Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Root canal: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Root canal treatment is an often straightforward procedure to relieve dental pain and save your teeth. Root canal treatment (endodontics) is a dental procedure used to treat infection at the centre of a tooth (the root canal system). The infection is caused by bacteria that live in the mouth and invade the tooth. This can happen after: tooth decay, leaky fillings, damage to teeth as a result of trauma, such as a fall.

Root canal treatment (RCT) and endodontic treatment are the more correct terms for a procedure that treats the nerve of the tooth. Endodontics is a specialty of dentistry that deals specifically with the tooth pulp and tissues surrounding the root of the tooth. A root canal problem may be treated by a general dentist or by an endodontist. An endodontist is a dentist who has gone to multiple years of specialty training after dental school to focus exclusively on root canal treatments. General dentists are qualified to perform root canals but may refer a patient to an endodontist if the tooth is particularly complicated or is being treated for the second time.

Endodontic therapy, also known as endodontic treatment or root canal therapy, is a treatment sequence for the infected pulp of a tooth which results in the elimination of infection and the protection of the decontaminated tooth from future microbial invasion. Root canals, and their associated pulp chamber, are the physical hollows within a tooth that are naturally inhabited by nerve tissue, blood vessels and other cellular entities. Together, these items constitute the dental pulp.

How is the treatment done?

The procedure involves removing the damaged area of the tooth (the pulp) and cleaning and disinfecting it, then filling and sealing it. Root canal treatment consists of a number of steps that take place over several office visits, depending on the situation. These steps are: The endodontist examines and x-rays the tooth, and then local anesthesia is administered to the affected tooth. A dental dam is usually placed over the affected tooth to isolate it and keep it free from saliva. The endodontist makes an opening through the back of a front tooth or the crown of a molar or pre-molar to remove the diseased pulp, called a pulpectomy. Next, the pulp chamber and root canals are cleaned and shaped in preparation for a filling. The endodontist fills the root canal with gutta percha material. If more than one visit is needed, a temporary filling is placed in the crown opening to protect the tooth between dental visits. The temporary filling is removed and the pulp chamber and root canal are permanently filled with gutta percha into each of the canals and is sealed in place with cement. Sometimes a metal or plastic rod is placed in the canal for structural support. In the final step, a crown is usually placed over the tooth to restore its natural shape and appearance. If the tooth is broken, a post may be required to build it up prior to placing a crown.

Who is eligible for the treatment? (When is the treatment done?)

Root Canal Treatment is unavoidable when the nerve or blood supply of the tooth is infected through decay or injury. The root canal procedure is performed to save a damaged or badly infected tooth, instead of extracting it. The most common causes of tooth damage or infection are, cavities occurring due to plaque accumulation, cracked or broken tooth due to any accidents or trauma, gum diseases, and repeated dental treatment to a particular tooth. These issues can cause pulp inflammation, infection and damage the pulp irreversibly. The person will at times experience excruciating pain. The pain may subside when the pulp dies, but very often returns as the infection spreads.

Who is not eligible for the treatment?

Information not available

Are there any side effects?

In some cases there is a possibility of some side effects or re-occurrence of pain. Some after effects of root canal treatment are listed below in detail.

Slight Discoloration of tooth : As nerve is removed from tooth it causes slight discoloration. And in most cases as a crown is required after root canal treatment this discoloration is never visible.

Reduced capability of treated tooth : As tooth structure is slightly weakened after Root canal treatment, it will not have its original capabilities. And it at slightly higher risk of tooth fractures compared to other tooth. Those who have tooth with Root canal treatment, should avoid eating hard food like almonds, or use other teeth to eat them.

Root canal treatment itself may fail : Root canal treatment can fail in around 5% patient. This will lead to extraction of tooth. Such failure mostly occurs because of unknown reason and it is unavoidable.

Infection : Root canal treated tooth may become infected like other teeth.

What are the post-treatment guidelines?

Below is a quick guide to making sure that the affected tooth heals quickly and returns to its normal function: Swelling, tenderness, and pain on and near the affected area are normal occurrences during the first few days following treatment. Such signs are actually indicators of your body undergoing the natural healing process. Keep in mind that pain medications may cause you to be more drowsy than usual so caution should be exercised when operating heavy machinery or when driving.

