Root canal treatment is performed under local anaesthesia, so you should feel little to no pain during the procedure itself. Most patients find it no more uncomfortable than a routine filling. Some mild soreness for a day or two afterward is normal and easily managed with over-the-counter pain relief. Our team is known for a calm, gentle approach — many patients tell us they were surprised by how straightforward the experience was.

Most root canal treatments at our Kathmandu clinic are completed in 2 to 3 visits. Simpler cases involving front teeth may sometimes be completed in a single visit. More complex cases — particularly back molars or teeth with severe infection — may require additional appointments. Your dentist will outline the expected number of visits at your first consultation, so you can plan accordingly.

The cost of RCT in Kathmandu varies depending on the tooth position and complexity of the case. Front teeth are generally less expensive than premolars or molars, as they have fewer canals and are easier to access. If a crown is also needed after the procedure, this is an additional cost. At Gums & Giggles, we provide a transparent price estimate at your consultation — before any treatment begins — so you know exactly what to expect.

In most cases, yes. After root canal treatment, the tooth no longer receives a blood supply and can become more brittle over time, especially under the pressure of chewing. A dental crown placed over the treated tooth protects it from fracturing, restores full function, and significantly extends its lifespan. Your dentist will advise you based on the specific tooth involved — some front teeth with adequate remaining structure may not always need a full crown.

If an infected tooth is left untreated, the infection can spread to the surrounding bone, gums, and even other teeth — potentially forming a painful abscess. Over time, this can lead to tooth loss, bone destruction, and in rare cases, serious systemic infections. Delaying treatment also makes the case more complex and costly. Treating an infection early gives the best chance of saving the tooth with fewer visits.

In most cases, yes. Saving your natural tooth with root canal treatment is almost always preferable to extraction. Natural teeth function better for chewing and maintain the jawbone structure. Replacing a missing tooth with an implant or bridge is usually more expensive and time-consuming than root canal treatment. However, if the tooth is too damaged to be saved, our team will discuss replacement options with you at your consultation.

Common signs include severe or persistent toothache, prolonged sensitivity to hot or cold, pain when biting, swelling in the gum near a tooth, or a pimple-like bump on the gum. Some cases — particularly in teeth that have died slowly — can be symptom-free. The only way to know for certain is through a clinical examination and X-ray. If you’re experiencing any discomfort, don’t wait — book an appointment at our Dhobidhara Marg clinic for a proper assessment.