Root Canal Treatment Cost in the UK: Everything You Need to Know

Root canal treatment is a common dental procedure performed to save a tooth that has been severely damaged or infected. While it is a necessary treatment to maintain oral health and avoid tooth loss, many people are concerned about the costs involved. In the UK, the price of a root canal can vary significantly depending on whether the treatment is carried out by an NHS dentist or a private practitioner, as well as the complexity of the case and the type of tooth being treated.

This comprehensive blog will help you understand the different factors that influence root canal treatment costs in the UK, what you can expect during the procedure, and the benefits of investing in this vital dental treatment.

What Is Root Canal Treatment?

Root canal treatment, also known as endodontic therapy, is a dental procedure used to treat infection or inflammation within the pulp of a tooth. The pulp is the soft tissue inside the tooth that contains nerves and blood vessels. When the pulp becomes infected due to tooth decay, injury, or repeated dental procedures, it can cause severe pain, swelling, and abscess formation.

During a root canal procedure, the dentist removes the infected or inflamed pulp, cleans and disinfects the inner canals of the tooth, and fills the space with a biocompatible material. The tooth is then sealed and often fitted with a crown to restore its structure and strength. This treatment can effectively save a tooth that might otherwise need to be extracted.

Why Might You Need a Root Canal?

There are several reasons why a dentist may recommend root canal treatment. One of the most common reasons is deep tooth decay that has reached the pulp. Other causes include cracks or chips in the tooth that expose the inner tissue, trauma to the tooth, and severe gum disease. Ignoring these problems can lead to worsening pain, spread of infection, and eventually tooth loss.

Root canal therapy is often the best option for preserving your natural teeth and avoiding the complications and costs associated with extractions and dental implants.

Root Canal Cost Under the NHS

In the UK, dental treatment under the National Health Service (NHS) is divided into fixed bands. As of 2025, root canal treatment typically falls under Band 2, which includes procedures such as fillings, extractions, and root canal therapy.

The cost for Band 2 treatment in England is currently £70.70, while in Wales it is slightly lower. This fee covers the entire course of treatment, including x-rays, anaesthesia, and any necessary fillings or crowns that may be needed to complete the procedure. The NHS provides good quality dental care, but there may be limitations on the materials used and the availability of appointments, particularly for more complex cases or in busy urban areas.

Private Root Canal Treatment Cost

For patients seeking quicker appointments, more advanced materials, or more personalized care, private dental treatment is another option. The cost of root canal treatment in private clinics can vary widely based on several factors:

1. Location of the tooth: Molars, which are harder to access and have multiple canals, are more expensive to treat than front teeth (incisors or canines).

2. Dentist’s experience and technology: A highly skilled endodontist (a specialist in root canals) using advanced equipment may charge more, but the results are often more reliable.

3. Geographic location: Dental fees in London and other large cities are typically higher than in smaller towns or rural areas.

4. Complexity of the case: Re-treatments or cases with complications such as curved or blocked canals may increase the total cost.

On average, private root canal treatment in the UK can cost between:

• £300 to £700 for front teeth

• £500 to £1,000 for premolars

• £700 to £1,500 for molars

These prices typically include consultation, x-rays, and follow-up visits. However, in many cases, a dental crown is recommended after the root canal to protect the tooth. The crown itself can cost an additional £300 to £800 depending on the material used.

Cost Comparison: NHS vs. Private

While NHS treatment is significantly more affordable, it may not always be suitable for every patient. Private treatment offers greater flexibility in appointment scheduling, shorter waiting times, and often higher-quality materials for fillings and crowns. For patients with complex cases or those seeking a more comfortable experience, the extra cost of private care may be worthwhile.

However, for straightforward root canal cases, NHS treatment offers good value and can be a reliable solution for those on a budget.

Does Dental Insurance Cover Root Canal Treatment?

Some private dental insurance plans in the UK may cover part or all of the cost of root canal treatment. Coverage varies depending on the provider and the specific plan. Most basic plans cover routine check-ups and hygiene treatments but may exclude or limit coverage for more complex procedures such as root canals and crowns.

It’s important to check your policy details before starting treatment. If your insurance does not provide sufficient coverage, consider dental payment plans or financing options offered by many private clinics.

Is a Crown Necessary After a Root Canal?

After the root canal procedure, your dentist may recommend placing a crown on the tooth. This is especially common for back teeth (molars and premolars) that endure more pressure during chewing. A crown helps to protect the treated tooth from cracking or breaking and ensures its long-term function.

While crowns can significantly increase the total cost of treatment, they also add to the durability and aesthetics of the restored tooth. Some patients may choose to postpone the crown or opt for a temporary filling, but this approach carries a higher risk of future damage.

Factors Affecting the Total Cost of Treatment

Several factors can influence the overall cost of root canal treatment beyond the standard fees. These include the number of canals in the tooth, the use of dental microscopy or advanced imaging, the need for sedation or specialist care, and whether retreatment is required due to failure of a previous root canal.

In rare cases, if a tooth is deemed non-restorable even after root canal therapy, the dentist may recommend extraction followed by a dental implant or bridge, which can add considerable cost.

Are There Any Alternatives to Root Canal Treatment?

The primary alternative to root canal treatment is tooth extraction. While this may initially seem more affordable, the long-term consequences can be more complex and expensive. Missing teeth can lead to shifting of nearby teeth, difficulty chewing, and loss of jawbone density. Replacing a lost tooth with a dental implant or bridge is often more costly than saving the natural tooth with root canal therapy.

Therefore, most dental professionals recommend root canal treatment whenever possible to preserve the patient’s natural smile and oral health.

Tips for Reducing Root Canal Treatment Costs

To help manage the cost of root canal treatment, consider the following tips:

• Explore NHS options if you qualify, especially for routine cases.

• Get multiple quotes from private clinics to compare prices and services.

• Ask about payment plans, many practices offer 0% interest financing.

• Maintain regular dental check-ups to catch problems early and avoid extensive treatments.

• Consider dental insurance if you anticipate future dental needs.

Proactive oral hygiene is the best way to prevent the need for costly dental treatments. Brushing, flossing, and attending regular check-ups can help you avoid the pain and expense of root canal therapy.

Final Thoughts

Root canal treatment is an essential dental procedure that can save a damaged or infected tooth from extraction. In the UK, the cost of this treatment varies based on whether you choose NHS or private care, the complexity of the case, and the type of tooth being treated. NHS treatment remains the most cost-effective option, but private clinics may offer additional benefits and comfort.

Understanding the full scope of root canal treatment costs can help you make the right decision for your dental health. If you suspect you need a root canal, it’s important to consult a qualified dentist as soon as possible to avoid complications and additional costs.