Do not attempt to bite or chew on the treated tooth until your dentist tells you that it has completely healed.

Brush and floss as you normally would, but avoid the area near the affected tooth.

Stick to a soft food diet until normal teeth function has been restored.

How long does it take to recover?

Root canals are extremely successful, and can bring real relief to a painful tooth. However, there will probably be some tenderness in and around the tooth for a few days, and perhaps even a few weeks (for most folks, it’s not very long) Remember, you just got a tooth hollowed out -- it may be sensitive for a short while. In most cases, this goes away after a few days/weeks.

What is the price of the treatment in India?

The cost of root canal varies from clinic to clinic deoebding upon the infrastructure, vincity,Doctor's Experience, Qualification etc. Normaly Price starts from INR 2000 and go upto 8000. Post root canal you require a crown which is excluded in your treatment cost, the crown pricing starts at 1500.

Are the results of the treatment permanent?

A treated and restored tooth can last a lifetime with proper care. Root canals have a high success rate.

What are the alternatives to the treatment?

Here are the alternatives: Extraction -- less expensive on short run, and very expensive long term.

Do nothing -- the tooth may eventually become un-restorable, more infected, calcified, which may end up in tooth loss or higher costs;

Implant -- not really an alternative in cases when root canal procedure can be performed because it is often more expensive. Implants are only good when root canal treatment is not possible due to extensive root decay, large fractures, severe calcification; it is not a good alternative if previous root canal treatment did not succeed.

Some dentists are ok with trying a very large filling instead of a root canal (although most won't, because the success rate is not high.)

Pulp capping offers an alternative to root canal treatments. If the tooth's nerve is still alive, pulp capping can be used to restrict the tooth decay from infiltrating the pulp chamber.

Safety: Procedure Effectiveness: High Timeliness: High Relative Risk: High Side Effects: Low Time For Recovery: Medium Price Range:

Rs. 2,000 - Rs. 1,5000

Popular Health Tips

Root Canal Procedure For Infected Tooth Nerve!

BDS (Implantologist)
Dentist, Guwahati
Root Canal Procedure For Infected Tooth Nerve!

Root canal treatment is a procedure to save or repair a decayed tooth. Without proper treatment, the decayed tooth might get infected and adversely affect the health of the gums as well as rest of the teeth. Abscessed tooth (pus formation in a tooth owing to an infection) may also pose as another major complication if this condition is not treated at the right time. In this procedure, the pulp and the nerve of the decayed tooth are removed; this absence of a nerve in your tooth should not affect your daily routine and also not inflict any pain.

When is root canal treatment needed?
Root canal treatment is only required when dental X-rays show that the pulp has been damaged by a bacterial infection. The pulp will begin to die if it's infected by bacteria, allowing the bacteria to then multiply and spread.

The symptoms of a pulp infection include:

  • pain when eating or drinking hot or cold food and drink
  • pain when biting or chewing
  • a loose tooth

As the infection progresses, these symptoms often disappear as the pulp dies. Your tooth then appears to have healed, but the infection has in fact spread through the root canal system.

Further symptoms eventually occur, such as:

  • pain when biting or chewing returning
  • swelling of the gum near the affected tooth
  • pus oozing from the affected tooth
  • facial swelling
  • the tooth becoming a darker colour

It's important to see your dentist if you develop toothache. If your tooth is infected, the pulp can't heal by itself.


Leaving the infected tooth in your mouth may make it worse. There may also be less chance of the root canal treatment working if the infection within your tooth becomes established.

Antibiotics – medication to treat bacterial infections – aren't effective in treating root canal infections.

What happens during a root canal procedure?
A root canal can be performed by an endodontist (root canalling specialist) or a dentist. To treat the infection in the root canal, the bacteria need to be removed. This can be done by either:

 

  • removing the bacteria from the root canal system (root canal treatment)
  • removing the tooth (extraction)

At the very onset, an X-ray will be performed to see the size of the infection and the condition of the surrounding gums. The dentist will then apply anesthesia on that spot. It is important to keep the spot as dry as possible. Next, the dentist will put a rubber sheet around your teeth, after which a hole will be drilled to remove the decayed tissues. After the process, you wash your teeth, either with sodium hypochlorite or normal water.

