What Happens When Tooth Decay Reaches the Nerve?

A little tooth pain can sneak up on you. It may start with a twinge during your morning coffee or a dull ache that comes and goes. It’s easy to brush it off and hope it fades. But once decay reaches the nerve, that mild discomfort can turn into sharp, persistent pain that keeps you up at night. If that sounds familiar, it’s time to see a root canal specialist in Denville, NJ. Let’s take a closer look at what’s happening inside the tooth—and why acting quickly matters.

patient needs to see a Root Canal Specialist Denville NJ

How Tooth Decay Progresses Below the Surface

Tooth decay doesn’t stop with a cavity. If not addressed, bacteria gradually move past the outer enamel and through the dentin. Once decay breaks through to the pulp, the nerve inside your tooth becomes exposed and inflamed. That’s when things change fast.

The Role of the Pulp and Nerve

Inside every tooth is a soft core of tissue called the pulp. It houses blood vessels and nerves that help the tooth grow and function. While the nerve isn’t necessary once the tooth is mature, it’s very sensitive.

As decay reaches the pulp, inflammation kicks in, and the pain starts to increase. Hot and cold foods trigger zaps of pain, chewing becomes uncomfortable, and you might notice swelling in your gums.

Signs the Nerve Has Been Affected

By the time decay hits the nerve, you may notice:

  • Lingering pain after eating or drinking something cold or sweet
  • A dull ache that becomes sharper over time
  • Pain when biting down
  • Swelling around the affected tooth
  • Sensitivity that doesn’t go away
  • A small bump or pimple on the gums

These signs suggest the pulp is infected or inflamed, and the decay has spread deep into the tooth. At this point, a regular filling will not solve the problem.

Why a Root Canal Is Often the Best Option

Once the nerve is affected, root canal therapy is the most effective way to save the tooth. During the procedure, the infected pulp is carefully removed, the inside of the tooth is cleaned and disinfected, and a durable filling material is placed to seal it. After healing, a crown is often added to strengthen and protect the tooth.

Patients are often surprised by how straightforward and comfortable the treatment is, especially when done by a skilled provider. Modern techniques make root canals far less intimidating than their reputation suggests. Most people feel relief soon after treatment and are glad they didn’t wait.

What Happens If You Wait Too Long?

Waiting can lead to more pain and more complex problems. The infection can spread to surrounding tissues, causing abscesses, bone loss, or even systemic illness. In severe cases, the only remaining option may be extraction. Saving the tooth through a root canal is generally more predictable, less invasive, and better for your long-term oral health.

Root Canal Specialist Denville NJ

Talk to a Trusted Root Canal Specialist in Denville, NJ

Tooth decay that reaches the nerve isn’t something to brush off. The longer it lingers, the more damage it can cause. If you’re feeling persistent pain or sensitivity, it’s time to get it checked. Contact Green Leaf Dentistry to schedule an evaluation with a caring team ready to help. Getting ahead of the problem can protect your smile and your peace of mind.