Root canal treatment or endodontic therapy is a normal dental procedure that is done for infections or injuries that occur in the pulp of a tooth or the soft central tissue found inside the root and center of a tooth. “Root canal” may sound like a scary term, but it’s a common procedure in modern dentistry, and it’s meant to save your natural tooth.
Whether a root canal has been on your mind or your to-do list, or your dentist has told you that you should get one but you aren’t sure exactly what it is, learning more about what it involves, the root canal cost, and how to care for yourself before and after can help you make good decisions about your dental health.
Understanding Root Canal Treatment
A root canal is a dental procedure to treat the inside of a tooth when the pulp becomes infected, inflamed, or badly decayed. The pulp may be affected by:
- Deep decay
- Multiple dental treatments in the same tooth
- Cracks or chips
- Blow or injury to the tooth (it may not be visibly damaged)
Root canal treatment removes the infected center of a tooth, then cleans and fills the space. A crown is generally placed over the tooth to restore the tooth to its original shape and size.
Root Canal vs. Extraction
When a tooth is severely damaged or infected, dental professionals often weigh two primary treatment options: root canal therapy or tooth extraction. The best option depends on the extent of the damage, the overall health of the tooth, and individual circumstances.
| Aspect | Root Canal Treatment | Tooth Extraction |
| Goal | Preserves the natural tooth by removing infected pulp | Removes the entire tooth from the mouth |
| Procedure | Involves cleaning and sealing the tooth’s interior | The tooth is gently removed from its socket |
| Healing Time | Often, a shorter recovery with minimal disruption | May involve longer healing, especially if followed by an implant or bridge |
| Follow-Up Care | Typically followed by a dental crown to restore function | May require replacement options like implants, bridges, or dentures |
| Cost | It can be more cost-effective long term if the tooth is saved | Initial cost may be lower, but replacements can add up over time |
| Insurance Coverage | Often covered partially or fully by dental insurance plans | Also commonly covered, but replacement costs vary |
When Might Extraction Be Recommended?
Tooth extraction may be considered if:
- The tooth is fractured below the gum line
- There’s insufficient tooth structure left for restoration
- There are recurring infections despite prior treatments
A licensed dentist will discuss both options and recommend a treatment plan based on your specific dental health, symptoms, and insurance considerations.
Symptoms and Signs You May Need a Root Canal
Only a professional dentist would be able to tell for sure if a root canal is needed, but here are a few signs that you should be looking for if there is something wrong.
- Persistent tooth pain
- Extended sensitivity to hot or cold
- An enlargement of the gum or swollen and sore gums
- Darkening of the tooth
- A small, pimple-like bump near the tooth being treated
These symptoms do not always mean a root canal is necessary. It is important to consult a dentist for an accurate diagnosis.
The Root Canal Process: Step-by-Step
Here’s a general overview of what patients can expect during root canal treatment:
| Step | Details |
| 1. Examination and Imaging | Your dentist will perform an exam and take X-rays to assess the extent of the damage or infection. |
| 2. Local Anesthesia | The area around the affected tooth is numbed for comfort. |
| 3. Pulp Removal | The dentist creates an opening in the tooth and removes the infected or damaged pulp. |
| 4. Cleaning and Shaping | The root canals are cleaned, disinfected, and shaped to receive a filling. |
| 5. Sealing | The canals are filled with a rubber-like material to prevent future infection. |
| 6. Restoration | A temporary or permanent filling is placed, followed by a dental crown at a later appointment if needed. |
Aftercare and Recovery
In a majority of cases, patients are back to their normal routines in 24 hours. Temporary discomfort or slight swelling may be experienced, which, if present, can be relieved with over-the-counter medication. Some dentists will suggest additional appointments to check on healing and make sure the tooth is still functioning.
Important Considerations in California
Dentists must perform a risk assessment and obtain informed consent before they can begin their work. Dentists must provide:
- A detailed description of the treatment, risks, and alternatives
- Informed consent is required from the patient before submission
- Post-care and referral details if necessary
If you receive dental coverage through Medi-Cal or through a plan such as IEHP (Inland Empire Health Plan), it’s a good idea for you to review your benefit and talk with a plan representative prior to starting treatment.
Insurance and Root Canal Cost
Root canal cost depends on the location of the tooth, the complexity and severity of the case, and insurance coverage. Dental insurance will, however, cover some or all of this procedure for those who are insured through a dental plan. And, as always, you should check with your insurance company or with your coverage provider (like IEHP) for more specific coverage details.
Conclusion
When you know exactly what’s involved in the root canal process, you might feel less anxious and more in control about caring for your teeth. If you are having symptoms, or if you have questions about what to do, a licensed dentist can advise you on the next steps.
Need Professional Guidance?
Sherman Oaks Smile Studio offers comprehensive dental services, including evaluations and treatment planning for root canal procedures. Our team is committed to supporting your oral health with care and clarity.
Disclaimer
This article is for informational purposes only and is not meant as a substitute for the professional advice provided by your physician or dentist. Please see a licensed practitioner for your issues. This information is not intended as legal or insurance advice. For specific insurance questions, please contact IEHP directly or a licensed dental insurance agent.