Before having root canal treatment, you'll usually be given a local anaesthetic. This means the procedure shouldn't be painful and should be no more unpleasant than having a filling.

Root canal treatment is usually successful. In about 9 out of 10 cases, a tooth can survive for up to 10 years after root canal treatment. In case you have a concern or query you can always consult an expert & get answers to your questions!

2386 people found this helpful

Root Canal Treatment

BDS
Dentist, Betul
Root Canal Treatment

When the pulp of the tooth becomes inflamed, septic or lifeless, one needs to go through the root canal treatment.

Root Canal Treatment

Dentist, Dehradun
Root Canal Treatment

Getting a good night sleep before the root canal treatment is the best way to go as it would reduce anxiety and maintain the overall well being.

When To Visit Endodontists?

Dentist, Dehradun
When To Visit Endodontists?

Patients should visit their endodontists (especially trained to perform root canal treatment) or general dentist after the root canal treatment to have proper restorative work completed on the tooth.

Root Canal Treatment

BDS
Dentist, Betul
Root Canal Treatment

After root canal treatment capping your tooth is necessary otherwise your tooth may fracture and break.

Popular Questions & Answers

Sir I completed my root canal 2 nd sitting treatment on today while eating food suddenly my teeth become to crack so what I have to do reply me sir plz.

BDS
Dentist, Raipur
Kindly visit your dentist and get a cap/crown on it to save your tooth. Till then avoid eating from that side. Brush your teeth twice daily using correct brushing technique to maintain your oral hygiene.
1 person found this helpful

Hi Sir, rct Kya hota h aur kis stage me karwaya jata h isme kitna kharch ayega. Please help me on it.

Dentist, Guwahati
Rct is root cansl treatment. In this proccdure. Nerve and soft tissue within the tooth is removed with instrument. Yhe tooth will remain in same position but no vital. It will not pose sny danger to. Regarding cost depend type of proccdure and tooth involved i. E anterior tooth or posteripr tooth also on additional surgical po proccedure. It will be better you consult endodontist, dental surgeon dealing with root canal proccedures.
1 person found this helpful

My son is 7 years old, he has to pull out a loose tooth, when applied topical anesthetic gel he felt nausea, and became normal with in 5 minutes now my doubt is he has to undergo Root canal treatment I want to know whether it is safe to undergo local anesthesia as he has experienced nausea while applying that gel .Thank you.

BDS, MDS - Periodontics
Dentist, Bhubaneswar
Go for allergy test for local anaesthesia by doing skin test. If no problem, go for RCT. Otherwise we can go for other techniques like sedation or General anesthesia. Regards
3 people found this helpful

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Whether to Save a Tooth or Extract it ?
Know how Root Canal treatment helps to save a tooth
Know how Root Canal treatment helps to save a tooth

Hi friends I am doctor Premendra Goyal. Lot of questions are asked to us about whether to save a tooth or to extract it. I will talk to you about root canal treatment today which is a treatment by which we can save your tooth and it can serve for a lifetime with good maintenance. A tooth basically is a lot of hard tissue with some tissue in the center, you can it the heart of your tooth which in our language is called as pulp and layman end up calling it something as nerve. Once that nerve or pulp portion of your tooth is exposed to the oral cavity in some way may be a fracture of your tooth, may be decay, cavities- as we call them, once the heart of your tooth, the pulp of your tooth, the nerve of your tooth is exposed to the oral cavity your tooth is in danger. Tissue goes bad, infection travels, it goes deeper and it enters your bone area.

Now to save that tooth or not that is the first question that comes to the mind. By saving that tooth we are saving the natural thing that nature has given us. We have been trying to replace or replicate what nature has given us, but 100% replication of what nature has given us is not possible till date. So the best option is always to save a natural thing, and that can be easily done by root canal treatment. In root canal treatment I will try to explain in as simple language as simple the procedure is for the patient. I will reiterate- for the patient, for the clinician or for your dentist it definitely is a process which involves a lot of intricacies but for a patient it is a very simple procedure, wherein local anesthesia is given and the area is numbed and you don t feel any pain when you undergo the treatment.

