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Root canal treatment

A root canal treatment removes the infected nerve from inside a tooth, disinfects the space and seals it — which stops the pain and lets you keep the tooth instead of having it pulled out.

The essentials

Does it hurt?
The tooth is fully numbed first, so the treatment itself should not hurt — the pain you arrived with is usually the worst of it, and it goes. The tooth can feel tender to bite on for a few days afterwards while the surrounding ligament settles, which is normal and temporary.
How long does it take?
Often a single appointment of around an hour for a straightforward front tooth; sometimes two visits for a molar with several canals or an active infection that needs a medicated dressing first. The crown is a separate short visit after that.
What does it cost?
Cost depends on which tooth it is — a front tooth has one canal, a molar can have four — and whether a crown is needed on top. Both are quoted together after the X-ray so there is no second surprise later. The examination and the X-ray that produce those figures happen at the first consultation.

Who this is for

  • A tooth is throbbing, keeping you awake, or aches for minutes after something hot or cold
  • There is swelling near a tooth, or a bad taste that keeps coming back
  • A dentist has told you a tooth is badly decayed but might still be saved

The reputation is out of date

Root canals are the treatment people dread most, and that reputation was earned decades ago with older anaesthetics and older instruments. The modern version is a long appointment, not a painful one.

Here is the part that gets lost: you are usually in severe pain when you arrive. The treatment is what stops it. People often describe the relief as starting the same evening.

What is actually happening in there

Inside every tooth is a soft core of nerve and blood vessels. When decay or a crack lets bacteria reach it, that tissue becomes infected, and because it is sealed inside a hard tooth the pressure has nowhere to go. That is the throbbing.

The treatment cleans that space out completely, shapes the narrow canals in the roots, and fills them with a sealing material. The tooth stays in your jaw. It just no longer has a living nerve inside it.

Why the crown afterwards is not optional

A tooth that has had a root canal is more brittle than a living one, and back teeth take a great deal of force. Left unprotected, a treated tooth can crack — and a cracked root-treated tooth usually cannot be saved a second time.

So a crown, fitted after the canal is sealed, is part of the treatment rather than an upsell. Crown and bridge work is Dr. Prasenjit Dey's postgraduate specialism, and the two halves are planned together.

What happens, in order

  1. 01

    X-ray and anaesthetic

    The tooth is X-rayed to map the roots, then fully numbed before anything begins.

  2. 02

    Cleaning the canals

    The infected tissue is removed and the canals are disinfected and shaped.

  3. 03

    Sealing

    The canals are filled and sealed so bacteria cannot get back in.

  4. 04

    The crown

    The tooth is capped to protect it from cracking under normal chewing force.

Root Canal Treatment — common questions

Does a root canal hurt?
No — the tooth is completely numbed with local anaesthetic before the treatment starts, so you should not feel pain during it. The severe pain most people associate with root canals is the infection that brings them in, and the treatment is what removes it. Expect the tooth to feel bruised and tender to bite on for a few days afterwards, which ordinary painkillers manage.
How much does a root canal cost in Silchar?
RCT cost varies by tooth, because a front tooth has a single canal and a back molar can have four, and it is quoted after an X-ray at The Dental Tree. The crown that protects the tooth afterwards is quoted at the same time, so you see the full figure rather than half of it. Ask what the consultation itself costs when you book — it is not printed here, because the clinic has not published it and a guessed figure would be worse than none.
How many visits does a root canal take?
Often one appointment of about an hour, and sometimes two. A single-canal front tooth is frequently finished in one visit; a molar with several canals, or a tooth with an active abscess that needs a medicated dressing to settle first, is usually two. The crown is a separate short appointment after the canal work is sealed.
Is it better to have a root canal or just remove the tooth?
Keeping your own tooth is almost always the better outcome, and that is what a root canal is for. An extraction is cheaper on the day but leaves a gap that shifts the neighbouring teeth, and replacing it later with an implant or bridge costs considerably more than the root canal would have. Extraction is the right answer when the tooth is cracked below the gum or too little of it remains to rebuild.
Can I eat after a root canal?
Yes, but wait until the numbness has fully worn off — an anaesthetised cheek is very easy to bite. For the first few days favour the other side and avoid anything hard on the treated tooth, especially before the crown is fitted, because an unprotected root-treated tooth is at its most vulnerable to cracking.
Do I really need a crown after a root canal?
For back teeth, yes — a root-treated tooth is more brittle than a living one, and molars take heavy chewing force. A crack through a treated molar usually means losing the tooth entirely, which undoes the whole point of saving it. Some front teeth with small access cavities can be restored with a filling instead, and that judgement is made tooth by tooth.
How long does a root-canal-treated tooth last?
A properly cleaned, sealed and crowned tooth can last for the rest of your life. The two things that shorten it are a delayed or skipped crown, which invites a fracture, and new decay starting at the margin where the crown meets the tooth. Both are avoidable with a crown fitted on time and normal brushing and flossing.

Other treatments

Symptoms that usually lead here

Root Canal Treatment across Silchar

Patients come to Ambicapatty from across Silchar. Each of these pages has the route, the drive time and the treatments most asked for from that area.

Ask about root canal treatment

Send a message saying what is going on and you will get a straight answer about whether root canal treatment is the right treatment for you — and what it would cost — before committing to anything.

The Dental Tree — House No. 2, Happy Valley Lane, Hailakandi Road, Opposite ICICI Bank, Ambicapatty, Silchar, Assam 788005

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