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Under X-ray control

Root canal treatment

Once decay reaches the nerve, a filling will not help — the infection is inside. Root canal treatment saves the tooth from extraction: the canals are cleaned, disinfected and sealed. The price starts at 3,000 AMD, depending on the method and the number of canals.

Prices

  • Filling with paste — 3,000 ֏ (≈ $10)
  • Single-cone technique — 5,000 ֏ (≈ $15)
  • Lateral condensation — 10,000 ֏ (≈ $25)
  • Vertical condensation — 15,000 ֏ (≈ $40)
  • Retreatment — 20,000 ֏ (≈ $55)
  • Removing a fractured instrument — 25,000 ֏ (≈ $70)
  • The price is per canal. The X-ray is 1,000 ֏.

What happens inside the tooth

At the centre of a tooth is a chamber holding the pulp — a bundle of nerves and blood vessels that gives the tooth sensation and nourishment. When decay reaches it, bacteria get inside and pulpitis begins: the severe, often night-time pain that wakes people up.

There is an important point few people know: if the pain stops by itself after a few days, that is almost never recovery. It means the nerve has died. Bacteria keep multiplying in the dead tissue and gradually escape through the root tip into the bone. There periodontitis develops — a focus of infection, and later a cyst.

The logic of treatment is simple: remove the infected tissue, disinfect the canals and seal them so bacteria cannot get back in. The tooth then stays where it is and serves for years.

When it is needed and when it is not possible

Indications

  • Severe spontaneous pain, especially at night — the classic sign of pulpitis
  • Lingering pain from heat that does not stop when the trigger is removed
  • The pain stopped on its own — the nerve has most likely died
  • Pain when chewing or biting down — a sign of periodontitis
  • Gum swelling or an abscess next to the tooth
  • The tooth is darkening — the result of a dead pulp
  • Deep decay that has reached the pulp on an X-ray
  • Preparation under a crown in some cases

When treatment is not possible

  • A vertical root fracture — such a tooth cannot be saved and must be removed
  • The crown is completely destroyed with nothing left to build on
  • Critical bone loss around the tooth (grade 3-4 mobility)
  • A fully blocked canal that cannot be reached

Important: none of these can be judged by eye. In every case the X-ray decides — it shows the state of the root, the number and shape of the canals and any infection at the apex.

Methods and prices

The price is per canal. Front teeth usually have one canal, back teeth two to four. So the final figure depends on the tooth.

MethodWhen it appliesWhat makes it differentPrice (1 canal)
Paste fillingA simple, straight, wide canalThe simplest and most affordable option3,000 ֏ (≈ $10)
Single-cone techniqueA straight canal of standard shapeOne gutta-percha cone plus sealer5,000 ֏ (≈ $15)
Lateral condensationA wide or irregular canalSeveral cones compacted sideways — a better seal10,000 ֏ (≈ $25)
Vertical condensationComplex anatomy, lateral branchesHeated gutta-percha fills even the small branches15,000 ֏ (≈ $40)
RetreatmentA canal treated poorly in the pastThe old material is removed and the canal cleaned again20,000 ֏ (≈ $55)

Charged separately: the X-ray 1,000 ֏ (needed 2-3 times), anaesthesia 1,000 ֏, a calcium dressing 10,000 ֏, removing a fractured instrument 25,000 ֏. After treatment the tooth usually needs a crown.

How it goes

Usually 1-2 visits. In complex cases 3, with a calcium dressing.

  1. X-ray and diagnosis

    The length of the root is measured, the canals counted and any infection at the apex assessed. Treatment cannot begin without this image.

  2. Anaesthesia

    Local anaesthesia — yes, even if the nerve is already dead, so the dentist can work calmly and you feel nothing.

  3. Access and pulp removal

    An opening is made into the chamber and the infected pulp removed. This is the moment the pain goes.

  4. Shaping the canals

    The canals are cleaned with special instruments and widened to the required size, while being flushed with a disinfecting solution — that is what kills bacteria in the side branches.

  5. Checking the length on X-ray

    A second image confirms the instrument has reached exactly the apex, no more and no less. This is where mistakes are made most often.

  6. Filling

    The canals are filled with gutta-percha using the chosen method. The goal is one: leave no void where bacteria could multiply.

  7. Final X-ray and restoration

    The quality of the fill is checked. The tooth is then restored with a filling, or with a crown if it is a back tooth.

Why a crown is often essential

This is the most commonly skipped step — and the most common reason for failure.

The tooth becomes brittle

Without its pulp the tooth loses nourishment and moisture. It becomes like glass — hard, but brittle.

A crown spreads the load

Chewing pressure reaches 50-70 kg. A crown distributes it across the whole tooth and prevents a vertical fracture.

The window is 6 months

The crown should ideally be fitted within six months of treatment. Delaying is the most common reason a well-treated tooth eventually splits.

Advantages and drawbacks

Compared with extraction.

Advantages

  • Your own tooth stays in place — the bone does not shrink
  • The bite is undisturbed and neighbouring teeth do not drift
  • Considerably cheaper than extraction plus an implant and crown
  • The tooth chews normally
  • Done in one or two visits

Drawbacks

  • The tooth becomes brittle — a crown is almost always needed
  • Sensitivity to hot and cold is lost (the tooth is 'dead')
  • The tooth may darken over time
  • With complex anatomy, 100% disinfection is not always achievable
  • Rarely, years later, retreatment may be required

Frequently asked questions

Does it hurt?

During the procedure, no — it is done under local anaesthesia. On the contrary, the treatment removes the severe pain you came in with. Some discomfort when chewing is possible for 2-3 days and is handled by a usual painkiller.

How many visits are needed?

Usually 1-2. If there is significant infection at the apex, a calcium dressing stage is added (10,000 ֏) and treatment stretches over 2-4 weeks across 3 visits.

Why is the price 'per canal'?

Teeth have different numbers of canals: front teeth usually one, back teeth two to four. The amount of work depends directly on that. The exact number is visible on the X-ray, and the final figure is given before anything starts.

Will the tooth darken?

It may, especially a front tooth — once the pulp is removed the tooth loses its 'living' translucency. That is solved with a crown or a veneer.

What if it was treated years ago but hurts again?

That is an indication for retreatment (20,000 ֏). The old material is removed and the canal cleaned and filled again. The cause is often that the canal was never filled fully in the first place — the X-ray shows that immediately.

How is payment made?

We accept payment by card only, in accordance with the legislation of the Republic of Armenia.

If the pain is severe, don't wait

The consultation is free and the X-ray is on site. We will tell you whether the tooth can be saved, how many canals it has and what it will cost.

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