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Root canal treatment is an attempt to keep your own tooth. The prognosis is good but not absolute, and it depends on factors you can check in advance.
The pulp is the tissue at the centre of the tooth containing the nerve and blood vessels. When decay, a fracture or repeated procedures reach it, it becomes inflamed and at some point the process turns irreversible. Pain may then be spontaneous, worse at night and lingering after hot or cold, or absent altogether, since inflammation can progress without symptoms.
Left untreated, infection passes through the root tip into the bone and a periapical lesion appears. Root canal treatment removes the infected tissue, shapes and seals the canal system and keeps the tooth in place.
A systematic review of 14 studies reports survival of root treated teeth of 86% at two to three years, 93% at four to five years and 87% at eight to ten years. Success of primary root canal treatment under strict radiographic criteria is between 68% and 85%.
The same review identifies four factors that significantly improve survival: a crown placed after treatment, both proximal contacts present, the tooth not serving as a bridge or denture abutment, and the tooth not being a molar. That is why we plan the final restoration before treatment starts rather than months later.
Endodontics is led by Dr Damian Karadjov, who trained under Professor Gianluca Plotino in 2019. We isolate the working field, use mechanical canal preparation and take radiographic checks at every stage.
The price follows the number of canals: EUR 110 for a single-rooted tooth, EUR 150 for a two-rooted tooth and EUR 260 for a multi-rooted tooth. A temporary filling is EUR 35 and an interim medicated dressing is EUR 20. Retreatment ranges from EUR 100 to EUR 260 depending on complexity and the number of canals.
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Sometimes symptoms appear years later, or a radiograph shows a lesion around the root tip. The causes vary: a missed canal, incomplete filling, a fracture, or bacteria re-entering past a leaking restoration or crown.
Pooled data for root canal retreatment show success of 76.7% (95% CI 73.6 to 89.6) judged by complete healing. When retreatment through the canal is not feasible, surgery at the root tip is considered, where pooled success is 91.3% across randomised trials and 78.4% across prospective studies, with follow-up between two and thirteen years.
Stages of treatment
Usually one or two appointments; more in complex cases.
Clinical examination, vitality testing and a radiograph. Where the anatomy is complex or an additional canal is suspected, we use the on-site cone beam scanner.
Under local anaesthesia with the tooth isolated. The canals are cleaned, shaped and disinfected. Where needed a medicated dressing is placed and the tooth is temporarily sealed until the next visit.
The canal system is sealed and a check radiograph is taken. From this point the tooth is stabilised internally, but it is not yet definitively restored on the outside.
A root treated tooth is more brittle. A crown placed after treatment is among the factors that significantly improve long-term survival, so we plan it alongside the treatment rather than as a separate topic later.
Follow-up with a radiograph after a defined period, to assess healing of the bone around the root tip.
What the evidence shows
86–93%
survival of a root-treated tooth
Systematic review of 14 studies: 86% at 2–3 years, 93% at 4–5 years and 87% at 8–10 years. Four factors significantly improved survival: placement of a crown after treatment, both proximal contacts present, the tooth not serving as a bridge or denture abutment, and the tooth not being a molar.
Ng YL, Mann V, Gulabivala K. Tooth survival following non-surgical root canal treatment: a systematic review of the literature. Int Endod J 2010;43(3):171–189. (opens in a new window) · Ng YL, et al. Outcome of primary root canal treatment: systematic review of the literature — Part 1. Int Endod J 2007;40(12):921–939. (opens in a new window)
Who this is for
Good to know
Root canal treatment cannot promise an outcome. Some teeth do not heal despite correctly performed treatment, and some canal systems have anatomy that cannot be cleaned completely. Instrument separation in the canal, perforation, persistent pain after treatment and the need for retreatment or surgery are all possible.
A root treated tooth is more prone to fracture, particularly molars and particularly if it is left with only a filling. The definitive restoration is therefore not a step to postpone.
Discomfort for a few days after treatment is normal. In case of major facial swelling, difficulty breathing or swallowing, bleeding you cannot control or deterioration after the third day, seek urgent medical help or call 112.
Alternatives
For a tooth with a poor prognosis. More expensive and slower, but sometimes more predictable than treatment likely to be repeated.
After a previous treatment has failed and access through the canal is possible. EUR 100 to EUR 260 depending on complexity.
Where retreatment through the canal is not feasible. Discussed together with Dr Nevena Karadjova.
Sometimes reasonable for a wisdom tooth or a tooth with no functional value. We explain what it means for the bite.
Price
We will get back to you within one working day to arrange the time that suits you best.
| Treatment | Price |
|---|---|
| Single-rooted tooth | from €110 |
| Two-rooted tooth | from €150 |
| Multi-rooted tooth | from €260 |
| Root canal retreatment | €100–260 |
| Primary (baby) tooth | from €35 |
| Irrigation and medicament change in infected cases | from €20 |
Meet the dentist
Doctor of Dental Medicine · Prosthetic and Aesthetic Dentistry
Prosthetic and aesthetic dentistry: digital smile design, veneers, crowns, implants, aligners, bonding. Consultations in English, French and Russian.
EUR 110 for a single-rooted tooth, EUR 150 for a two-rooted tooth and EUR 260 for a multi-rooted tooth. A temporary filling is EUR 35 and an interim medicated dressing is EUR 20. Retreatment ranges from EUR 100 to EUR 260. The definitive restoration, filling or crown, is quoted separately.
The procedure is carried out under local anaesthesia and is usually well tolerated. We plan carefully and show you what to expect at every stage. Some discomfort on chewing for a few days afterwards is normal. If pain increases or swelling appears, contact the clinic.
Data from a systematic review of 14 studies show survival of 86% at two to three years, 93% at four to five years and 87% at eight to ten years. The outlook is better when the tooth receives a crown, has both proximal contacts, does not carry a bridge and is not a molar.
Not on every tooth, but for molars and heavily broken down teeth the reasoning is clear. A crown placed after treatment is among the factors that significantly improve long-term survival of root treated teeth. If a filling is sufficient for your particular tooth, we will tell you.
In most cases yes. Treatment aims to remove infection from the canal system, after which the bone around the root tip gradually heals. Healing is monitored with a radiograph after a defined period. If the lesion does not reduce, we discuss retreatment or surgery.
The clinic holds a contract with the National Health Insurance Fund. What exactly is covered depends on the type of activity, your age and your insurance status. At the examination we check what applies in your case and tell you the amount payable before treatment starts.
Two questions come up almost every time: how much will it hurt, and is it worth saving the tooth at all. This article answers both with what the evidence reports and with the actual prices.
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