’s best to cover all your bases, since you don’t know how much discomfort will appear.

Do talk with the dentist about the right type of over the counter products to use. An anti-inflammatory medication to help with swelling and pain that does not also thin the blood will work nicely. Go ahead and ask for some sort of prescription pain medication to go along with any oral antibiotics the dentist recommends. You can try the over the counter product first and see how it does in terms of easing the discomfort. When it’s not enough, then break out the prescription pain medication.

Remember pain and soreness are common root canal treatment side effects and nothing to worry about unless they seem to linger or appear to get worse. Any level of discomfort that seems to be beyond what the dentist indicated is grounds for making a call and coming back into the dental clinic.

Do I Want a Crown Too?

A combination of a root canal and crown is common these days. The crown helps to restore the shape of the tooth and also add more protection for the filling. You would do well to accept the dentist’s suggestion and get a crown along with the root canal.

When done properly, the addition of the crown makes it virtually impossible for anyone to know that the tooth is anything but whole and natural. That’s because the crown can be tinted to match the shade of all the surrounding teeth. As a bonus, the crown adds more stability to the tooth and helps reduce the wear and tear that comes with chewing.

What ’ s My Plan for Covering the Costs?

If you have dental coverage, there’s a good chance that it will cover the majority of the root canal treatment cost. You may have some balance remaining to pay out of pocket. That remainder can be managed with cash, a credit card, or even a medical loan if necessary. Make your payment plans in advance so you can cover your share the day of the procedure. That makes it all the easier to have the work done and not have to deal with a bill later.

Remember that a root canal is often the most practical way to save a tooth. Talk with your dentist at Markham Smile Centre , use the information to decide what to do next, and then do it. Action now will make it all the easier to be happy with the choice and be prepared to make the most of your recovery period.

Andrea Galick

Andrea is a Registered Dental Hygienist who has transitioned into a leadership role as Regional Manager, bringing together her clinical background with a strong focus on practice growth, team development, and patient experience. She began her career in dental hygiene before moving into marketing and management during her pregnancy with her daughter, combining her passion for patient care with a talent for building systems and supporting team success.

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There is an ample parking space before you get into the office. The receptionists welcome us friendly with proper COVID-19 procedures in place. The staff worked with patient very patiently and professionally. My teeth cleaning was done by Ying, she explained every detail to me and I did not feel any pain or uncomfortable at all. Thanks to the best team !

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It's been a while since I've been to a dentist but I'm trying to get back on track with health in general. Overall it was great going to Markham Smile Centre! The receptionist (I believe she was Kim) was friendly. The hygienist, Ying, was attentive and gentle during the cleaning; x-ray tech (forgot her name, sorry!) was great too. Dr. Sara Riad explained things with good detail. Looking forward to going back!

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I was someone who was nervous and anxious about visiting the dentist, but the team at Markham Smile Centre has made me feel SO comfortable. Kim is so patient and helpful and Dr. Hwang and Rory are both so professional and wonderful. They thoroughly explain the procedure to make you comfortable beforehand and are very gentle. I now look forward to visiting the dentist!

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I found this place on a whim when I was looking for a new dentist in Markham. My hygienist ying was super nice and her cleaning was very gentle yet thorough. I saw Dr.Jason and he was very nice and informative in regards to what needs to be done and provided me with all the information I needed to make a choice. Would recommend this place to anyone looking for a new dentist, they’re accepting new patients!!

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I have been to many dentists in my life, Dr. Jason is easily the best dentist I have ever been too. He does everything he can to make you comfortable no matter the procedure and is a true professional, as does all the staff at Markham Smile Centre. Truly an amazing dentistry

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The clinic was clean and the staff was very polite. I particularly liked the fact that everything was explained to me before going in for the procedure so I knew what to expect at each step. The dental hygienist who did the cleaning for me was also very gentle and took my concerns into consideration. I will definitely recommend them.

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Upon arriving to the Markham Smile Centre, my son and I were greeted with a warm welcome by the receptionists. The hygienists and Dentist were very gentle and transparent with what they were doing. The hygienist that worked on my 9 year old son was patient and very friendly with him, which helped ease his nerves. Our overall experience was A+.

