First and foremost, all our root canals are performed with dental anesthetics and the option of dental sedation in varying levels. Prior to your root canal appointment, you can discuss the possibility of dental sedation, as well as which level of sedation is best for you. Root canals will only begin once the dental anesthetic is actively making your mouth numb to ensure your comfort. To access the inside of your tooth, a dental drill will be used to make a small access hole in the top of your tooth. The remainder of the procedure will be performed through this hole. Once inside the tooth, the decayed and infected tissue will be removed from the pulp chamber and root canals using different sizes of root canal files. Depending on how small and curved your root canals are, this step may take awhile while your dentist carefully cleans out the root canals. After removing all the decayed and infected tissue, the remaining chamber and canals will be flushed with a microbial solution to reduce the risk of developing decay in the future.