Root Canal Treatment · North Plainfield, NJ

A root canal saves the tooth — and stops the pain.

Se habla español — le explicamos cada paso en su idioma.

Root canal therapy has a worse reputation than it deserves. With modern anesthesia, most patients tell us it felt no different from having a filling done — and they walk out of our Watchung Ave office without the pain that brought them in.

In-house endodontics — no outside referral needed🕑 Mon–Fri 9–6, Sat 9–1

Treatment chair used for root canal therapy in North Plainfield, NJ

Signs you may need a root canal

A root canal treats infection or damage inside the tooth, in the soft pulp that holds the nerve. These are the symptoms we see most often.

Lingering sensitivity

Hot or cold pain that hangs around for 30 seconds or more after you finish eating or drinking, rather than fading immediately.

Pain when you bite

A specific tooth that hurts under pressure, or feels taller than the teeth around it, often points to inflammation at the root tip.

A deep cavity or crack

Decay or a fracture that reaches the pulp lets bacteria into the nerve chamber — sometimes with very little warning pain at first.

Swelling or a gum bump

A tender, pimple-like spot on the gum near the tooth is a draining abscess. It may come and go, but the infection does not go away on its own.

A darkening tooth

A single tooth turning grey or brown — often years after a knock or an injury — usually means the nerve inside has died.

No symptoms at all

Some teeth are found on a routine x-ray, with infection at the root and no pain yet. Treating it then is simpler and cheaper.

What happens during treatment

  1. Diagnosis and x-ray

    We test the tooth and take an x-ray to confirm the nerve is involved and see the shape of the roots before we start. If a root canal is not the answer, we will say so.

  2. Complete numbing

    The tooth and the area around it are fully numbed. We do not begin until you tell us you feel nothing — this is the step that decides how the whole appointment goes.

  3. Cleaning the canals

    A small opening is made in the top of the tooth. The infected pulp is removed, and the canals are cleaned, disinfected and shaped. This is the part that ends the pain.

  4. Sealing the tooth

    The canals are filled with a biocompatible material and sealed so bacteria cannot get back in, then closed with a temporary or permanent filling.

  5. A crown to protect it

    A treated back tooth becomes brittle and usually needs a crown to survive normal chewing. Skipping this step is the most common reason a root canal fails later.

Afterward, and what it costs

Expect mild tenderness for a few days as the area settles, usually managed with over-the-counter pain relief. Chew on the other side until the permanent restoration is placed.

  • Root canal therapy is covered in part by most dental insurance plans, and we will check your benefits and submit the claim for you.
  • We do not accept Medicaid at this time.
  • The crown is usually billed separately from the root canal — we will show you both figures up front.
  • Saving a natural tooth is nearly always less expensive over a lifetime than extracting it and replacing it with an implant or bridge.

Common questions

Does a root canal hurt?

The procedure itself should not. The tooth is fully numb, and what most people remember as a painful root canal is really the infection they arrived with. Treatment is what relieves that pain. Expect some tenderness for a few days afterward.

How many visits does it take?

Many root canals are completed in a single appointment of roughly 60 to 90 minutes. Molars, curved roots and active infections sometimes need a second visit, and the crown that protects the tooth is a separate appointment.

What happens if I wait?

The infection spreads. Pain usually escalates, the abscess can swell into the face, and eventually the tooth becomes unsalvageable — turning a treatable tooth into an extraction plus the cost of replacing it. Early treatment is the cheaper path.

How long does a root canal last?

A properly treated and crowned tooth can last decades, often for the rest of your life. Keeping the crown intact, brushing, flossing and regular checkups are what determine the outcome.

Should I just have the tooth pulled instead?

Extraction is faster and cheaper on the day, but the gap then shifts neighboring teeth and replacing the tooth with an implant or bridge costs considerably more. We recommend keeping your own tooth whenever it can realistically be saved.

Do you speak Spanish?

Yes. Our team is bilingual and every step of the procedure can be explained to you in Spanish. Se habla español.

Visit our North Plainfield office

Saint Vincent's Dental Center
116 Watchung Ave
North Plainfield, NJ 07060
Mon–Fri 9:00 AM – 6:00 PM · Sat 9:00 AM – 1:00 PM

Inside our North Plainfield office

Digital imaging and a calm treatment room — the two things that make a root canal straightforward.

Panoramic dental x-ray machine at Saint Vincent’s Dental Center, North Plainfield NJDr. Augusto Wong, DDS, Saint Vincent’s Dental Center, North Plainfield NJ

That tooth is not going to settle on its own.

Book an exam and we will tell you honestly whether a root canal is what you need.

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