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Since I was little, I have always hated going to the dentist... Its always uncomfortable and unpleasant. These days, visiting the dentist isn’t so bad! Dr Jason, Rory, and the lovely staff at reception make the experience 100x better. I have had absolutely no issues with the gum graft and cleanings that I’ve gotten done here. Everyone is incredibly friendly and helpful, even when I’m calling in or emailing a hundred questions :). I would highly recommend Markham Smile Centre.

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Joyce Lin
9 months ago
I want to preface my review with the context that I am very anxious during dental appointments. That being said, I want to thank the team at Markham Smile Centre for their care.

I have been seeing Susanne (the dental hygienist) for years. She is very gentle and accommodating to my sensitive front teeth, but I always leave with my teeth feeling thoroughly cleaned.

I recently had a fabulous experience with Dr. Rick and Erica (the dental assistant) for wisdom teeth extractions and a filling. You can tell they prioritize providing superior care. Dr. Rick was so gentle and did the extractions with almost no incisions. I had no swelling at all after the procedures. Needless to say, the filling was quick and extremely well done. I really appreciated that he took the time to explain every step and check in with me throughout. And a big thank you to Erica, who did an amazing job as well; I didn’t realize how big of a difference Bucky the stuffed Beaver would make!

And last but never least, thank you Annie and Jess for your kind greetings every visit. Your welcome smiles make a big difference.

Cheers and happy holidays!




Rishi Mistry
9 months ago
Absolutely amazing experience at the markham smile center! Dr. Camilla is genuine and gives her honest opinion on how to reach your dental goals. The entire team is awesome from the moment you step through the doors, would definitely recommend.
O B
9 months ago
Dr. Camila was truly exceptional. I’ve seen several dentists over the years and have always shared my insecurities and dislike of my smile, but she was the first who truly listened and genuinely cared. She took the time to understand my concerns and created a realistic, thoughtful treatment plan that felt achievable and tailored to me.

We’ve only just started this journey, yet the improvement after a single two-hour appointment was incredible. I walked in hating my smile and walked out unable to stop looking at my teeth. It was a complete transformation, not just in my smile, but in my confidence.

I also can’t say enough about the front desk staff and the entire team. Every single person is warm, welcoming and kind, making each visit feel comfortable from the moment you walk in. Together, this team creates an experience that truly stands out. I’m so grateful to have found this practice and highly recommend it to anyone who’s felt nervous, hesitant or insecure about their smile.
Florence Kong
10 months ago
The kindest office you’ll ever be at— I get regularly cleanings with Ying and I’ve gotten incredibly professional advice for my teeth and gum health. Dr. Camilla was fast and professional when I needed to fix some gaps in my teeth and the outcome looks amazing. Plus, reception staff like Edelyn (Sorry if I got the spelling wrong!) are truly gems you don’t find at every dental office. Highly recommended!
Christine Calanchie
10 months ago
I went to Dr. Yoo feeling nervous and blue,
A dental examination was way overdue.
Fillings, a root canal, and even a crown,
This was the plan which caused me to frown.

But the moment I walked through that bright office door,
The staff greeted me warmly – I could not ask for more.
Kind voices, big smiles, they calmed all my fears,
Made me feel like a friend who’d been coming for years!

Dr. Yoo is a wizard, a true dental star,
I thought she’d been sent from Venus or Mars.
The needle? Barely felt it, the numbing was quick,
The root canal flew by (now that’s a neat trick!).

No pain, no stress, just laughter and care,
Soft music, warm hands, and jokes in the chair.
The whole team’s a dream – they’re simply the best,
Turned my dental dread into pure happiness!

