Gentle and Effective Root Canal Treatment in Scottsdale.
A root canal is the standard specialist procedure to save a tooth whose pulp (the inner nerve and blood-vessel tissue) is infected, inflamed, or damaged. At Hope Endodontics, root canal therapy is microscope-guided, CBCT-confirmed, and finished with bioceramic sealing for predictable long-term results. Most cases are completed in a single visit.
Medically reviewed by Dr. Hope Feldman · Diplomate, American Board of Endodontics
Last reviewed May 5, 2026 · NPI 1275089088
When you need root canal
These are the most common reasons root canal is recommended. If you recognize any of these signs, call the office. We hold time daily for urgent endodontic care.
- Severe, lingering tooth pain, especially after hot or cold
- Pain when biting or chewing on a specific tooth
- Persistent sensitivity that lingers after the trigger is removed
- A pimple-like bump on the gums (sinus tract)
- Deep decay that has reached the pulp
- Trauma to the tooth (a fall, sports injury, an accident)
- A tooth that has darkened over time without a clear cause
How root canal works at Hope Endodontics
- 1
Diagnosis
CBCT 3D scan and microscope exam to confirm the diagnosis and map every canal in the tooth.
- 2
Anesthesia
Modern local anesthesia, sometimes with adjunct techniques, until the tooth is fully numb.
- 3
Access
A small access opening is made in the crown of the tooth using microscope-guided precision.
- 4
Cleaning & shaping
The infected pulp tissue is removed and the canal system is shaped with rotary files.
- 5
Disinfection
The canal system is irrigated and disinfected to remove bacteria.
- 6
Sealing
Canals are filled with a bioceramic sealer and gutta-percha to prevent reinfection.
- 7
Temporary restoration
A temporary filling is placed; you return to your general dentist for the final crown.
The technology behind every appointment
- Surgical operating microscope on every case
- CBCT 3D imaging for diagnosis and treatment planning
- Nickel-titanium rotary instrumentation
- Bioceramic sealing materials
- Apex locators for precise canal-length measurement
Typical cost
Estimates only. Actual fees depend on your insurance plan, the complexity of the tooth, and any additional restoration work. We provide a written estimate before treatment so there are no surprises.
| Item | Estimated range | Notes |
|---|---|---|
| Anterior tooth (front) | $1,100–$1,300 | Typically one canal |
| Premolar (bicuspid) | $1,300–$1,500 | Typically one or two canals |
| Molar (back) | $1,500–$1,800 | Three or four canals; more complex anatomy |
Frequently Asked Questions
- How long does a root canal take?
- Most root canal procedures at Hope Endodontics are completed in a single 60–90 minute appointment. Complex molars or retreatments may require a second visit.
- Is a root canal painful?
- No. The procedure relieves pain caused by the infection. Modern local anesthesia plus microscope-guided technique mean most patients describe the visit as comparable to a routine filling.
- Will I need a crown after?
- In most cases, yes. After the root canal, your general dentist will place a permanent crown to protect the treated tooth and restore full chewing function. We coordinate the timing directly with your dentist.
- What is the success rate of a root canal?
- Modern endodontic treatment has a long-term success rate of 90–95% when performed by a specialist with microscope and CBCT support. Hope Endodontics uses both on every case.
- How long does a root-canal-treated tooth last?
- A treated tooth, when restored with a well-fitted crown and maintained with normal oral hygiene, typically lasts decades. Many last a lifetime.
- Is the alternative an extraction?
- Yes. Without treatment, the infected tooth must be extracted. Replacement (implant or bridge) is more expensive than a root canal and requires multiple appointments over several months.
Explore other endodontic services
Apicoectomy
Microscope-guided surgical removal of infected tissue at the root tip when conventional retreatment is not an option.
Sedation Endodontics
Nitrous oxide, oral sedation, and IV sedation options for anxious patients and longer treatments.
Pediatric Endodontics
Pulpotomy, pulpectomy, and vital pulp therapy for children and teens, with age-appropriate behavioral guidance.
Regenerative Endodontics
Pulp-tissue regeneration for immature permanent teeth — preserving long-term root development.
Dental Trauma Care
Same-day evaluation and treatment for knocked-out, fractured, displaced, or split teeth — minutes matter.
Endodontic Retreatment
When a prior root canal hasn't healed, CBCT-guided retreatment gives your tooth a second chance.
Endodontic Microsurgery
Apicoectomy removes persistent infection at the root tip and preserves your natural tooth.
Cracked Tooth Care
Specialist diagnosis and treatment for cracked, fractured, or split teeth before they worsen.
CBCT 3D Imaging
High-resolution 3D scans for precise diagnosis and conservative treatment planning.
Emergency Endodontist
Same-day appointments for severe tooth pain, infection, and dental trauma.
Endodontic Second Opinions
Independent specialist review before you commit to a root canal or extraction.
References
- American Association of Endodontists. aae.org
- American Board of Endodontics. aae.org/about/abe
- NIH National Library of Medicine. ncbi.nlm.nih.gov
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