A root canal removes infected tissue from inside a damaged tooth, stops the pain, and saves the tooth from extraction. The nerve and blood supply inside the tooth (called the pulp) gets infected — usually from deep decay, a crack, or repeated dental work. Without treatment, the infection spreads, the pain gets worse, and you'll eventually lose the tooth.
At Smile Dental Kondapur and Vizag, root canal treatment starts from ₹4,000 and takes 1-2 visits of 45-90 minutes each. We use electronic apex locators and rotary instruments for precision, and rubber dam isolation to keep the area clean throughout. Most patients say it felt like getting a filling — not the horror story they expected.
Get Your General Answers
You likely need a root canal if...
- Sharp or throbbing tooth pain that wakes you up at night or gets worse with hot/cold
- Pain when biting or chewing on a specific tooth
- Swelling or a small bump on the gum near a painful tooth
- A tooth that's darkened or discolored compared to surrounding teeth
- Deep cavity that's reached or is close to the nerve
- Your dentist found infection on an X-ray (even if you have no pain yet)
This works best when...
- Enough healthy tooth structure remains to restore with a crown after treatment
- The tooth is worth saving (sometimes extraction + implant is the better long-term choice)
- You can commit to getting a crown within 2-4 weeks after the root canal (uncrowned teeth crack)
- Gum disease around the tooth is manageable (severe bone loss may mean extraction is safer)
We'll tell you honestly during consultation if saving the tooth makes sense — or if extraction and replacement is the smarter investment.
Visit 1: Treatment (45-90 minutes)
- Local anesthetic — the area goes completely numb before anything starts
- Rubber dam placed around the tooth (keeps it dry and clean)
- We open the top of the tooth to access the infected pulp
- Infected tissue removed with precision rotary instruments
- Canals measured with electronic apex locator (no guessing)
- Canals cleaned, shaped, and disinfected
- Medication placed inside if infection is severe (you'll come back in 1-2 weeks)
- If infection is mild: canals filled and sealed the same visit
Visit 2 (if needed): Completion + Crown Planning
- Temporary filling removed, canals checked
- Permanent filling material placed and sealed
- Crown impression taken (or iTero 3D scan) — the crown protects the treated tooth long-term
Visit 3: Crown Fitting (1-2 weeks later)
- Temporary removed, permanent crown cemented
- Bite checked and adjusted
- Done — tooth is fully restored
During treatment
You'll feel pressure and vibration but no sharp pain. The local anesthetic works well — most patients are surprised how comfortable it is. If you're anxious, we offer sedation options so you don't have to push through anything.
First 24-48 hours after
Mild soreness is normal — like a bruise, not sharp pain. Over-the-counter ibuprofen handles it for most people. You can eat on the other side of your mouth. Avoid hard or crunchy food on the treated tooth until your crown is placed.
When to call us
Severe pain that doesn't respond to painkillers, swelling that gets worse instead of better, or fever. These are rare but we want to see you same-day if they happen.
First week
Soreness fades within 3-5 days for most patients. Avoid chewing on the treated side until your permanent crown is placed. Take prescribed medications as directed.
Until your crown is placed (2-4 weeks)
The treated tooth is fragile without a crown. Don't bite hard foods on it. Don't skip or delay your crown appointment — this is the #1 reason root canal-treated teeth crack and need extraction.
Long-term
A properly crowned root canal tooth can last 15-25 years. Normal brushing and flossing. Regular checkups. The tooth no longer has a nerve, so it won't feel pain — which means you won't get a warning signal if something goes wrong later. That's why regular X-ray monitoring matters.
Root Canal Treatment: ₹4,000 - ₹12,000
Cost varies based on:
- Which tooth: Front teeth (1 canal) are simpler and cheaper. Molars (3-4 canals) take longer and cost more.
- Infection severity: Severe infections may need 2 visits + medication between visits.
- Re-treatment: Previously treated teeth that need re-doing cost more (accessing through existing filling/crown).
The crown is separate
Root canal + crown = complete treatment. Crown costs ₹5,000-20,000 depending on material. Skipping the crown to save money is a false economy — uncrowned root canal teeth crack within 1-3 years in most cases.
Total investment: ₹9,000 - ₹32,000
Root canal (₹4,000-12,000) + crown (₹5,000-20,000). Compare this to extraction (₹2,000-5,000) + implant (₹25,000-45,000) = ₹27,000-50,000. Saving the tooth is almost always cheaper than replacing it.
The real cost of waiting
A tooth that needs a root canal today will need extraction in 6-12 months if you wait. That extraction leads to bone loss, shifting of neighboring teeth, and eventually an implant or bridge to replace what you lost.
Root canal + crown today: ₹9,000-32,000. Extraction + implant later: ₹27,000-50,000. Plus months of healing time and a more complex procedure.
The math is clear. But more than cost — it's your natural tooth. No implant, no matter how good, is as good as your own tooth properly treated and crowned.
Planning root canal treatment during your India visit
Root canal + crown typically needs 2-3 visits over 2-3 weeks — fits comfortably in most India trips.
- Visit 1: Consultation + root canal treatment (same day if possible)
- Visit 2: Crown impression (3-7 days later)
- Visit 3: Crown fitting (7-10 days after impression)
WhatsApp us your X-rays before your trip and we'll confirm if your timeline works. If it's tight, we can do the root canal here and you can get the crown fitted by a dentist abroad — though getting both done in India saves significantly on crown costs.
Cost comparison: Root canal + crown in India: ₹9,000-32,000. Same treatment in US: ₹80,000-2,50,000. In UK: ₹60,000-1,80,000.
Does a root canal hurt?
Most patients say it felt like a filling — numb, some pressure, but no sharp pain. The horror stories come from decades ago. Modern anesthetics and techniques make it comfortable. If you're anxious, sedation is available.
How long does it take?
45-90 minutes for the treatment itself. Most cases finish in 1 visit. Complex cases or severe infections may need 2 visits with medication in between.
Can I go to work after?
Yes. Most patients return to normal activity the same day. You'll be numb for 2-3 hours after, so avoid eating until sensation returns.
Why do I need a crown after?
A root canal removes the blood supply to the tooth, making it brittle over time. Without a crown, the tooth will crack — usually within 1-3 years. The crown protects it for 15-25 years.
What if the root canal fails?
Success rate is 95% when done properly. If it fails, re-treatment or a minor surgical procedure (apicoectomy) can often save the tooth. Extraction is the last resort, not the first.
Is extraction cheaper than root canal?
Short-term yes: extraction is ₹2,000-5,000 vs root canal ₹4,000-12,000. But then you need to replace the tooth — implant (₹25,000-45,000) or bridge (₹12,000-35,000). Saving the tooth almost always costs less total.
How do I know if I need a root canal vs just a filling?
If the decay or damage has reached the nerve (pulp), a filling won't work — the infection needs to be removed from inside. We'll show you on the X-ray exactly where the problem is and explain why a filling isn't enough.
