Endodontics (root canal treatment)
We save teeth with an infected or inflamed pulp through modern root canal treatment performed under the microscope — precise, safe and comfortable.
- Microscope-assisted treatment
- Saves the natural tooth
- Effective local anaesthesia
- High precision
Root canal treatment (endodontics) removes the infected tissue from inside the tooth, disinfects the canals and seals them tightly. Working under the microscope allows us to find and treat fine canals that are hard to see with the naked eye.
We use modern rotary instruments and effective anaesthesia — in most cases, the procedure is painless. A tooth that has had correct root canal treatment can last for many years, usually protected afterwards with a crown.
What endodontics is and when it becomes necessary
Endodontics is the branch of dentistry that deals with the inside of the tooth: the pulp, the tissue containing nerves and blood vessels, and the root canals that house it. When the pulp becomes infected or irreversibly inflamed, the only two options are root canal treatment or extraction. Endodontics exists so that it does not come to the second.
The most common cause is decay that has reached the pulp. Next come injuries, even ones from years ago, cracks, and restorations under which an infection has developed. Sometimes the tooth hurts intensely; at other times it does not hurt at all and the infection is visible only on an X-ray.
- Spontaneous pain, especially at night
- Prolonged sensitivity to heat that does not go away once the stimulus is removed
- Pain when biting or when the tooth is touched
- Swelling of the gum or cheek
- Discolouration of a single tooth
Root canal treatment under the microscope, step by step
The appointment starts with anaesthesia and isolation of the tooth with a rubber dam, a sheet that keeps saliva away from the working area. Without isolation, the canals become recontaminated during treatment, and the price is paid later with a retreatment.
Under the microscope, all the canals are located, cleaned mechanically and chemically, then sealed tightly. The difference from the conventional method is not the dentist's comfort but the canals that would otherwise go undetected: the fourth canal of an upper molar, for example, is frequently missed with the naked eye, and an untreated canal means an infection that persists.
The number of appointments depends on the infection. A simple case can be completed in a single visit; a tooth with an abscess or a retreatment usually needs two or three.
Endodontic retreatment: when treatment has to be redone
A root canal treatment can fail after years. The usual reasons are a canal left untreated, an incomplete root filling, a crack that has appeared in the meantime or recontamination beneath a restoration that is no longer sealed.
Retreatment means removing the old material, cleaning the canals again and resealing them. It is more laborious than the initial treatment and does not always succeed. When it does not, the alternatives are apical surgery or extraction followed by an implant.
What happens if you delay
A pulp infection does not heal on its own and does not regress. It spreads to the bone around the root, where it forms a granuloma or a cyst, and can develop into an abscess with swelling and fever.
When the pain goes away by itself, that is not good news. It usually means the nerve has died and the infection is continuing silently. A tooth treated in time can be saved; one left for months frequently ends up being extracted.
What it includes
- ✓Root canal treatment under the microscope
- ✓Endodontic retreatment
- ✓Treatment of dental abscesses
- ✓Apexification / apexogenesis
- ✓Removal of fractured instruments
Endodontics (root canal treatment) prices
Indicative fees for endodontics (root canal treatment) at Smile by Ada, Bucharest. The final price is confirmed at your consultation and depends on the complexity of your case.
- 750 lei≈ €140
Root canal treatment, 1 root
- 850 lei≈ €160
Root canal treatment, 2 roots
- 1,100 lei≈ €210
Root canal treatment, 3 roots
- 850 lei≈ €160
Root canal retreatment, 1–2 canals
- 1,300 lei≈ €245
Root canal retreatment, 3–4 canals
- 550 lei≈ €105
Glass-fibre post
- 500 lei≈ €95
Removal of a foreign body from the canals
Fees are charged in Romanian lei (RON). Euro amounts are approximate, at today's National Bank of Romania rate.
See all dental prices →Dr. Ramona Panaite
Specialist in endodontics
Precision root canal treatment — including complex retreatments, to save teeth that might otherwise be extracted.
Frequently asked questions
Does root canal treatment hurt?
With modern anaesthesia, the procedure is generally painless. The pain you feel beforehand comes from the infection — root canal treatment eliminates it.
Why do I need a crown after root canal treatment?
A root-filled tooth becomes more brittle. A crown (or, in some cases, a build-up restoration) protects it from fracture and extends its lifespan.
How many appointments does root canal treatment take?
A simple case can be completed in a single appointment. A tooth with an abscess or a retreatment usually needs two or three. The number is not set in advance but depends on how the infection responds.
What is endodontic retreatment?
Redoing a root canal treatment that has failed: the old material is removed, and the canals are cleaned again and resealed. It is more laborious than the initial treatment and does not succeed in every case.
Why is a microscope used?
To see the fine canals that are missed with the naked eye. The fourth canal of an upper molar is the classic example, and an untreated canal means an infection that persists after treatment.
My tooth no longer hurts. Do I still need treatment?
Most likely, yes. When the pain disappears, it usually means the nerve has died, not that the infection has gone. The infection continues into the bone around the root, where it shows up on an X-ray.
Sources and references
The information above is for education only and does not replace a medical consultation.