Numbing the area
Local anaesthetic — usually with topical gel first so you don't feel the injection. For an angry, inflamed tooth, sometimes we'll add a second top-up to get the area as numb as possible before we start.
A root canal cleans the infection out of the inside of your tooth and seals it. We numb the area first. You'll feel pressure, sometimes vibration — not the sharp pain that brought you in. Acute toothache? Call — time is held aside for same-day triage where clinically appropriate.
A root canal — sometimes called endodontic treatment — is what we do when the nerve inside your tooth is past the point of healing on its own. Decay reaches the nerve. A crack lets bacteria in. An old, deep filling finally gives up. The tooth throbs at night, wakes you, hurts when you lie down. That pain is the nerve telling you it's in trouble.
The procedure itself is straightforward. We numb the area with local anaesthetic. We make a small opening through the chewing surface, clean the infected tissue out of the canals, shape and irrigate them, then seal them with gutta-percha and a protective filling. The aim of the first visit is to settle the nerve pain and explain what comes next — usually a temporary restoration that day, then either a final filling or a crown at a separate visit so the tooth holds up under bite pressure.
You don't need a referral. Most root canals at Chapman Road happen in-house — including molars. You'll get an X-ray, a plain-English explanation of what your dentist is seeing, and a written quote before any treatment starts. If your tooth needs more than what general dentistry scope covers, you'll hear that plainly, alongside the alternatives, including general dentistry options or referral.
Root canal treatment is provided by Chapman Road Dental Clinic clinicians, including Dr Dhyom Sharad Patel (Dental Practitioner (General), AHPRA DEN0002829977). Treatment recommendations, materials, and appointment timing can vary depending on the condition of the tooth and the complexity of the case. Your dentist will explain the diagnosis, options, likely timing, and written costs before treatment proceeds.
Six stages from numb-up to the final restoration. The first five happen in the chair; the crown comes at a separate visit on back teeth.
Local anaesthetic — usually with topical gel first so you don't feel the injection. For an angry, inflamed tooth, sometimes we'll add a second top-up to get the area as numb as possible before we start.
A small opening through the chewing surface — about the size of an old filling — lets us reach the canals inside the root. Rubber dam goes over the tooth to keep the area clean and protect your throat.
Each canal is cleaned with progressively wider files and flushed with antibacterial irrigant. Front teeth often have one canal; back molars have three or four, sometimes curved or narrowing toward the tip.
Once the canals are clean and dry, we fill them with gutta-percha — a rubbery, biocompatible material — and a sealer that locks out bacteria. This is the step that stops the infection coming back.
A temporary filling protects the tooth until the final restoration. For some front teeth, we can place a permanent composite filling at the same visit. Avoid sticky food on that tooth until it's finalised.
For most back teeth, a crown is the recommended finishing stage — it caps your tooth so it can take chewing pressure without splitting. The timing and cost of your crown are discussed at consultation. Front teeth sometimes don't need one.
Most root canals run across one to three visits. Acute pain often gets started the same day; the crown afterward is a separate appointment on back teeth.
The throbbing is the nerve telling you it's in trouble. Visit 1 is the visit that quiets that signal.
X-ray, exam, anaesthetic, and access. If your tooth is acutely painful and you can be seen the same day, this is usually the visit that settles the pain.
We start with a periapical X-ray and a couple of pulp tests so we know exactly which tooth is the problem and how far the infection has travelled. Then local anaesthetic — topical gel first so you don't feel the injection, then a top-up if the tooth needs it to get the area as numb as possible. A rubber dam goes over the tooth to isolate it and protect your throat.
We open the tooth through the chewing surface, clean the bulk of the infected tissue out of the canals, and place a sedative dressing or temporary filling. Most patients leave numb on one side but no longer throbbing. The aim of Visit 1 is to settle the pain — not to finish everything in one go.
Front teeth — sometimes Visit 1 and Visit 2 happen at the same appointment. Back molars almost always run across two.
Usually one to two weeks after Visit 1. We finish cleaning and shaping the canals, irrigate them again, then seal them permanently.
Each canal is cleaned with progressively wider files and flushed with antibacterial irrigant — sodium hypochlorite — to disinfect any remaining tissue. Front teeth usually have one canal; back molars three or four, sometimes curved or narrowing toward the tip, which is why molars almost always need this second visit.
