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Root Canal Treatment NYC

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Rated 5 out of 5
June 4, 2019

Easy and painless!

Rated 5 out of 5
May 28, 2019

Dr. Lipner was both extremely professional and thorough. During my root canal he was constantly making sure I was comfortable. I would highly recommend Dr. Lipner to any family or friends!

Richard Stinson
Rated 5 out of 5
May 21, 2019

Dr. Lipner and his team are amazing! My front teeth started to look discolored a few months ago. I would look in the mirror or recent pictures, see the discoloration, and become completely embarrassed to smile. When I went to my general dentist to investigate the discoloration she told me I needed root canals on both of my front teeth and referred me to Dr. Lipner. At first I was dreading the procedure (I’ve had a few horror story root canal experiences with other dentists) but Dr. Lipner made me feel comfortable as soon as I met him. He answered all of my questions and spoke to me with respect and care. The root canals themselves were quick, painless, and made a world of difference. To fix the discoloration in both teeth Dr. Lipner used internal bleaching (I didn’t even know this was an option before visiting Dr. Lipner’s office). I feel like I finally have my smile back! I couldn’t be happier with the results! Additionally, Dr. Lipner’s staff were incredibly helpful and understanding when it came to all things billing and insurance related. A few weeks after the procedure my insurance bounced back the claim stating a previous dentist had performed the same procedure on the same tooth. Michelle helped me contact the insurance company and the previous dentist to get everything sorted out. It makes a world of difference to have an expert like Michelle who knows the billing side of things inside and out. I’ve been to many dentists over the years and I can’t think of any that I would recommend as strongly as Dr. Lipner’s office.

Erin Engelmann

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What is root canal therapy?

Root canal treatment is a dental procedure that is used to treat dental pain or infection caused by the inflamed or dead nerve, a condition called pulpitis.

Root canal development stages from decay to pulpitis

Our endodontist in NYC uses specific tools and techniques to reach deep into the tooth, removing inflamed nerve and debris before sealing the canal and applying a filling called, gutta percha. Removal of the infected nerve stops the pain and further development of the infection. If left untreated the infection surrounding the tooth will eventually cause loss of the tooth.

Do I need a root canal? What are the symptoms?

If you experience any of the symptoms described below we would recommend you see a dentist for an evaluation because you may need a root canal:

  • If you have a tender or swollen gum
  • A tooth that is painful especially when touched
  • If your tooth is sensitive to hot and cold
  • A tooth that is damaged
  • If you experience throbbing tooth pain

signs you may need a root canal nyc

What causes the need for a root canal?

There are a number of reasons why one may end up with a root canal. The most common causes of needing a root canal are:

  • Large carries and deep recurrent decay (developed under an existing restoration) close to the nerve
  • Nerve damage due to physical trauma (i.e. fall from a bike)
  • Nerve damage due to sinus infection
  • Large filling or other restoration may cause sensitivity to the nerve


Root canal therapy steps:


  1. An X-ray will be taken at the consultation visit to determine the need for a root canal.
  2. As with most dental procedures, you’ll receive a local anesthetic to numb the tooth before the endodontic treatment care begins.
  3. Then using special endodontic equipment including Endo Microscope, our Root Canal specialist will remove the decay and create an opening in the tooth to access the canals of each root. The number of roots varies depending on the tooth. See out Root Canal Before & After x-rays to see different examples. Anterior teeth typically have one root. Bicuspids, also know as premolars, have two roots. Molars are the largest teeth may have three to four roots.
  4. After the opening is created Dr. Lipner will remove the damaged pulp, and clean each canal of any debris and infection.
  5. Then he will seal each canal with the special filling material, called gutta percha, to prevent any leakage to the canal or recurrent infection.
  6. Finally, a temporary filling will be placed over the tooth until your new, permanent crown is ready.


Do I need a root canal crown?

The crown or another type of dental restoration is required to complete the care of the compromised tooth. As a specialist, Dr. Lipner’s practice is limited to only endodontics. The restorative part of the treatment, i.e. crown or any type of filling, will be completed by your general dentist. If you do not have one, Dr. Lipner will refer you to a top-rated dentist to restore your tooth.

Can I get a root canal crown deal?

If you do not have a general dentist Dr. Lipner’s team will be happy to assist you with determining the cost of the entire treatment, including crown, if you opt to work with one of Dr. Lipner’s referring general dentists. All the finance questions can be settled through our knowledgeable treatment coordinator, Michelle, at your first visit.

Does the root canal hurt?

Depending on the severity of the infection there may be discomfort and sometimes pain. Dr. Lipner and his assistant work hard to ensure you remain comfortable throughout your procedure and undergo painless root canal procedure, as evident from many reviews left by his happy patients.

Dr. Lipner’s root canal procedure was painless and he took great care and precision throughout the entire procedure telling me what he was doing. – Ricky

Dr. Lipner took his time every step of the way to make sure that I wasn’t experiencing any pain. – Jordan

The entire procedure was, believe it or not, completely pain free! I left the office visit with some scripts for strong pain relievers but ended up not needing them at all. – Lily

Root Canal Cost & Pricing in NYC

There are several factors affecting the cost of a root canal in NYC. The most common factors are the number of roots in the tooth, the skills of the NYC root canal dentist, and insurance participation. Root canals typically cost anywhere from $700 to $1,500 per tooth. The cost of a root canal without insurance can vary as well. 

Both general dentists and root canal specialists can perform root canal treatment. The price of the endodontic treatment may vary between NYC endodontists and general dentists in Manhattan. To make the right decision, consider that an initial root canal can only be performed once. If it fails the next step is to retreat the root canal, do an apicoectomy (surgical removal of the infection at the root tip of the tooth, and if all fails extraction. Unfortunately, root canals can fail, more often on the molars.

Root Canal Recovery

Immediately after the root canal therapy, the area around the natural tooth may be sore, so you may want to avoid biting down or using that tooth. In general, though, you can care for your tooth like any other tooth, with regular brushing and flossing.

Root Canal Therapy vs. Extraction

It’s a good idea to try to preserve the natural tooth with a root canal and crown rather than having the tooth extracted. However, there are circumstances when extracting the tooth is a wise choice.  To find out what is the best treatment option for you schedule a Free Consultation with Dr. Lipner.

Author: Dr. Steven Lipner

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Midtown Endodontist NYC