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Why Are Root Canals So Expensive?

By Monarchy Media LLC on August 1, 2025 at 3:41 PM

If your dentist has mentioned the words “root canal,” your mind might’ve jumped straight to the dollar signs. You’re not alone. Many people feel anxious about the potential cost of this procedure. But here’s the thing: the price of a root canal isn’t one-size-fits-all. And more importantly, it’s often an investment that saves your natural tooth and your wallet from more extensive issues down the road.

At Akemi Dental Specialists, we believe in helping you make informed decisions, and that includes understanding what contributes to the cost of a root canal. This blog walks you through what to expect, why prices vary, and how you can plan ahead without panic.

What factors affect the cost of a root canal?

When people ask, “How much does a root canal cost?” they’re often expecting a straightforward answer. But root canal costs can be a bit like airfare, dependent on timing, location, and even who’s performing the work.

Here’s what influences how much you might pay for treatment:
1. The location of the tooth:
Teeth aren't all created equal when it comes to treatment. Front teeth like incisors and canines typically have just one root, which makes the procedure a bit simpler and faster. Molars, however, often have three or more roots, which can make the treatment more complex and time-consuming. That complexity usually comes with a higher price tag.

2. The experience of your provider:
Specialists like endodontists, who have advanced training in root canal therapy, might charge more than general dentists, but that often comes with added precision and reduced risk of complications. At Akemi Dental Specialists, our team blends experience with patient-first care to ensure treatment is thorough and efficient.

3. How extensive the infection is:
Sometimes a root canal is straightforward. Other times, there’s infection that has spread deeper into the root or even the surrounding bone. If your case requires additional care, like drainage or multiple appointments, that can increase the cost.

4. Whether you’ll need a crown afterward:
After a root canal, especially on a back tooth, it’s often necessary to place a crown to protect the remaining structure. This isn’t always included in the base price of the root canal, so it’s important to factor it in when estimating the full treatment cost.

5. Diagnostic imaging and follow-up visits:
Initial x-rays, CBCT scans (when necessary), and follow-up appointments are often billed separately. These may not seem like major expenses, but they can add up, especially if you require more detailed imaging or extended care.

Is a root canal worth the cost?

We get it, root canals aren’t exactly at the top of anyone’s wish list. But if you’re considering skipping treatment due to cost, you may want to take a step back and consider the bigger picture.

Here’s why people often find the expense justifiable:
1. It saves your natural tooth:
Once a tooth is removed, it doesn’t just leave a gap. It can affect your bite, the alignment of nearby teeth, and even your facial structure. You may need an implant, bridge, or partial denture, all of which come with their own costs and maintenance requirements.

2. It reduces pain and restores function:
Root canals have a bad rap, but modern techniques make them far more comfortable than their reputation suggests. More importantly, they eliminate the source of pain, allowing you to chew, smile, and speak normally again.

3. It prevents future complications:
An untreated infection can spread into the jawbone or other areas of the body. In severe cases, it can lead to hospitalization or systemic health issues. Compared to those outcomes, the cost of a root canal starts to look much more reasonable.

4. It can be more affordable than tooth replacement:
While tooth extraction may seem cheaper upfront, the long-term cost of replacing the tooth with an implant or bridge, plus the potential for bone loss or shifting teeth, makes root canal therapy a smart preventative investment.

Does insurance cover root canal treatment?

Dental insurance often helps cover a portion of root canal therapy, especially when the procedure is considered medically necessary. That said, coverage varies widely based on your plan.

Some plans cover up to 50% of major procedures like root canals, while others may cover more (or less). It’s also worth checking:

  • Whether your provider is in-network
  • If you’ve met your deductible
  • What your yearly maximum is
  • If there’s a waiting period for major services

At Akemi Dental Specialists, we’re happy to walk you through your benefits and help you understand your out-of-pocket estimate before you begin treatment. We also offer flexible payment options for those without insurance or those whose plans don’t cover the full cost.

What happens if I don’t get a root canal?

One of the biggest misconceptions is that putting off a root canal will save you money. Unfortunately, it tends to do the opposite.

If your dentist has recommended this treatment, it’s likely because the pulp inside your tooth is infected or dying. Left untreated, that infection can lead to an abscess, which can spread to the surrounding tissue, jaw, and even other areas of your body.

Delaying treatment could lead to:

In other words, what starts as a manageable treatment can snowball into something far more complicated, and expensive, when postponed.

What if I’m worried about affording the treatment?

Cost is a real concern, and we don’t take it lightly. That’s why Akemi Dental Specialists works with patients to find options that fit within their financial realities.

Here are a few steps you can take:
1. Ask for a breakdown of the treatment plan:
Knowing what’s included helps you avoid surprises. Don’t be afraid to ask what’s covered in the initial quote and what may come as an additional cost (like a crown).

2. Explore financing options:
We partner with several third-party financing companies that offer low or zero-interest payment plans, often with no upfront payment required.

3. Consider a dental savings plan:
If you don’t have insurance, ask about any in-house plans we offer. These typically include discounted rates on treatments and may reduce the financial burden significantly.

4. Treat sooner rather than later:
The longer you wait, the higher the chances of the problem worsening. Treating it promptly could mean a simpler (and less expensive) procedure.

How can I prepare for a root canal financially and emotionally?

You’ve got the diagnosis, now what? Preparing for the procedure isn’t just about budgeting, it’s about going into it informed, confident, and calm.

Financial Prep:

  • Confirm whether your insurance plan covers part of the cost
  • Get an itemized quote from your provider
  • Ask about any special offers or discounts for paying upfront
  • Explore payment plans or financing options

Emotional Prep:

  • Read up on how root canals work (but stick to reputable sources)
  • Talk to your dentist about any concerns or fears
  • Know that modern root canals are generally quick and manageable
  • Remind yourself that you’re making a smart move for your health and future

How long does a root canal last?

A well-done root canal can last a lifetime with proper care. That’s not an exaggeration. While no treatment is entirely risk-free, most root canal-treated teeth do not require retreatment.

Here’s how to give your tooth the best shot at longevity:

  • Get a crown if recommended, especially for molars
  • Brush and floss daily
  • Keep up with your dental cleanings and exams
  • Avoid chewing on hard items (like ice or pens) that can crack the tooth

If you do experience pain, sensitivity, or swelling around the treated area in the future, don’t ignore it. It could be a sign of reinfection or a crack, both of which are easier to manage when caught early.

When should I schedule an appointment?

If you’re dealing with tooth pain, sensitivity to hot and cold, swelling, or any sign of infection, it’s time to book a visit. Even if you’re unsure whether you need a root canal, coming in for an evaluation can save you time, money, and stress later.

At Akemi Dental Specialists, we combine modern technology with a personalized touch to make every appointment as comfortable as possible. We’ll take the time to walk you through your options, explain pricing transparently, and work with your insurance and financial needs.

Ready to take the next step? Don’t let cost uncertainty keep you from saving your smile. Schedule a consultation with Akemi Dental Specialists today and get the clarity and care you need.

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