Root canal therapy (RCT) is a common treatment used to save natural teeth that have been damaged by deep decay, infection, or trauma. While many general dentists can perform root canals, complex cases often require the expertise of a specialist—an endodontist.
If you’re searching for a root canal doctor in Washington, this guide will help you understand who’s qualified to do the procedure, what endodontists actually do, and when it makes sense to see one. We’ll also cover common questions like whether endodontists pull teeth and how they differ from other dental professionals.
What Is an RCT Specialist—and What Do They Actually Do?
An RCT specialist is a dentist who focuses on root canal therapy—also known as endodontic treatment. These specialists are called endodontists. After completing dental school, endodontists undergo advanced training to diagnose tooth pain and treat issues that affect the pulp and roots of teeth.
While general dentists can perform root canals, endodontists handle the more complicated cases—like curved root canals, persistent infections, or previously treated teeth that didn’t heal properly.
Here’s what sets endodontists apart:
- Daily focus on root canals: They perform RCTs routinely, with a high level of precision
- Retreatments: They address root canals that have failed or become re-infected
- Microsurgical procedures: Like apicoectomy (removal of the root tip) to save teeth from extraction
- Advanced diagnostics: They use dental microscopes and 3D imaging to detect problems regular X-rays can miss
You might hear them referred to as:
- Root canal doctor
- Canal specialist
- Canal doctor
- Dentist that specializes in root canals
- Dental endo (short for endodontist)
If you’re looking for an RCT specialist in Washington, rest assured that experienced endodontists are available at btyDENTAL locations across the state. Whether your case is simple or complex, you’ll be in expert hands.
Can Any Dentist Do a Root Canal?
Yes, general dentists can perform root canals—especially when the case is straightforward. In fact, many patients receive root canal therapy from their family dentist without ever needing a referral.
But when the root structure is more complicated, the infection is deep, or previous treatment has failed, it’s often best to see an endodontist. Here’s a quick breakdown:
General Dentists
- Often perform root canals on front teeth or simpler cases
- Can handle mild to moderate infections
- >May refer complex cases to an endodontist
Endodontists
- Specialize in diagnosing and treating issues inside the tooth
- Use advanced tools like dental microscopes and digital imaging
- Perform complex root canals, retreatments, and microsurgeries
So, can a dentist do a root canal? Absolutely. But if you’re looking for someone who performs them every day and is trained to handle complications, an RCT specialist—a.k.a. an endodontist—is the way to go.
At btyDENTAL Washington, we’ll assess your situation first. If it’s something your general dentist can treat, great. If not, our in-house endodontists are right here and ready to help—no need to travel to a separate specialist.
When to See an RCT Specialist in Washington
Not every toothache requires a specialist—but there are certain signs that point to the need for expert care. If you’re experiencing deep, lingering pain or you’ve been told you need a retreatment, it may be time to see an RCT specialist.
Here are a few situations where seeing an endodontist makes sense:</p>
- Severe tooth pain, especially when biting or applying pressure
- Prolonged sensitivity to hot or cold, even after the source is removed
- Swelling or infection near the tooth, gums, or jaw
- History of dental trauma that may have affected the root
- Previous root canal that didn’t heal properly
- Referral from your general dentist for a more complex case
Endodontists have the training and equipment to handle difficult root structures, microscopic canals, and infected areas that don’t show up clearly on standard imaging.
In Washington, finding an RCT specialist isn’t difficult—but finding one with the right experience and a gentle approach can make all the difference. If you’re unsure whether you need a specialist, don’t hesitate to give us a call. We’ll guide you every step of the way.
Endodontist vs. Oral Surgeon for Root Canal or Extraction
It’s easy to mix up their roles—especially when you’re dealing with tooth pain and looking for answers. Both endodontists and oral surgeons are dental specialists, but they focus on different types of care.
Endodontists:
Save natural teeth through root canal therapy and retreatments
Treat complex internal tooth issues, such as infected pulp or narrow canals
Perform apicoectomy (root tip surgery) to prevent extractions
Oral Surgeons:
Perform surgical procedures, including extractions and dental implants
Remove impacted teeth (like wisdom teeth), perform bone grafts, and manage jaw surgeries
Take over when a tooth needs to be removed or replaced entirely
The key difference? Endodontists work to preserve your tooth. Oral surgeons remove it when there’s no other option. Choosing the right specialist depends on your tooth’s condition and the treatment it needs.
If your dentist recommends a root canal but you’re unsure whether extraction might be necessary, ask about a referral. Getting the right specialist involved early can save you time, discomfort, and potentially your natural tooth.
Are There Alternatives to Root Canal Therapy?
Root canal therapy usually offers the best chance to save a tooth affected by deep decay or infection—but it’s not your only option. Your dentist or endodontist might suggest alternatives based on the damage, the tooth’s location, and your overall oral health.
Here are some common RCT alternatives:
Tooth Extraction
If the damage is too severe, your provider may recommend removing the tooth. In most cases, they’ll also suggest a replacement—like a dental implant, bridge, or partial denture.
Pulp Capping
For minor pulp exposure, your dentist may place a protective material over the pulp to encourage healing. This approach works best when caught early and may help you avoid a full root canal.
Watchful Waiting (Temporary Fillings or Meds)
If the infection isn’t urgent, your dentist might manage the symptoms with antibiotics or a temporary filling while monitoring the tooth over time.
Extraction with No Replacement
Some patients choose to remove the tooth and leave the space empty. This can lead to bite problems or shifting teeth, so it’s important to weigh the risks before making a decision.
Even if you hope to avoid a root canal, talk to your dental team. A thorough exam will help you understand whether saving the tooth is possible—and what tradeoffs come with other options.
Ready to Find the Right Care for Your Tooth?
Persistent pain, a failed root canal, or uncertainty about who to see—all of it can feel overwhelming. But understanding your options gives you control. Here’s a quick recap:
General dentists can perform root canals, but endodontists focus on the more complex cases.
RCT specialists use advanced tools and techniques to treat high-risk conditions.
Endodontists can extract teeth, but they’ll try to save them first.
Root canal alternatives do exist, but most involve removing the tooth.
A full evaluation will help you decide on the right path forward.
At btyDENTAL Washington, we make it easy to get expert care without the hassle of bouncing between clinics. Our in-house endodontists work closely with our general dentists to make sure you get the right treatment from day one.
Whether you’re considering your first root canal or want a second opinion, schedule an appointment today—we’ll help you make a decision that keeps your smile strong.