A small hole is drilled on the top of the tooth, if it is a grinder, if it is the front tooth the hole is drilled on the back side of your tooth and the nerve area is accessed. And through small instruments the inside and the root area of your tooth is cleaned, up it is shaped, it is disinfected with lot of medicaments and then it is finally filled up with artificial material and then your tooth is restored to normalcy with a cap sometimes or a post which is a support inside the root and building up with the tooth canal material or a material of your choice.

I will give you a broad overview about how a root canal treatment goes about in the pictorial representation. (Displaying pictures) Suppose this was the decayed tooth, a small opening is made on the top of the tooth, we enter the tooth with small instruments, and with the advent of newer technologies it is possible today to complete your root canal in one single sitting, a half an hour to 45 minute appointment and you can end up with a painless tooth. First the root canal is cleaned, it is disinfected with certain medicaments, a artificial filling is placed in the root and then the tooth is restored on the top. So the question of whether to save a tooth or whether to extract it ends up with a proper restored tooth which works for a very long time serving you, thank you.

For more information you can contact us via Lybrate.
Play video
Root Canal Treatment
Root Canal Treatment
Dear friends, I m Dr. Pankaj Dhawan. I m a trained Prosthodontist and Implantologist. I m practicing in Vasant Kunj, New Delhi. Today, I m going to teach you something about root canal treatment.
Our teeth are very precious to us, they are very important for us because we break our food with the help of our teeth. We would not be able to get nutrition from the teeth if we do not break the food in suto. That s why the teeth play a very important role in mastication and breakage of the food to get the nutrition to the body.

Today, I m going to tell you about root canal treatment and how to preserve the teeth. Over a period of time, because of constant use and not keeping proper hygiene, teeth do accumulate little bit of plaque and calculus around them. These are nothing but colonies of bacteria. These bacterial colonies secrete acid at night and this acid attack the calcified structure of the tooth. These cause decalcification of the teeth. This decalcification of the teeth causes the denaturing of the teeth and when this bacterial invasion goes little deeper into the teeth, we have dental cavities, we have dental caries. Dental caries is a microbial infestation of the teeth. When dental caries reaches the pulve or you may say in common words the nerve and the blood vessels of the teeth then, they cause immense pain and the pain of teeth is always unbearable.

Most of our patients in our country access dentist when they are having severe pain and extreme tenderness, therein, we have to do nothing but root canal treatment to save the teeth. Root canal treatment is a mummification of the teeth or in other words, trying to preserve the teeth without taking the juice out of the teeth. What we do is, we take the nerves and blood vessels out of the teeth, and put an inert material like Gutta Percha inside the teeth to preserve the teeth so that the teeth can function normally for rest of the time.

In metros, the root canal treatment can cost approximately 5000 Rs per teeth. In a root canal treatment the infected nerves and blood vessels are taken out with the help of rotary endodontics or hand endodontic instruments and then they are debrided, clean and all the materials which are inside are totally thoroughly clean and then, there are inert materials, used to seal the root canals of the tooth. After the sealing, the tooth is definitely needs to be capped. The capping of the teeth is important because tooth becomes brittle after root canal treatment and the cost of the cap in metro cities would be from 5000 Rs. to 15000 Rs. depending on the material used so, you may say a root canal treatment with the cap can cost you anytime between 10,000 to 15000 rupees for one teeth. It is always better to prevent the root canal by regular cleaning, visiting you dentist every six months and getting scaling and polishing done for the teeth.

For root canal treatment and crown therapy, if you need any further query, or if you need any further knowledge please feel free to contact me on the Lybrate platform.

Play video
Tips on Root Canal Treatments
Root Canal


I m Dr Mehul Chawla, practising, in Gurgaon. I m practising dentistry since 2011. Since inception, I was always into two things, first was root canal treatments and second is dental implants. Both these fields are closer to each other. Root canals help to save the tooth the implants help to replace the tooth that is spoilt. So let me just tell you briefly about root canal treatments. So root canals, a root canal is a procedure of aeronautic and causative department of dentistry. So it is a procedure to save a tooth for a long time that has been decayed due to the past neglect of the person.

In root canals, they clean the canals of the tooth with an instrument so that to make sure there is no microorganism remaining. Finally, the root of the canal is filled with dental filling material. So let's come to implant now. See implants are not very recent procedures. They are in the market for the past 30 years now but these days they are very famous in India now because the implant cost has drastically decreased.

