Can I actually need a root canal without experiencing any pain presently?
Yes. In one situation, you can have a living and fairly healthy nerve that has been reached by decay. Early in that process, there are no symptoms, but when the decay is removed by a dentist, the nerve is additionally irritated such that it will not survive and will eventually become painful. In the second situation, a nerve that has already died can actually remain painless for years. It can even cause the loss of bone around the root tips without pain. This situation is unusual and is detected by x-ray during a routine examination.
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