So if your tooth’s grumpy or starting to ache,
Run, don’t walk – an appointment please make!
Dr. Yoo and her crew will fix you up fine,
Five glowing stars – actually I’ll make that nine! ⭐⭐⭐⭐⭐⭐⭐⭐⭐

Thank you, Dr. Yoo, and your wonderful crew,
My smile’s never been brighter, and it’s all thanks to you! 😁
Amit Thakur
11 months ago
I’ve been visiting this dental clinic in Markham for the past three years, and I couldn’t be happier with my experience. I had a tooth extraction done by Dr. Jason, and the entire procedure was incredibly smooth and comfortable. The staff is always friendly, helpful, and very understanding, which makes every visit stress-free. The clinic has a warm and welcoming atmosphere that puts you at ease right away. I highly recommend this clinic for any dental care needs — they truly go above and beyond!
anne zh
1 year ago
Dr. Ko did my implant and crowns, and they turned out amazing! I’m so happy and excited to finally have my teeth back. He’s super professional, gentle, and really cares about his patients. Highly recommend Dr. Ko!
Dean Zhou
1 year ago
I’m in an urgent situation where I need to get my broken tooth repaired tomorrow and then have a crown placed the day after. After searching through numerous dental clinics, I finally decided to give one a try and made a call. To my surprise, the receptionist was extremely helpful and managed to schedule an emergency tooth repair surgery for me the next day. I’m really grateful to Dr. Camila or their excellent skills—my cavity was only about 1mm away from the nerve, but they still managed to fix it perfectly. They even convinced Doctor Rick for the following day to add two extra hours to the surgery, ensuring my root system was properly treated.

Overall, this clinic is incredibly advanced. They offer full dental scans that you can even create a color image of your tooth. There are several receptionists, each handling different tasks, making the clinic feel modern with a well-organized, rigorous, and efficient workflow. It’s definitely worth recommending! I’m giving it a 5-star rating and hope everyone who sees this review will visit this clinic for their dental care and procedures.

5-Star Review for Dentist Camila

I simply have to give Dr. Camila a perfect 5-star rating! I originally had an appointment for deep teeth cleaning on September 19th, but during the check-up, she found 4 to 5 cavities. The problem was—I had to leave town the following Saturday, and my schedule was so packed I could barely squeeze in any extra time. Just when I was panicking, Dr. Camila, who happened to be on duty and heard about my situation, proactively squeezed me in for treatment the next Wednesday. That thoughtfulness alone blew me away!

I’ll admit I hesitated a little at first, feeling nervous about the procedure. But over the two-hour treatment, Dr. Camila handled every dental issue with incredible professionalism. She walked me through the condition of each tooth in detail and gave clear, easy-to-follow tips on post-treatment care. When she finished, my teeth felt clean, smooth, and looked just as natural as before—all my discomfort was completely gone!

Not only is Dr. Camila incredibly kind and approachable, but her skills are truly top-tier. A huge thank you to the dental clinic for having such a responsible, patient-focused dentist. I can’t recommend Dr. Camila enough—she’s simply the best!
Ana Poon
1 year ago
I'm thoroughly impressed with Dr. Yoo's exceptional dentistry skills! She performed both my tooth extraction and filling with precision and care, making the entire experience virtually painless. I was amazed by her attention to detail and gentle approach. The procedures were seamless, and I recovered quickly within a few hours without any side effects, getting back to my normal routine and enjoying my favorite foods in no time. I wholeheartedly trust Dr. Yoo and feel fortunate to have her as my dentist – her expertise and compassionate care have earned her a loyal patient in me! I'd also like to extend my gratitude to Dr. Yoo and her entire team for their kindness, helpfulness, and warm hospitality – they made me feel at ease throughout the entire process. Thank you all for providing top-notch care in such a friendly and welcoming environment!
AManLikeJoseph
1 year ago
I had an amazing experience at Markham Smile Centre. From the moment I walked in, the front desk staff made me feel so comfortable and welcomed. They were kind, professional, and really helped ease my nerves before my appointment.

Dr. Ko did a fantastic job removing my wisdom teeth under sedation. I was really anxious going in, but he explained everything clearly, kept me calm, and the whole procedure went so smoothly. I couldn’t have asked for a better dental team.

