Save your tooth with a root canal performed under the microscope, in Sibiu
An infection of the tooth's nerve does not heal on its own, but in most cases the tooth can be saved, painlessly, in one or two visits. At Infinite Smile, root canal treatments are performed under an operating microscope, and the control X-ray is included in the price.
- Treatment under the operating microscope, precision the naked eye simply doesn't have
- Local anesthetic, minimal or no pain during the procedure
- Control X-ray included in the price of treatment
- In-house X-rays, diagnosis on the spot, no extra trips
What endodontics is and when you need it
Endodontics is the branch of dentistry dedicated to root canal treatment: removing the inflamed or infected nerve (dental pulp), cleaning the root canals and sealing them, so that the tooth can be kept in your mouth.
Endodontic treatment, also known as root canal treatment, is the way to save an infected tooth. The dentist removes the damaged tissue from inside the tooth, then cleans, fills and seals it. The infection is eliminated and reinfection is prevented. For most patients the pain eases immediately after treatment, and everyday activities can be resumed shortly afterwards.
A tooth with a poorly done root canal can lead over time to serious problems, cysts at the root tip, for example, and ultimately even to loss of the tooth. That is why precision matters so much in endodontics, and this is where the operating microscope comes in: it lets the dentist see every detail inside the tooth, essential for an accurate diagnosis and correct treatment.
Signs you may need root canal treatment
An infection of the dental pulp does not always hurt at first, sometimes it is only discovered at a routine check-up. There are, however, some warning signs you should never ignore:
- Spontaneous, throbbing pain that wakes you at night or appears for no clear reason
- Prolonged or heightened sensitivity to heat, cold or pressure (chewing)
- A tooth that has changed color (darkened, turned grey or brownish)
- A large, old cavity, or a lost filling on a tooth that has started to hurt
- Bad breath that persists even after brushing
- Gum swelling next to a tooth, or swollen, tender lymph nodes
Why the microscope matters in endodontics
Root canals are extremely fine structures, often under a millimetre in diameter, and some teeth have extra canals that are curved or calcified, impossible to see with the naked eye. A missed canal means bacteria left inside the tooth and a treatment that fails over time.
The operating microscope magnifies the working field many times over and illuminates it directly. In practical terms, the dentist sees the inside of the tooth in detail: finding hidden canals, removing infected tissue completely, spotting cracks or perforations, and treating correctly the first time. This is why root canal treatments at Infinite Smile are performed under the microscope.
For the same precision, diagnosis relies on X-rays taken right in the clinic, you don't need to go anywhere else for imaging, and for endodontic procedures the control X-ray is included in the price.
Root canal or extraction?
Whenever possible, dentists prefer to save the natural tooth with root canal treatment. Extraction may look like the quick fix, but it sets off a chain of consequences: neighbouring teeth drift, your bite becomes unbalanced, and replacing the missing tooth (an implant or bridge) ends up costing more than the treatment that would have saved it.
Root canal treatment usually proceeds without complications, and the discomfort and healing time are less than with an extraction. A treated tooth, properly protected (usually with a crown), can function normally for many years, with good oral hygiene, even a lifetime.
There are also cases where the tooth can no longer be saved, massive destruction, vertical root fractures. In those cases, the clinic's team proposes the right replacement solution straight away, from an implant to prosthetic work, all in the same clinic.
What you feel during and after treatment
Treatment is done under local anesthetic, so you should feel minimal or no pain, the area is completely numb throughout the procedure. Many patients are surprised that a “root canal”, about which they have heard so many stories, actually feels like a somewhat longer filling appointment.
Once the anesthetic wears off, some sensitivity when chewing on the treated tooth is normal for a few days. It eases day by day; if instead the pain increases or swelling appears, contact the clinic, the dentist needs to see the tooth.
Until the final restoration (the permanent filling or crown), avoid chewing hard foods on the treated side: without its final protection, the tooth is more fragile.
How root canal treatment works, step by step
The number of visits depends on the tooth and the severity of the infection, from a single appointment to two or three.
- 1
Consultation and X-ray
The dentist examines the tooth and takes an X-ray in the clinic to see the roots and the surrounding tissue. You receive the diagnosis and the treatment plan, with the exact cost, before anything begins.
