Root canal or endodontics: the meaning, procedure, and cost

07 July · 4 minutes

Endodontics or a root canal, is a treatment for the interior of the teeth. We’ll explain in detail when a root canal is needed, how it is done and how long it lasts.

What is a root canal treatment?

You might be asking, what is the meaning or endodontics or a root canal? Well, to get started, you should know that endodontics is a treatment where the dentist removes the pulp, which is the soft tissue located inside the tooth and contains the nerve, the blood vessels and the tissue. Root canals are performed on molars and incisors alike. Removing the dental pulp and its contents, helps to manage or stop the patient’s the pain.

When do you need a root canal?

This intervention is only performed in certain cases. When the patient is experiencing pain and other symptoms that can be alleviated with a root canal, it's up to the professional to determine if they need to perform any of the following:

Root canals for a cavity

Root canals should be performed when a cavity has caused irreversible damage to the pulp causing necrosis (a dead tooth). Meaning if the tooth had decayed beyond repair, a root canal is the treatment.

Root canals for a granuloma

When a granuloma forms, it causes chronic inflammation in the tooth and surrounding tissues, requiring a root canal procedure.

Root canals for cracked or fractured tooth

In the event of a fall or an accident, the tooth can become cracked or fractured, causing pain and demanding a root canal.

Root canals for a sensitive tooth

Tooth sensitivity makes it uncomfortable and difficult to eat and drink, even foods and drinks at room temperature. So in order to avoid pain in the sensitive tooth, the dentist will perform a root canal.

Procedure and treatment steps for root canals

Before explaining how a root canal procedure is performed, it’s important to point out that the devitalization of a tooth is performed only after a specialist has carefully evaluated the case and determined that there is no less invasive solution to the patient's problem. They should notify you if the tooth is dead, decayed or damaged and explain that a root canal is the best treatment option.

Professional smiling at camera in her dental clinic

When it’s time for the root canal procedure to begin, the treatment steps will look like this:

Anesthesia

First step, anesthesia. The root canal of the molar or tooth is carried out by applying local anesthesia in the area to be treated and placing a dam to isolate the tooth from the others.

Cleaning

Next, the dentist, using the appropriate instruments, accesses the pulp of the tooth and cleans the internal cavities. They are also disinfected with special rotary instruments.

Filling

The treatment is completed by filling and compacting an insoluble and biocompatible material in the canals. In the same session, if possible, the tooth is also reconstructed.

How painful is a root canal?

The first question that most patients have is, does a root canal hurt and if so, how painful is it? Endodontics treatment is performed under local anesthesia, so the procedure is usually painless. However, in some cases root canals can cause pain or discomfort, since the patient must have their mouth open for a while.

After the anesthesia wears off, slight discomfort may also be felt. The pain usually goes away after a few days. If after a root canal the treated area hurts a lot or the pain is very bothersome or persistent, it’s best to consult a professional to find out if you can take a pain reliever.

How long does a root canal take?

If you’re wondering how long a root canal takes, the truth is this procedure, whether on tooth or a molar is a relatively simple intervention. The degree of difficulty will depend on the severity of the affected nerve, but it usually takes between one and two hours, approximately. In the most complex cases, it can take up to three hours.

How long does a root canal last?

On the flip side of how long a root canal takes, you’ll also want to know how long it lasts. If the intervention is carried out by a qualified professional and, above all, if the patient maintains correct oral hygiene, a root canal can last up to fifteen years. So when discussing how long a root canal lasts, it’s important to note that it’s up to you as the patient to extend its life. To keep it in perfect condition for as long as possible, we recommend that you carry out regular check-ups at your dentist's office.

What are the risks of root canal treatment?

Endodontics treatment is a very common and relatively simple procedure. However, in some cases and if the proper hygiene guidelines are not followed, it can lead to an infected tooth after the root canal and cause subsequent problems. Let’s take a look at the potential risks of root canal treatment.

Tooth loss

If the root canal has been performed incorrectly, a dead tooth can cause problems such as loss of that tooth.

 Dentist holding panoramic x-ray to the light

Root canal tooth gets infected

If the padding or capsule is not precisely made and fitted, it is possible for bacteria to use the remaining spaces to infiltrate again, thus creating new inflammation. If the root canal tooth becomes infected, it will need to be done again.

Tooth with root canal hurts with pressure

A tooth or molar should not cause any problems after a root canal, in fact, it should hardly hurt. A correct and professional treatment minimizes the risk of feeling pain. There may be a slight feeling of discomfort that will completely disappear in 24-48 hours. So if your root canal tooth hurts with pressure weeks or even months later, you should contact your dentist to have it checked out.

Broken root canal tooth

A devitalized tooth is much more fragile than a "living" tooth and can break. So if your root canal tooth becomes broken, contact your dentist as soon as possible to check if an encapsulation reconstruction is feasible or if it should be replaced by a dental implant.

Gum infection after root canal

Another root canal risk is infection of the gums, which could be a reaction of the body to the invasive techniques used by the dentist. In conclusion, we advise you to quickly contact your dentist if you notice inflammation, a lump or boil on your gums, or anything appearing to be an infection after a root canal.

Close up of specialist showing endodontics treatment on a dental mould

Cost of root canal treatment in the UK

The cost of a root canal treatment in the UK can vary according to several factors. However, in most cases, the price of a root canal varies between £100 to £700, approximately.

Orthodontics and endodontics

If you want to straighten your smile and are considering orthodontics, but think you might need an endodontics treatment prior to starting, we recommend that you consult a specialist. Before starting with the Impress invisible orthodontic treatment, our specialists will guide you through any needed pre-treatments, so that you can get a perfect smile, easily and comfortably. If you want more information, You can get in touch with us by WhatsApp, by phone at +44 20 3808 1072 or by filling out our online form. Our invisible orthodontics will allow you to have aligned teeth and the smile you have always dreamed of. We’ll be waiting for you at your nearest Impress clinic!

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Frequently asked questions about root canals

Can you eat after a root canal?

Normally the professional will suggest that you wait a few hours after the execution of a root canal before eating and maintain a soft diet for the next 24 hours.

How much time until I’ll need a restoration of my endodontically treated teeth?

Normally, after root canal treatment, the tooth is provisionally sealed and left under observation for about 15 days, after which the definitive reconstruction is carried out.

How do I know if I need a root canal or an extraction?

A professional must evaluate each particular case and determine which procedure is the most appropriate for the patient and if it’s the case to execute an extraction or a root canal.

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