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Root Canal Treatment: Who and What Is Involved?

General Care  ·  June 2026  ·  7 min read

Root Canal Treatment: Who and What Is Involved?

What root canal treatment involves, from diagnosis through recovery, plus costs and alternatives. Sola Dental Spa in Staten Island explains what to expect at every step.

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Root canal treatment removes infected or inflamed pulp from inside a tooth so the natural tooth can be saved instead of extracted. The procedure is performed under local anesthesia, usually takes one to two office visits, and is often more cost effective over time than extracting the tooth and replacing it later. At Sola Dental Spa in Staten Island, our team walks you through every step so you know exactly what to expect.

What Is Root Canal Treatment and Why Is It Needed?

Root canal treatment, often called RCT, saves a tooth that has become infected or severely damaged. The pulp inside your tooth, which contains nerves and blood vessels, can become infected from deep decay, a cracked or chipped tooth, or repeated dental work on the same tooth. Left untreated, that infection can cause significant pain, lead to an abscess, and eventually cost you the tooth.

During treatment, your dentist or an endodontic specialist removes the infected pulp, cleans and disinfects the space inside the tooth, then fills and seals it. In more involved cases, a prosthodontist may also be part of restoring the tooth afterward.

What Happens During a Root Canal? Step by Step

  1. Diagnosis and anesthesia. Your dentist takes X-rays to confirm the infection and numbs the area completely before starting.
  2. Access opening. A small opening is made in the crown of the tooth to reach the pulp chamber.
  3. Pulp removal and cleaning. Fine instruments remove the infected pulp and clean and shape the root canals.
  4. Disinfection and filling. The canals are disinfected, then filled with a biocompatible material and sealed.
  5. Restoration. A temporary filling protects the tooth until a crown, if needed, is placed to restore its full function, particularly for back teeth that handle heavy chewing forces.

Will a Root Canal Hurt?

Local anesthesia is used throughout the procedure, so you should not feel pain during treatment. For patients with dental anxiety, we also offer additional comfort options to help you relax. Afterward, mild sensitivity or soreness for a few days is common and typically manageable with over-the-counter pain relievers.

“An infected tooth does not heal on its own, and waiting rarely makes treatment simpler. Root canal treatment lets us remove the infection, relieve the pain, and keep your natural tooth doing its job for years to come.”

Dr. Anne Gershkowitz, DDS, Founder, Sola Dental Spa

What Does a Root Canal Cost?

Cost depends on which tooth is treated and whether a crown or other restoration is needed afterward. Front teeth and premolars are generally simpler to treat than molars, which have more roots and more complex anatomy.

What Affects the Cost of Root Canal Treatment
Procedure ComponentPurpose
Root canal on a front tooth or premolarRemoval of infected pulp, cleaning, and sealing of the root canal
Root canal on a molarMore involved due to multiple roots and complex anatomy
Post and core, if neededProvides structural support for a crown when significant tooth structure is lost
Dental crownProtects the treated tooth from fracture and restores its appearance

We recommend discussing your specific case and insurance benefits with our office team so you have a clear picture of your out-of-pocket cost before treatment begins.

What Happens After Treatment?

Following your root canal, mild sensitivity for a few days is normal, especially if there was significant infection beforehand. This is typically managed with over-the-counter pain relievers, and our team provides detailed post-care instructions. If you experience severe pain, swelling, or symptoms that worsen instead of improve, contact Sola Dental Spa right away so we can evaluate the tooth.

What Are the Alternatives to a Root Canal?

When a tooth is too damaged or infected to save, extraction is the main alternative. If a tooth is extracted, replacing it helps prevent bone loss and shifting of the surrounding teeth. Options include a dental bridge or a dental implant, both of which our team can discuss with you based on your specific situation.

Why Choose Sola Dental Spa for Root Canal Treatment?

Root canal treatment has a reputation for being unpleasant that does not match the modern procedure. At Sola Dental Spa in Staten Island, our team combines careful anesthesia, a calm treatment environment, and clear communication throughout the appointment so you know what is happening at every step. Dr. Anne Gershkowitz and our team focus on getting you out of pain quickly while giving your natural tooth the best chance to stay healthy for the long run.

Frequently asked questions

How many visits does a root canal take?

Most root canals are completed in one to two office visits, depending on the tooth and the extent of the infection.

Can I go back to work after a root canal?

Many patients return to normal activities the same day, though it is wise to avoid chewing on the treated side until any numbness wears off and to plan for possible mild soreness afterward.

What happens if I skip treatment for an infected tooth?

The infection will not resolve on its own. Left untreated, it can spread, cause an abscess, and eventually lead to loss of the tooth, at which point extraction and replacement become the only remaining options.

Will I need a crown after my root canal?

Often, yes, especially for molars that handle significant chewing force. A crown protects the treated tooth from fracture and restores its full function.

Is root canal treatment covered by insurance?

Coverage varies by plan. Our office team can help you understand your specific benefits and discuss payment options before treatment begins.

A successful root canal can save your natural tooth, eliminate pain, and protect your oral health for years to come. If you are experiencing tooth pain or have questions about treatment, schedule a consultation with our team at Sola Dental Spa in Staten Island.

Sources

Medically reviewed by
Dr. Anne Gershkowitz, DDS

Founder of Sola Dental Spa in Staten Island, with 20+ years in veneers and smile design. Reviewed for clinical accuracy.

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