Implants is basically a procedure to replace one or number of teeth with better than before fixed prosthesis. Also, the implants are more promising replacement options than others because it gives a success rate of more than 98%. So replacement of one tooth to the number of teeth is actually possible with the help of dental implants.

So thanks for watching me. If you wish to see me again or wish to know more about dentistry, just put on the Lybrate. You can email me, you can call me. You can go online and do the video chatting with me.

I will be very happy to share my knowledge with you.

Thanks.


Play video
About The Root Canal Treatment
Hello, everybody, I am Dr Priyanka Puri. I am an Implantologist and a cosmetic/ aesthetic specialist. I have been practising for the past 12 years now. Today we are here to discuss some common topics which everybody faces in dental. First, I would like to talk about the root canal.
A root canal is a simple procedure. Basically, in a root canal procedure, we make the tooth non-vital and in the procedure basically, there is 2-3 part of the procedure.

The first part involves the opening of the tooth.
The second part involves cleaning of the tooth nerves and the third part involves filling it with an artificial material which is bio compatible with the tooth structure and facing a cap over it for strengthening it.
And now, with latest technologies, a root canal can be done in single sitting also. When it is single sitting, the important part of single sitting is that your bone should not have any abscess or any pus discharge there. If it all it is there, then you will not probably want to finish it in a single sitting. And apart from that, the patient fears like how long the tooth will be there, how long the treatment will last for me and all those things. If you take good care of your root canal and if you maintain it well, the tooth is going to last you lifelong.

There is no issue that a patient should be facing with a root canal and then you are on your antibiotics and pain killers while you are going for a root canal procedure.

There are some symptoms which are very specific for a root canal like recurrent pain in mouth while eating, while not eating, while sleeping having shooting pain. Lot of pain while eating hot food or hard food probably that side will not be functional for the patient. So, all these symptoms also guide to a large extent that a patient is requiring or a tooth is requiring a root canal treatment.

A simple cavity is very different from a root canal with the symptoms itself. A simple cavity would not have all these symptoms aligned with it and root canal would be having these symptoms aligned with it. So, I should request all the people that you should be aware of the dental hygiene and in your mouth, if you see some cavities starting up, you should always get the preventive treatment done.

You should not wait for the decay to convert it to a root canal. Because then the tooth will be non-vital and will not help you with the preventive treatment.
Play video
What You Must Know Before You Get ROOT CANAL Treatment
What you must know before you get root canal treatment

Root canal treatment also known as endodontics is performed to treat and heal an infected or badly damaged tooth rather than removing it. When your teeth start decaying, you do not feel any pain for a very long time. However, gradually the darkening of your tooth color may become prominent which could mean that the tooth nerve is dying or has died. That's the time you will need root canal treatment which involves cleaning of the canals inside the roots of your tooth.

Why you may need the root canal treatment

Teeth consist of a soft core known as dental pulp. This pulp goes beyond the crown – the noticeable part of your tooth to the root tip inside your jawbone. The pulp contains blood vessels, nerves, and connective tissue. So when your tooth is damaged or has a severe cavity, bacteria can easily make their way through the pulp. Symptoms and signs of a sore tooth include a hole in your tooth, a swelling around the regions of your face and neck, gum swelling, tooth pain or a toothache and temperature sensitivity. If it is left untreated, the decaying material and bacteria can cause a tooth abscess or severe infection, resulting in a bone loss, pulp death and even loss of the tooth itself. The root canal treatment is the best way to save the damaged teeth and escaping the painful process of extraction.

What does the treatment involve?

The purpose of the treatment is to free your root canal from every possible infection. The root is then cleaned and filled to avoid any further infection.



Root canal treatment is a skilled procedure which is time-consuming and usually requires from 2-3 visits to your dentist.


In the initial stage, the infected pulp is isolated to drain out abscesses (if any), followed by the cleaning of your root canal which is then prepared for a temporary filling.


Your tooth is then left to settle down.


In the next visit, your tooth is checked to see whether it’s free from all forms of infection so that it can be permanently filled.



If you would like to consult with me privately, please click on 'consult'.

Related Tip: Only 6 Basics That Beat Bad Breath
Having issues? Consult a doctor for medical advice