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    pink loader

    Root Canal Treatment - Procedure, Side Effects and Cost

    • 4.5   (1 Votes)
    Medically Reviewed by Dr. Deepika Tiwari - MS, MBBS on 23 Aug 2019 - Written by Dr. Mamta Pattnayak - MBBS, MD - Grammatically Approved by Dr. Kavita Jaggi Agrawal - MS, MBBS

    Root Canal Treatment is crucial when the center portion of the tooth, known as pulp gets infected. Root canal procedure includes inserting anesthesia to crowing the tooth with a temporary or permanent crown. Person suffering from diabetes, high blood pressure, infection, and fever cannot undergo RCT.

    Root Canal Treatment (RCT) is important when the middle part within the tooth known as the pulp, that houses blood vessels, nerves and living connective tissues, becomes infected. The Root Canal Treatment is implemented to save a damaged or badly infected tooth, instead of plucking it. This procedure is performed by an endodontist or by a root canal specialist. The most common causes of having tooth damage or infection are cavities that occur due to plaque accumulation, broken or cracked tooth due to an accident or trauma, gum diseases, or repeated dental treatment to a specific tooth. These issues can cause pulp inflammation or infection and damage the pulp permanently. The person will, at times, experience severe pain in his infected tooth. The pain may diminish when the pulp dies but rarely returns as the infection spread. (2) (1)

    In this article, we will get to know about:

    What is a Root Canal Treatment (RCT)?

    It is suggested to everyone that if you experience a toothache or gum pain then you can also see a general dentist immediately. However, if anyone is thinking about how to remove plaque from teeth then he/she can undergo scaling procedure. The entire root canal procedure may take place in one sitting, and at multiple times 2 or 3 sessions of Root Canal treatment depends on the condition of the tooth of a person. Each sitting may last for at least 30 - 90 minutes. RCT is a simple procedure with relatively little or no discomfort. (3) (4) (5) 

    • Step 1: Local Anesthesia is injected - At the outset, local anesthesia is executed to the tooth, which is infected and has to be treated.
    • Step 2: Access the pulp chamber through drilling - After injecting the anesthesia the tooth and the surrounding areas of the tooth become numb, then the endodontist drills an opening through the crown or at the harsh surface of the tooth to access the pulp chamber. If it is a front tooth then the endodontist drills an opening from behind the infected tooth.
    • Step 3: Endodontist cleans the infection - Using some special files the endodontist cleans out the infected portion or diseased portion and dead pulp from the canals. The root canal procedure does not cause any pain as the area is numb due to the anesthesia, and the removed tissue is dead.
    • Step 4: Use of Disinfectants – Once, the endodontist removes all the infected portion and dead tissue then the canals are cleaned with the use of disinfectants. The commonly used disinfectant by the endodontist is Sodium hypochlorite (NaOCL).
    • Step 5: Shaping of Canals - The Endodontist then shapes the canals with the help of fine instruments. After shaping of the canals, it is filled with the root canal filling, which is known as gutta-percha and then seals the canal. During the process of shaping and filling of canals, irrigation method is used to wash and clean the canals and eliminate the debris, before filling and sealing the tooth is root canal treatment (RCT).
    • Step 6: Temporary coverage - A temporary cover material, which works as a seal is then placed above the gutta-percha. This covering material is kept in place as a temporary seal which is placed on the top of gutta-percha, till a permanent crown or a cap is fitted at top of the treated tooth.
    • Step 7: Permanent crown - At times, a post is added to the canal next to the gutta-percha to give the crown more support. After getting the permanent crown the endodontist inserts the permanent crown by replacing the temporary crown at the top of the treated tooth in root canal treatment. The crown is then cemented in the place so that it never displace. (6)

    Note: It usually takes a week to completely recover after a successful Root Canal Treatment.

