How Much Is a Root Canal? Complete Cost Guide in the UK

Tooth pain that won’t go away, increased sensitivity, or swelling in the gum area — all these could be signs that you might need a root canal. But one of the first things most patients ask is: How much is a root canal in the UK?

Root canal treatment is a crucial dental procedure that can save a damaged or infected tooth, restore its function, and prevent the need for an extraction. However, its cost can vary widely depending on several factors. In this comprehensive guide, we’ll walk you through everything you need to know about the cost of root canal treatment UK-wide, what affects the pricing, NHS vs private clinic costs, and how to plan financially for this procedure.

What is Root Canal Treatment?

Root canal treatment (also known as endodontic treatment) is a dental procedure used to treat infection at the centre of a tooth (the root canal system). It involves:

• Removing infected or damaged pulp tissue

• Cleaning and disinfecting the canals

• Sealing the tooth to prevent further infection

A root canal saves the natural tooth and avoids the need for extraction, bridges, or implants — making it a valuable investment in your long-term oral health.

Why Do You Need a Root Canal?

Root canal treatment is typically recommended if you have:

• Severe tooth decay reaching the pulp

• A cracked or broken tooth exposing nerves

• Repeated dental procedures on the same tooth

• Trauma causing deep nerve damage

Symptoms may include:

• Intense toothache

• Prolonged sensitivity to hot/cold

• Swollen or tender gums

• Discolouration of the tooth

If left untreated, the infection can spread, leading to abscesses, bone loss, and even more serious health risks.

Cost of Root Canal Treatment UK: The Short Answer

So, how much does a root canal cost UK-wide? Prices vary significantly depending on whether you choose NHS or private dental care, as well as the complexity of the treatment.

NHS Root Canal Cost UK (2024)

Under the NHS in England, Wales and Northern Ireland, root canal treatment falls under Band 2, which currently costs £70.70.

This covers:

• Examination

• Diagnosis

• X-rays

• Root canal therapy

• Basic filling

It’s important to note that complex molar root canals are often referred to private specialists due to the equipment and time required. Scotland uses a different pricing structure based on the treatment needed.

Private Root Canal Cost UK

Private clinics typically charge more for root canal treatments, but patients may benefit from:

• Shorter waiting times

• Access to modern technology like 3D imaging

• Choice of high-end materials (e.g. ceramic or gold crowns)

• Specialist endodontist care for complex cases

Here’s a breakdown of average private prices in 2024:

Prices may increase if:

• You need emergency treatment

• There are multiple canals (e.g., molars have 3–4)

• A crown or post is required

• Sedation is chosen

Factors Affecting Root Canal Cost UK

Several variables influence the cost of root canal treatment UK:

1. Tooth Location

Front teeth are simpler (1 canal), molars are more complex (3-4 canals) — hence higher costs for molars.

2. Dentist vs Endodontist

An endodontist is a specialist in root canal therapy. They charge more, but their precision is unmatched, especially for molars and re-treatments.

3. Location of the Clinic

Clinics in major cities like London, Manchester, or Edinburgh usually charge more than rural practices due to higher operating costs.

4. Urgency

Emergency appointments or weekend services may incur additional fees.

5. Crown Needs

A crown (often required for molars post-treatment) may cost £300–£800 depending on material and clinic.

Root Canal + Crown: A Combined Price Estimate

Most molar root canal treatments require a crown to protect the tooth after the procedure. Here’s a combined estimate:

• Root Canal (molar): £600

• Porcelain Crown: £600

• Total: ~£1,200 (private)

Compare that to a dental implant (£2,000–£2,500), and the root canal route is far more cost-effective in the long term.

Are There Payment Plans or Finance Options?

Yes! Many private dental clinics offer interest-free finance or monthly payment plans, making it easier to spread out the cost of your treatment.

Example:

• £750 root canal over 12 months = approx. £62.50/month

This can be especially helpful for families or patients needing multiple treatments.

Is It Worth Paying Privately?

If you’re experiencing pain and can’t wait for an NHS appointment — or your NHS dentist refers you to private care — paying privately ensures:

• Faster access

• Modern imaging and sterilisation

• Longer appointment slots

• Expert care from endodontists

While the root canal cost UK can seem high privately, it’s often a worthwhile investment when it prevents tooth loss or more expensive treatments later.

Are Root Canals Painful?

Not anymore. Modern root canal treatments are done under local anaesthetic and are no more uncomfortable than getting a filling. Recovery is usually mild, with minor sensitivity for a few days.

Root Canal vs Extraction: A Cost Comparison

Conclusion: In most cases, keeping your natural tooth is the better long-term and financial choice.

Can I Get Dental Insurance to Cover Root Canal?

Yes, many UK dental insurance providers such as Bupa Dental, Simplyhealth, and Denplan offer partial coverage for root canal treatments. However, you must check:

• If pre-existing conditions are covered

• How much you’re reimbursed (often 50–70%)

• Whether private treatment is included

How to Know if You Need a Root Canal

Look for these signs and symptoms:

• Persistent toothache or throbbing pain

• Sensitivity to hot or cold, especially if it lingers

• Swollen or bleeding gums

• Darkening or discolouration of the tooth

• A small bump or pimple on the gum

If any of these are present, book an exam with your dentist. Early intervention often means lower costs and better outcomes.

Final Thoughts: Is a Root Canal Worth It?

If you’re in pain or dealing with a dental infection, a root canal isn’t just an option — it’s often the only way to save your natural tooth. While the root canal cost UK might seem high, it’s significantly less than the long-term costs of extractions, implants, and lost function.

Don’t delay treatment — acting early can prevent complications, save money, and protect your smile for the future.