Saving your natural tooth
During a root canal, the infected or damaged pulp inside the tooth is removed, and the space is cleaned and filled with a biocompatible dental material. This restores the tooth to full function while eliminating the source of pain and infection.
Keeping your natural tooth wherever possible also helps preserve the surrounding jawbone and supporting tissue, which can deteriorate after an extraction. Treating the problem early is almost always less involved and less costly than the alternatives down the road.
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Signs that a root canal may be needed include:
- Sensitivity to hot or cold that lingers after the source is removed.
- Severe or persistent toothache.
- Red, swollen, or tender gums near a specific tooth.
- Visible darkening or discoloration of the tooth.
- A pimple-like abscess on the gums that may drain or recur.
If you are experiencing any of these symptoms, it is worth having the tooth evaluated as soon as possible. Dental infections do not resolve on their own.
What to expect during root canal treatment
A root canal typically requires one or two appointments depending on the severity of the infection. Dr. Josh Neubauer takes a thorough, step-by-step approach to ensure the tooth is fully treated and your comfort is prioritized throughout.
Diagnosis and treatment planning
The first step is taking an X-ray of the tooth and surrounding bone to assess the extent of the infection. If significant inflammation is present, antibiotics may be prescribed beforehand to reduce swelling. Managing this before the procedure helps minimize discomfort during treatment.
Preparing the tooth
Once you are comfortable and the area is fully numbed, a small access opening is made in the tooth. The infected pulp, bacteria, and damaged nerve tissue are then carefully removed from the root canals, which are also shaped and cleaned in preparation for sealing.
Sealing the tooth
If infection was extensive, a medicated material may be placed inside the tooth between visits to ensure it is fully clear before sealing. A temporary filling protects the tooth in the meantime. Once the tooth is confirmed healthy, it is permanently sealed. In most cases, a dental crown is recommended afterward to protect and restore the tooth’s full strength.
Cost of a root canal in Charlotte, NC
Saving a tooth with a root canal is generally more cost-effective in the long run than extracting it and replacing it later. With dental insurance, most patients pay an out-of-pocket cost of approximately $200 to $500 or more depending on their plan. Without insurance, treatment typically ranges from $600 to $1,200 or more.
Several factors affect the final cost:
- The severity and extent of the infection.
- Which tooth is being treated and its location in the mouth.
- The condition of the surrounding teeth and gum tissue.
- Whether additional complexity requires more time or specialized care.
An accurate quote can only be provided after a proper oral exam. Every case is different, and a phone estimate would not reflect your actual situation.
Is extraction an alternative to a root canal?
A dental infection is a serious health concern that requires prompt treatment. While some patients consider extraction to avoid a root canal, removing the tooth creates its own set of challenges, including bone loss at the extraction site and the eventual need for a dental implant or dental bridge to restore function.
If you have concerns about undergoing a root canal, those concerns are worth discussing openly. No procedure will be performed without your full understanding and consent, and all available options will be explained so you can make an informed decision.
Schedule your exam and consultation
Your visit begins with a thorough examination of your teeth, gums, soft tissues, and bite. We want to understand the full picture of your oral health before recommending any course of treatment.
Before moving forward, we take the time to learn about your health history, any concerns you may have, and what you’re hoping to achieve. Our goal is to make sure you feel informed and comfortable every step of the way. Contact us today to book your appointment.
Frequently Asked Questions
Most patients are surprised by how manageable a root canal is with modern anesthesia. The procedure itself should not be painful. Some tenderness in the area for a few days afterward is normal and typically resolves with over-the-counter pain relief. The infection causing your symptoms is usually far more uncomfortable than the treatment itself.
Most root canals can be completed in one to two appointments. A straightforward case on a front tooth may take under an hour, while a molar with multiple canals or a more complex infection may require additional time or a follow-up visit. Your dentist will give you a clearer timeline after reviewing your X-rays.
A tooth infection will not clear up without treatment. Left untreated, the infection can spread to the surrounding bone, neighboring teeth, and in serious cases, other areas of the body. Early treatment is always better for both your oral health and your overall wellbeing.
In most cases, yes. After a root canal, the tooth becomes more brittle and is at greater risk of cracking under normal chewing pressure. A dental crown placed over the treated tooth restores its strength and protects it from further damage. Your dentist will advise whether a crown is appropriate for your specific situation.
It is uncommon but possible. A tooth that has been treated can occasionally become reinfected if the seal breaks down, a crack develops, or new decay forms around the restoration. Attending regular teeth cleanings and checkups helps catch any early signs of a problem before they progress.
General tooth sensitivity treatment addresses discomfort from worn enamel or exposed roots, which tends to be a brief, sharp sensation. An infected tooth more often causes a lingering ache, throbbing pain, swelling, or sensitivity that does not subside. If you are unsure, it is always worth having the tooth examined rather than waiting to see if it improves on its own.
It is completely understandable to feel anxious about dental procedures. Discussing your concerns with your dentist before the appointment is a good first step. Sedation options may be available to help you feel more at ease during treatment. The goal is to make sure you feel informed and comfortable before anything begins.
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