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Dental Information, The Costs Associated With Root Canal Treatment

What are the Costs Associated with Root Canal Treatment?

There are many factors that affect the costs and payment associated with root canal treatment. Each patient and tooth presents a different set of circumstances. Generally the cost of root canal treatment is directly related to the chair time necessary to perform the treatment as well as to the costs of the dentist staff, training, and technology that the dentist has available when performing the procedure. Be sure to ask your dentist about dental financing credit, dental treatment financing, or if there is a possible loan for dental work available.

There are many factors that influence the amount of chair time necessary to treat any particular tooth:

• The position of the tooth in the mouth.
• The number of roots and the number of canals within these roots.
• Root curvatures and the length of the roots.
• The presence or absence of calcifications within the root canal space.
• Special dental considerations. For example, it may be more difficult for the dentist to work through an existing crown or a bridge than to work on a tooth with only a small previous filling. Also, some teeth may have been severely broken down by past dental disease and these may have to be "built-up" before root canal treatment can even be started so that an aseptic field can be established and maintained during treatment.

In addition to the chair time involved for treatment, other factors are also taken into consideration when determining a fair fee for root canal treatment:

• The cost of technology. Dentists who use state-of-the-art technology for certain procedures have invested in microscopes, computer digital radiography, ultrasonics, and specialized training courses for themselves and for their staff. The costs of these items are shared by those patients who benefit from them.
• The costs of the dental office overhead include staff, rent, and supplies in addition to many other expenses. These costs vary significantly in different areas of the country.
• Fees vary among practitioners due to differences in their endodontic treatment philosophies, which in turn dictate the chair time required, the materials selected, and the technologies utilized.

In conclusion, there can be marked discrepancies in the fees charged for root canal treatment by different dentists. Ultimately, the best value for care is treatment that is done once and works over a period of many years. Conversely, the most expensive dental treatment is the treatment that may cost less initially but does not work predictably and needs to be redone one or more times. The wise dental consumer does not make a treatment decision on the basis of cost alone.

Will Insurance Cover the Cost of Root Canal Treatment?

Dental insurance will usually help with a portion of the endodontic treatment fee. A variety of dental insurance plans are available. A specific benefit package is selected contractually by each employer for the benefit of the employees. Some benefit packages may restrict or not recognize certain procedures, while in other instances the yearly maximums are unrealistic for anything other than the most basic care. The dentist will make a professional judgment and treatment recommendation based on what is best for the patient, not on what is best for the for-profit insurance company. The total fee is the patient's responsibility but the dental office will work with the insurance carrier to get the maximum contracted benefit. The patient should speak with the dental treatment coordinator before treatment begins in an attempt to estimate the available insurance benefit. Be sure to ask your dentist about patient financing, dental treatment financing, dental credit cards, or if there is a possible loan for dental work available.

by Clifford J. Ruddle, DDS, in collaboration with Philip M. Smith, DDS

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.

Find A Dentist: Frequently Asked Questions

Q. If a pain in a tooth goes away, should you still see a dentist?

A. Either minor or severe pain that goes away may indicate that you have a cracked tooth. A cracked tooth hurts because the pulp, the soft inner tissue of the tooth, is irritated. If treatment is delayed, the tooth may split and be more difficult to treat successfully.

The sudden absence of pain also may be a sign that the nerves of the tooth have died. It might also be due to a chronic infection that is draining. Even if the pain stops, if the pulp is damaged or diseased, pain will likely return and the tooth will require treatment. It is important to find a dentist who can treat the situation.

Q. After a traumatic injury, if teeth aren't chipped or broken but there's bleeding in the gums, is dental care necessary?

A. It's not always easy for people to tell when to seek a dental evaluation. However, if the gums bleed, it's important to see a dentist because the trauma may have caused damage. The tooth may have been "jammed" into the socket and severe problems could develop.

Prompt treatment often prevents more serious problems or complications from developing later. A tooth can develop problems long after the injury, so it's very important to be checked.

Q. What might be the cause of a dull ache in your upper teeth and cheek?

A. It can indicate several conditions. It could be associated with a tooth or gum problem, bruxism (grinding teeth), TMD (temporomandibular disorder), a sinus infection, headache, or salivary gland infection.

Check with your dental provider first, and if it's not related to a dental condition, you will be referred to a physician. Click here to find a dentist who specializes in TMJ/TMD.

Q. What should you do when you have a toothache?

A. Clean your mouth by rinsing with warm water and remove any food that is trapped between teeth with dental floss. Do not apply aspirin on the aching tooth or gum tissues. See your dentist as soon as possible.

Q. What should you do if your tooth is knocked out?

A. If your tooth is knocked out, you should carefully rinse the tooth with water. You should attempt to place the tooth back in its socket and secure it with a wet wrap. If you cannot place the tooth back in its socket, put it in a glass with either saliva or milk. Then you should contact your dentist so you can be seen immediately.

Q. What are extruded teeth?

A. Extruded teeth are teeth that are forced out of position.

Q. What is the treatment for a broken tooth?

A. Rinse the mouth with warm water. Try to remove any dirt, blood, or debris from the injured area using sterilized gauze or a clean cloth and warm water. Apply cold compresses on the face next to the injured tooth to reduce swelling. Cover the tooth with cotton or gauze if the rough edges are cutting you or if it is sensitive to air, and see your dentist immediately.

Q. What should you do if your tooth is pushed out of position?

A. If your tooth is pushed out of place, you should reposition it to its normal alignment using very light finger pressure. You should hold the tooth in place with a moist gauze or tissue. Make sure that a dentist sees you ideally within a half-hour.

Q. What causes a constant throbbing pain in your jaw or tooth?

A. A throbbing pain is usually a symptom from two different causes: either the nerve inside the tooth or the ligament around the tooth is damaged, irritated, or inflamed. A cavity, traumatic injury, or other factor can damage or irritate the pulp inside the tooth.

Severe gum disease affecting the ligament that surrounds and cushions the tooth roots can result in throbbing pain. An erupting tooth, including a third molar or wisdom tooth and TMD are also potential sources of throbbing pain.

Q. What is considered to be a minor tooth fracture?

A. A minor fracture is considered to be a tooth that is only broken in the hard outer enamel part.

Q. How do you treat a minor tooth fracture?

A. Your dentist can smooth a minor fracture with a sandpaper disc or just leave it alone. You can also restore the tooth with a composite restoration if necessary.

Q. What do you consider to be a moderate tooth fracture?

A. A moderate fracture is considered to be damage to the enamel, dentin, and/or pulp of the tooth.

Q. How do you treat a moderate tooth fracture?

A. A moderate fracture can be restored with a full permanent crown if the pulp is not permanently damaged. Sometimes, an onlay or bonding will be appropriate as well. Occasionally, root canal treatment (endodontics) may be required.

+Jim Du Molin is a leading Internet search expert helping individuals and families connect with the right dentist in their area. Visit his author page.