This blog post clarifies the distinctions between general dentists and endodontists in performing root canal procedures, outlining their respective training, tools, and typical case complexities. It is worth noting that the endodontists invest several more years in focused training after becoming general dentists, which thoroughly equips them for advanced treatments.
General dentists can and do perform root canals, especially for single-rooted teeth like front teeth or relatively simple molar cases.
Standard dental hand files for cleaning the canals manually.
Basic digital X-rays to check canal shape and verify cleanliness.
Typically, no surgical microscope, relying instead on direct vision or loupes (magnifying glasses).
May use rotary tools, but not always the most advanced systems.
More likely to refer difficult or multi-rooted cases to a specialist.
May take longer and require multiple visits, especially for molars.
Success rate is good, but can be lower than that of a specialist in complex cases.
Endodontists are specialists in diagnosing and treating tooth pain and performing root canals — often handling the most complex and high-risk cases.
Surgical operating microscope: Offers up to 25x magnification, allowing precise visualization of tiny canals, fractures, or missed anatomy.
3D Cone Beam CT imaging: Advanced scanning to see root structure and diagnose hidden infections.
Nickel-titanium rotary instruments: Flexible, efficient, and shape canals with less risk of breakage.
Ultrasonic instruments: For better cleaning of intricate canal spaces.
Enhanced irrigation systems, like EndoActivator or GentleWave, for deep disinfection.
Typically, quicker, and more efficient, sometimes completing treatment in a single visit.
Higher success rates, especially in previously failed root canals or molars with complex anatomy.
Costs are higher, but may reduce the risk of needing retreatment or extraction.
While general dentists are often perfectly capable of handling routine root canals, an endodontist brings specialized tools, deeper experience, and enhanced precision—especially valuable for molars, re-treatments, or tricky root systems. If your case is straightforward and you are comfortable with your general dentist, it's okay to proceed with them.
But if the tooth has:
Severe pain or infection
Multiple or curved roots
A previous failed root canal
Or you simply want the highest level of precision
...then seeing an endodontist might be the wisest path forward.