- 2
Local anesthetic
The area is fully numbed. Treatment starts only once the anesthetic has taken effect.
- 3
Cleaning the canals under the microscope
The dentist opens the tooth and removes the inflamed or infected pulp. Under the microscope, each canal is located, cleaned, disinfected and carefully shaped.
- 4
Filling (sealing) the canals
The cleaned canals are filled tightly with gutta-percha, a biocompatible material, so bacteria cannot get back in. Sometimes a medicated dressing is placed first, and the final seal is completed at the next visit.
- 5
Control X-ray, included
A final X-ray confirms that the filling reaches exactly to the tip of the root. At Infinite Smile, this X-ray is included in the price of the endodontic treatment.
- 6
Restoring the tooth
The treated tooth is rebuilt with a permanent filling or, when the remaining structure is weakened, with a crown, the dentist recommends the right option for you.
How much root canal treatment costs
- Dental consultation
- 100 lei
- Microscope root canal treatment, single-rooted toothcontrol X-ray included
- 850 lei
- Microscope root canal treatment, multi-rooted toothcontrol X-ray included
- 900 lei
- Root canal retreatment
- 320 lei
- Endodontic drainage
- 100 lei
- Treatment of pulp gangrene (necrotic pulp)
- 280 lei
- Periapical X-ray (diagnostic)
- 30 lei
Prices as per the clinic's published price list. Your exact treatment plan and final cost are established at the consultation.
Take the first step toward a healthy smile
From 850 lei (RON), microscope treatment, single-rooted tooth
Frequently asked questions
How painful is a root canal?
You should feel minimal or no pain: the dentist uses a local anesthetic to numb the area completely. For most patients, the sensation is comparable to an ordinary filling, the appointment just takes longer.
How long does a root canal treated tooth last?
With proper oral care, correct brushing, regular check-ups and a good-quality final restoration, a root canal treated tooth can last a lifetime.
Is it better to extract the tooth or have a root canal?
Dentists prefer root canal treatment, because there are usually no complications and you keep your natural tooth. Extraction involves more discomfort, a longer healing time and the additional cost of replacing the tooth.
What are the downsides of a root canal?
Although it remains the preferred approach because it saves the natural tooth, a devitalised tooth can be more fragile and prone to damage. That is why, after treatment, the dentist often recommends protecting it with a crown.
What is the dental pulp and what does it do?
The pulp is the innermost layer of the tooth and contains blood vessels, nerves and connective tissue. It provides sensitivity to hot and cold, forms dentine and nourishes the tooth. A mature tooth, however, can function normally without its pulp, the surrounding tissues support it.
What happens to the pulp during treatment?
The dentist removes all the diseased pulp and cleans the inside of the tooth of bacteria. The cleaned space is filled with gutta-percha and sealed. If two visits are needed, a temporary filling is placed first, and at the next appointment the dentist confirms the infection is gone and completes the restoration.
How do I know I need a root canal?
Sometimes there are no visible symptoms, and the problem is discovered at a routine check-up. Common signs include prolonged sensitivity to heat, cold or pressure, discolouration of the tooth, a large cavity, persistent bad breath or swollen lymph nodes.
What happens if I put off treatment?
The infection does not go away on its own: bacteria can spread into the surrounding tissues and you can develop a dental abscess, which requires emergency care. The longer you wait, the lower the chances of saving the tooth.
How many visits does treatment take?
It depends on the tooth (the number of canals) and the severity of the infection: from a single visit to two or three. The dentist tells you the plan from the start, after the consultation and X-ray.
Can I eat after treatment?
Yes, once the anesthetic wears off. Until the permanent restoration is in place, avoid hard foods on the treated side, the tooth does not yet have its final protection.
The information on this page is educational and has been reviewed by Dr. Izabela Staiculescu, dentist. It does not replace a consultation, your treatment plan is established only after an examination.
Endodontics in Sibiu, Romania
You will find the Infinite Smile clinic at Str. Dorului 11 in Sibiu, open Monday to Friday, with X-rays taken in-house. Book online or give us a call.
Infinite Smile · Str. Dorului nr. 11, Sibiu 550352 · 0369 409 116
Monday – Thursday: 08:00 – 20:00 · Friday: 08:00 – 16:00
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