Thank you to everyone at the office for turning something I was nervous about into a positive and stress-free experience. Highly recommend!
Cici Li
1 year ago
I went to the dentist yesterday. The receptionist was very welcoming and attentive, making me feel at ease the moment I walked in. The doctor was professional and attentive, explaining things clearly. The treatment was gentle and painless, leaving me feeling completely relaxed. It was a wonderful experience. The entire consultation was well-organized, and the environment was clean and comfortable. I'm truly grateful for their dedication and professionalism, and highly recommend them.
Ben Xue
1 year ago
I had a wonderful experience at Markham Smile Centre! From the moment I walked in, the front desk staff was warm, professional, and very welcoming. They made the check-in process smooth and stress-free.

Dr.Yoo was amazing—extremely accommodating, patient, and attentive. They took the time to listen to my concerns and made sure I fully understood everything before proceeding. It’s rare to find a dentist who is both highly skilled and genuinely caring, but this clinic definitely delivers.

Overall, I highly recommend Markham Smile Centre to anyone looking for a friendly, professional, and patient-centered dental experience.
Chris Doan
1 year ago
I've enjoyed my experience here ever since I had to come for an emergency in early 2025 and the new patient process was simple & easy.
I've needed a couple things done like root canals, fillings, cleanings, etc and everything was excellently done.
Dr. Camila is really patient, caring, and ensures my comfort during all procedures. The team is also very welcoming & making me feel like family. They assist with scheduling and reminders for appointments.
There is Nitrous oxide (laughing gas) that is available to ease large procedures that I recommend if you're covered by insurance.
Overall, couldn't ask for a better team, you won't regret it. 😀
Jason Lu
1 year ago
After going to my previous dental office downtown for over 5 years, I was pretty hesitant to make a change. But the commute eventually got to me, so I decided to give my neighborhood spot, Markham Smile Center a shot. Honestly, I’m really glad I did. Dr. Rick is super professional and takes the time to walk through everything, which made the whole experience a lot more relaxed. Susanne, the hygienist, was amazing super gentle and detail-oriented. The front desk team is was friendly and easy to deal with. Overall, i'm every happy with the switch. Highly recommended if you're looking for a solid local dental office
Jenny
1 year ago
Markham Smiles Centre is the best dental clinic I’ve ever been to!
Hygienist Ying provided an excellent cleaning—she’s very gentle and understanding. The staff are incredibly accommodating and helpful, and the doctors are fantastic. My family and I have always received top-notch care here.

Many thanks to the entire team!
Iana Alcantara
1 year ago
I had my 3 fillings done by Dr. Rick, he made it such a comfortable and pain-free experience. Not only does he have good bedside manner, but he talked me through everything he was doing. He was very precise in his work and made sure my fillings felt comfortable after.
Nancy Liang
1 year ago
Dr Rick is amazing. He is really young but seems so experienced. i didn't feel any pain during my filling appointment. im no longer nervous to go to the dentist. The front admin Zara and Edilyn was really friendly. The whole environment is very welcoming.
Zara Amiri
1 year ago
I recently had my fillings done by Dr. Camila and had a great experience. She was incredibly kind and patient, making me feel comfortable every step of the way. I really appreciated her gentle approach and would highly recommend her to anyone looking for quality dental care. Thank you Dr.Camila!
Angela Lu
1 year ago
I had a great experience with Dr. Rick Feng. He is kind, patient, and truly professional. He took the time to explain everything clearly and made sure I felt comfortable throughout the entire visit. Most importantly, he did a great job and really listened to my concerns and needs as a patient. It’s not easy to find a dentist who is both skilled and caring. Highly recommend!
Tao tao
1 year ago
I had a cavity filled at the Markham Smile Center. Dr. Rick (Feng) and his team were very helpful and professional throughout the process. I was a bit nervous at first, since seeing a new dentist can be uncertain—you don’t know if they’ll be good or not until after the procedure. Luckily, I was in good hands. They did a great job, and Dr. Rick patiently answered all my questions and concerns.

As for billing, the receptionists provided me with an estimated quote based on what they received from my insurance. My final out-of-pocket payment matched that estimate, which gave me peace of mind.
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