Duration of a root canal treatment

Root canal treatment is primarily used to preserve a tooth whose pulp has been damaged by inflammatory processes. This condition is known as pulpitis or tooth pulp inflammation. Patients often fear that they will have to sit on the treatment chair for too long and suffer pain.

To alleviate these concerns, the rest of the article provides information about the duration of the session itself, the healing process and the pain during a (necessary) root canal treatment. In most cases, severe pain causes the patient affected by root inflammation to visit a dentist. The pain typical of these diseases can be both sharp and dull and can extend to regions around the jaw joint and ears.

Depending on the extent of the inflammatory processes, the patient feels pain of varying intensity. In general, it can be assumed that severe pain is indicative of a particularly pronounced inflammation of the dental pulp. The easing of the pain after some time should not be misinterpreted as a good sign.

The easing of the reaction of the tooth is in most cases not a sign of healing. Since the inflammatory processes in the pulp area cause progressive damage to the nerve fibres stored in the pulp, an abrupt cessation of pain without root canal treatment indicates that the tooth is dying. Visiting the dentist and initiating a root canal treatment is therefore often unavoidable even when the pain subsides.

Since root canal treatment is a complex process that often requires several individual sessions in the dental office, the duration of a root canal treatment is correspondingly long. Furthermore, it is not possible to predict from the outset exactly how much time the root canal treatment will take. This depends both on the type and the severity of the pulp inflammation.

Therefore, the question of the total treatment time cannot be answered generally, it varies from person to person and even from tooth to tooth. The rule of thumb for the duration of a root canal treatment is: the more severe the inflammation and the more roots the tooth has, the longer the duration of the treatment. Ideally, that is, if the degree of inflammation is low, the entire root canal treatment can be completed in a single session.

In these cases, the removal of the affected nerve fibers and the filling of the hollowed out tooth roots can be done quite quickly without hindering the healing process. However, here we are talking about the exception. As a rule, in the case of serious problems, the treatment can require many individual sessions and therefore last for weeks or months.

In patients with a very pronounced inflammation of the pulp, it is impossible to fill the root canals immediately after the removal of nerve fibers. In order to ensure the success of the treatment, guarantee healing and minimize the risk of secondary diseases, the root canal treatment must be performed in several stages. Each session can be expected to last approximately 30-60 minutes.

This is particularly common when the inflammatory processes within the pulp are so severe that an anti-inflammatory, antibacterial medication must be introduced to calm the patient. In these patients, performing a root canal treatment of too short a duration (in one session) may cause severe pain during and after the treatment. In addition, the immediate closure of the root canals in such cases can be an obstacle to healing.

However, root canal treatment does not only have to be performed on nerves that have died due to the inflammation. Often a nerve is still “alive” (vital) in the course of an inflammation, but damaged to such an extent that its recovery can be ruled out. Here too, root canal treatment cannot usually be avoided.

However, since this treatment would be extremely painful for the patient, the treating dentist first gives a medication which “kills” the nerve near the pulp. The opening of the affected tooth, the removal of the inflamed nerve fibers and the insertion of the drug usually takes only 15-30 minutes. The drug has to act over several days and the duration of the root canal treatment is extended accordingly.Usually a root canal treatment takes about one hour per session, but even this time can vary greatly.

However, it is important for the patient to keep every appointment during the root canal treatment. Since the symptoms improve significantly after the first appointment, i.e. the removal of the pulp and nerve fibres, many patients tend not to take advantage of subsequent appointments. This inevitably leads to the spread of the inflammation after some time.

The inflammation can spread to the jawbone, abscesses can form and in the worst case the tooth must be “extracted”. If a tooth needs root canal treatment, several sessions at the dentist may be necessary. The removal of the pulp, the disinfection of the canal and the subsequent filling can be carried out in one treatment step, or it can be spread over two or more sessions.

This depends on the individual situation of the patient and it is not possible to give any exact details. The entire treatment can take weeks or even months. Furthermore, it is therefore not possible to estimate how long a session will last.

This depends on the skill of the practitioner, the patient’s cooperation, the initial situation and possible complications. These aspects are variable from person to person, so that no exact time can be given in this regard. Estimates have shown that one should expect approximately one hour of treatment per session.

Overall, however, this is a very complex process that should be carried out carefully. It can be roughly said that the greater the inflammation is and the more roots the tooth has, the longer the treatment will take. However, no matter how much time the treatment takes, it is important to take every treatment appointment carefully to ensure that the root canal treatment is completed successfully.