The cost of root canal treatment depends on the tooth, how complex the canal system is, and the practice where treatment takes place. Every patient receives a written estimate after assessment and before any treatment begins.
I work across seven practices in London and Hertfordshire, and each practice sets its own fees, based on its own running costs, location and equipment. For that reason this page explains what shapes the cost rather than quoting a single price. The clinical standard does not change between locations: every root canal treatment I carry out uses a dental operating microscope and rubber dam isolation, with a CBCT scan where indicated. Details of each practice are on my locations page.
Several factors affect the fee for root canal treatment.
Which tooth is treated. A front tooth usually has one canal, a premolar one or two, and a molar typically three or four. More canals means more treatment time.
First treatment or re-treatment. Re-treatment involves removing the existing root filling, and sometimes a post, before the canals can be cleaned again, so re-treatment usually costs more than a first treatment.
Calcified or narrowed canals. Canals that have narrowed with age, trauma or previous treatment can take longer to locate. Some cases benefit from guided endodontics, using a 3D-printed guide planned from a CBCT scan.
CBCT imaging. A CBCT scan gives a 3D view of the tooth and surrounding bone. Not every case needs a CBCT scan; when one is advised, the scan is listed on your estimate.
Number of appointments. Many cases are completed in a single visit. Some need two, for example when infection needs to settle first.
IV sedation. Sedation for nervous patients carries a separate fee.
The permanent restoration, often a crown or onlay, is usually carried out by your own dentist after root canal treatment and is charged separately. A well-made permanent restoration is an important part of long-term success, so the restoration is worth planning for alongside the root canal treatment itself.
Ask your dentist to refer you, or refer yourself. At your assessment I examine the tooth, review your X-rays and arrange a CBCT scan if one is needed. You then receive an itemised written estimate before treatment starts, with no obligation to proceed.
Referrals can be sent by WhatsApp to any of my practices, with a reply within one working day. Your patient receives a written estimate for the practice they attend before any treatment begins.
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