    Side Effects of Root Canal Procedure

    A common side effect of root canal treatment (RCT) is a dull pain in the tooth after following the root canal procedure. It usually ends within a week after the treatment is done successfully. However, if any bacteria remain even after the completion of the procedure then the tooth infection may begin again. Therefore, it is suggested to go to the doctor if the tooth pain stops after a few days of the procedure and recurs again.

    ide Effects of Root Canal Procedure

    • At times, there could be a crack or damage at the root of the tooth, which does not get noticed by the endodontist. If so, the crack or damage may leave the area exposed to bacteria and infection.
    • The crown fixed at the top of gutta-percha may loosen, which exposes the treated tooth. If the seal is left exposed then the tooth may erode leaving the way for the bacteria or infection to enter the treated tooth again.
    • If the crown displaces from its place then you need to get it fixed at your dentist’s immediately.
    • If your endodontist uses defective materials during the filling process then they may erode which may lead to bacterial infection again.

    Who is not fit for Root Canal Procedure?

    Some of the people, who are suffering from the below-mentioned diseases, cannot pursue root canal treatment such as (7):

    • Person suffering from diabetes cannot undergo root canal treatment.
    • Person who takes blood thinners then, in that case, the endodontist may ask you to stop taking blood thinners for some days.
    • Person who has a problem of high blood pressure or hypertension then he/she is not eligible to undergo root canal treatment.
    • A person suffering from various autoimmune diseases such as rheumatoid arthritis, celiac disease, lupus, temporal arteritis, type 1 diabetes, and Sjogren’s syndrome is not fit for root canal treatment.
    • A person suffering from infections and fever can also not undergo.
    • A person suffering from Osteoporosis cannot undergo this treatment.

    Guidelines after Root Canal Treatment

    Post-treatment Guidelines after Root Canal Treatment

    Some post-treatment guidelines after completion of root canal treatment include:

    • Antibiotics advised by the dentist or endodontist. (8)
    • It is extremely important to maintain good oral hygiene, with regular brushing and teeth flossing.
    • It is suggested to not eat or drink anything for a couple of hours after completion of root canal treatment. Since the treated area is numb due to the given anesthesia, therefore, there are chances of accidentally biting your teeth or tongue while eating. You can eat after the numbness of your teeth and teeth surrounding wears off.
    • Avoid hard and crunchy foods for some days after undergoing a root canal treatment.
    • If the opening on your teeth has been filled with temporary filling then there are chances that some of the fillings may come out in between the appointments. If the entire filling comes out then you need to consult your dentist or endodontist immediately.

    Cost of Root Canal Treatment

    The Cost of Root Canal Treatment is mentioned in the below table, it shows the cost of root canal treatment as well as the price of crown or cap separately. (9) (10)


    Price in Rupees

    Price of Root Canal Treatment

    Rs. 2,000

    Price of Crown or cap

    Rs. 3,000 – Rs. 4,500 (additional)

    Total Cost of Root Canal Treatment

    Rs. 5, 000-Rs. 5, 500 (approx.)

    This article includes information related to root canal treatment, the procedure of root canal treatment, side effects of root canal treatment, person fit for root canal procedure, post-treatment guidelines for root canal treatment and total cost of root canal treatment. Moreover, to know anything related to infertility treatments such as IVF, IUI, ICSI, TESA, MESA or surrogacy, you can contact us at +918929020600 or else you can visit

    Dr. Mamta Pattnayak

    Written by

    MBBS, MD
    Obstetrician, Laparoscopic Surgeon
    Dr. Mamta Pattnayak is a gynaecologist, infertility specialist and obstetrician with illustrious experience of many years. She completed MBBS from SCB Medical college in 1999 and pursued MD in 2003. She is a member of the Association of Obstetricians and Gynaecologists of Delhi and American Association of Gynaecological Endoscopy. She holds her expertise in PCOD Treatment, Laparoscopic Surgery and Myomectomy, High-Risk Pregnancy Care, Normal Vaginal Delivery. Dr. Mamta Pattnayak is an Intrauterine Insemination (IUI) specialist and is practising at Aro Health in Gurgaon. You can find the contact details of Dr. Mamta Pattnayak at



    1 Comment


    Jograj Dasgupta

    Jan. 30, 2019, 2:18 p.m. 4.5

    Leave a Comment



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