Root Canal Treatment (RCT) is a standard dental procedure to save a severely decayed or infected tooth. Although typically successful, an RCT does not always result in long-term success. Failures may arise from issues such as inadequate cleaning of root canals, missed anatomy, reinfection, or the deterioration of filling material over time.
In such cases, a second attempt—known as retreatment—often becomes necessary to address the problem and preserve the tooth. However, understanding the costs and factors associated with RCT retreatment is crucial before proceeding.
Read ahead to find the cost of retreatment of a failed root canal treatment, along with other details.
In India, the cost of retreatment of a failed Root Canal Treatment (RCT) varies depending on multiple factors. However, here's a rough idea of the pricing range presented in a table:
Type of Tooth | Average Cost (Private Clinics) | Average Cost (Government/Teaching Hospitals) |
Front Tooth (Incisors, Canines) | ₹2,000 – ₹4,000 | ₹500 – ₹1,000 |
Premolars | ₹3,000 – ₹5,000 | ₹1,000 – ₹1,500 |
Molars | ₹4,000 – ₹10,000 | ₹1,500 – ₹3,000 |
In high-end dental clinics, particularly in major cities like Mumbai, Delhi, or Bangalore, the fee for removing a molar tooth ranges from ₹8,000 to ₹20,000, mainly when CBCT scanning, microscopic techniques, or laser-assisted treatment are utilized.
Several factors influence the actual cost of retreatment for a treatment, such as:
● Clinic location
Urban clinics in metropolitan areas, such as Mumbai, Delhi, or Bangalore, charge significantly higher rates than those in smaller towns or cities, primarily due to higher operational costs, increased use of technology, and higher market demand.
Here is a general breakdown presented in a table:
Location Estimated | Cost Range (per tooth) |
Rural/Small Towns | ₹2,000 – ₹5,000 |
Tier 2 Cities | ₹4,000 – ₹8,000 |
Tier 1 Cities (Metros) | ₹6,000 – ₹15,000+ |
Specialist/Endodontist | ₹8,000 – ₹20,000 |
● Type of Tooth
Molars with multiple canals are more difficult and time-consuming to treat than front teeth (incisors or canines); hence, the cost can be higher for molars.
● Expertise of the Dentist
General dentists may charge less, but endodontists or specialists with advanced skills and tools will charge more. However, specialists also improve the chances of success in retreatment.
● Use of Technology
Microscope-assisted retreatment, rotary instruments, digital imaging, and laser treatment can increase costs but often lead to better outcomes.
● Crown or Post Removal
If the previous RCT had a crown or a post placed, it may need to be removed before retreatment. This adds to both time and cost.
● Surgical Intervention
If nonsurgical retreatment is not feasible, procedures like apicoectomy or root-end surgeries may be required, which can cost an additional ₹5,000 to ₹15,000.
● Additional X-rays or CBCT Scans
Advanced imaging (e.g., Cone Beam CT) is often required in complex cases, adding ₹1,000–₹3,000 more to the treatment cost.
Some of the hidden or additional costs of a failed RCT can be:
Dental treatments are not covered by health insurance except in cases of trauma or accident. Some premium dental insurance or group employee health plans offer partial reimbursement.
However, some comprehensive plans, such as the Star Comprehensive Health Insurance Policy of Star Health, offer limited dental coverage under outpatient benefits. This may include up to ₹5,000 annually for dental care, subject to a three-year waiting period. Always verify these clauses in the policy documents before planning costly dental treatments.
The following are the tips to manage and reduce the costs of an RCT retreatment:
Retreating a failed RCT in India is also an option and is generally preferred over tooth loss. While the cost depends on the complexity and location, it typically ranges from ₹4,000 to ₹8,000, depending on the specific case. It remains more economical than extraction and replacement and helps preserve the natural tooth, which is always the best outcome in dentistry.
A comprehensive evaluation of all options, risks, and costs with a knowledgeable endodontist should be completed before making a decision to ensure the best, well-informed choice that maximizes health, longevity, and expense.