Once the canals are clean and dry, we fill them with gutta-percha and a sealer that locks bacteria out. A temporary or final filling goes on top to protect the tooth until the crown stage. For straightforward front teeth with limited tooth-structure loss, this seal can sometimes be done at the same visit as Visit 1.
Back teeth almost always need a crown to protect what's left. Front teeth sometimes don't — discussed at consultation.
Two to six weeks after the canals are sealed, we prepare the tooth for a crown and take an impression. A custom crown comes back from the lab and we cement it in.
A root canal removes the nerve and weakens the tooth from the inside. Without a crown to redistribute bite force, back teeth can crack or split under chewing pressure — and once a tooth splits below the gum line, it's often unsalvageable. The crown caps the tooth and protects what's left.
We prepare the tooth conservatively (minimal further reduction beyond what the canals already required), take a digital or putty impression, and fit a temporary crown while the lab makes your final one. At the cementation visit we check the bite, adjust if needed, and bond the permanent crown in. Front teeth with limited tooth-structure loss sometimes don't need a crown — discussed case-by-case.
Call during business hours and acute toothache gets first priority. We'll see you, X-ray the tooth, numb the area, and start the canal that afternoon where clinically appropriate. Your pre-treatment HICAPS estimate is run before treatment starts — so the gap is on paper before any handpiece comes out, not after.
Most major funds cover root canal treatment under Major Dental — your specific cover is checked before treatment begins.
Some calls start with three nights of throbbing. Some start with an X-ray finding at a routine check-up. Both end the same way — a settled tooth and a written plan. Here's how each one looks with us.
You've had two or three nights of throbbing — the kind that wakes you up, hurts more when you lie down, doesn't budge for paracetamol. You call in the morning. Acute time is held aside through the day. You're seen, X-rayed, numbed, and your root canal is started that afternoon. You leave numb on one side but no longer in pain. Your second visit finishes the canal one to two weeks later. If you can't reach the practice, the emergency dentist page covers what to do out of hours.
You came in for a routine check-up and clean. Your X-ray showed decay sitting close to the nerve. Your dentist explained that a filling on its own probably wouldn't hold — your tooth needs a root canal before it flares up. You take a week to think it over. You come back, ask the cost questions, and book the treatment. No surprise pain. No emergency. Just a planned procedure that catches the problem before the throbbing starts.
Pulling the tooth is faster and cheaper on the day. Saving it is usually the better long-term answer. Three reasons that drive the decision.
A natural tooth has a root in living bone and ligament fibres that sense bite pressure — proprioception. Replacements (implants, bridges, dentures) restore the chewing surface but can't replicate that feedback. Keeping the natural root keeps the natural feel.
A root canal plus a crown is generally a smaller total investment than an extraction followed by a dental implant with abutment and crown. Your exact gap depends on the tooth, crown material, whether bone grafting is needed, and the implant quote you receive. Your numbers are mapped out at consultation so you can compare.
When a tooth comes out, the bone that held it starts shrinking within months — that's why some long-term denture wearers look hollowed in the lower face. The root keeps stimulating the bone. Saving the tooth keeps the bone.
Final cost is quoted in writing before any treatment starts. Out-of-pocket depends on the tooth, treatment complexity, restoration needs, policy, waiting periods, and annual limits.
Bring your health fund card and reception can help process eligible HICAPS claims or estimates once treatment item numbers are known. Benefits, limits, waiting periods, and gaps depend on your fund and policy.
Payment timing can be discussed once your treatment plan and written quote are clear. Reception can also help process eligible HICAPS claims once item numbers are known.
These five funds are the most common at Chapman Road. Most major-dental items for root canal treatment are eligible under your standard Major Dental cover, depending on your level and waiting periods. Your specific cover is checked before the procedure starts.
Your final cost is quoted in writing before any treatment starts. Out-of-pocket costs depend on your tooth, treatment complexity, restoration needs, policy, waiting periods, and annual limits.
We numb the area before we start. During treatment you'll feel pressure and sometimes vibration — not the sharp pain that brought you in. Most of the discomfort people associate with root canals is the throbbing nerve before treatment, not the procedure itself. The first 24-48 hours afterward, the tooth can feel tender to bite on as the area settles; that's normal and usually manageable with paracetamol and ibuprofen as labelled.
Call during business hours — your toothache will be triaged by phone, and most acute pain is seen the same day where clinically appropriate. If you're shopping a planned root canal, book a consultation; you'll have a written quote before any treatment starts.