What is a same day Root Canal Treatment? Can Root Canal and Crown be placed on the same day? Best Answer (2023)

What is a same day Root Canal Treatment?

When it comes to dental procedures, efficiency, and convenience are often prioritized by patients. One such procedure that has gained attention is the possibility of having a root canal and crown done on the same day.

This approach aims to address severe tooth damage caused by decay or injury in a timely manner. The process involves the completion of an RCT, which entails removing infected or necrotic tissue from the tooth’s root canal, followed by the placement of a temporary filling and ultimately a permanent ceramic or porcelain crown.

Undertaking both procedures concurrently not only saves time but also offers potential cost savings. Furthermore, it provides added strength and protection to the affected tooth while minimizing discomfort and reducing the number of required appointments.

However, it is important to consider individual eligibility for same-day treatment based on pre-existing medical conditions and the complexity of tooth damage or decay.

Same-Day Root Canal Procedures Explained

Single-day RCT procedures are becoming increasingly popular due to advanced technology and tools in the endodontic field that allows dentists to efficiently complete the treatment in a single visit, providing convenience and effectiveness.

This one-visit approach eliminates the need for multiple appointments and reduces disruptions in the patient’s schedule. It is particularly beneficial for emergency cases where immediate relief is required.

The procedure involves removing infected or necrotic tissue from the tooth’s root canal and sealing it on the same day, often accompanied by the placement of a temporary crown.

Here is a step-by-step explanation of a same-day RCT:

  • 1. Evaluation and diagnosis: The dentist will examine the affected tooth and take X-rays to determine the extent of the infection and assess the condition of the tooth’s root.
  • 2. Anesthesia: Local anesthesia is administered to numb the area around the tooth, ensuring a pain-free procedure.
  • 3. Accessing the tooth: The dentist will create a small access hole on the top of the tooth using specialized instruments, providing access to the root canal system.
  • 4. Removing pulp: Using small files, the dentist will carefully remove the necrotic or infected tissue or the pulp from the root canal. This step is vital for eliminating the source of pain and preventing further infection.
  • 5. Cleaning and disinfecting: The root canal is thoroughly cleaned and disinfected, using a combination of antibacterial solutions and irrigation to eliminate any remaining bacteria and debris.
  • 6. Shaping the canal: The dentist will shape the root canal using specialized tools to ensure optimal filling and sealing.
  • 7. Filling and sealing: A biocompatible material, usually a rubber-like material called gutta-percha, is used to fill the cleaned and shaped root canal. This material seals off the canal, preventing reinfection.
  • 8. Temporary crown placement (if needed): In some cases, a cap may be placed on the tooth to protect it until a permanent crown can be fabricated and placed during a subsequent visit.
  • 9. X-ray verification: X-rays are taken again to ensure the root canal is completely filled, and there are no gaps or missed canals.
  • 10. Post-operative care: The dentist will provide instructions on how to care for the treated tooth, including any necessary pain management and hygiene practices.

It is important to note that while same-day RCT offers convenience and immediate relief, it may not be suitable for all cases. Complex or severe infections may require multiple visits to ensure thorough treatment and better long-term outcomes. It is best to consult with a dentist to determine the most appropriate treatment plan for individual needs.

Benefits of Getting a Same-Day Root Canal

The advantages of undergoing RCT and receiving a crown in one visit include streamlined treatment, enhanced tooth protection, reduced discomfort, and potential cost savings along with relief from toothache.

This approach allows for a more efficient process by eliminating the need for separate appointments. By addressing both the infected pulp through root canal therapy and providing immediate restoration with a crown, the tooth is better protected from further damage.

Additionally, patients may experience less discomfort as everything is done in one appointment. Moreover, getting these procedures done together can be more cost-effective compared to scheduling them separately.

If experiencing severe pain or other signs of infection, it’s advisable to consult an emergency dentist to schedule an appointment for immediate relief.

Eligibility for Same Day Root Canal Treatment

Eligibility for receiving a root canal and same-day crown in a single visit depends on various factors, such as the severity of tooth damage, pre-existing medical conditions, and the doctor’s expertise in performing complex dental procedures.

If the tooth has extensive decay or complex damage, it may be recommended to schedule separate appointments for each treatment. Additionally, individuals with pre-existing medical conditions that could negatively affect the success of either procedure may not be eligible for same-day treatment.

The decision should be made by an experienced endodontist considering the patient’s dental health and specific circumstances.

a doctor explaining the benefits of same day root canal to a patient

Is same-day root canal worth taking the risk?

Taking into consideration the potential risks and complexities involved, the decision to undergo a same-day RCT requires careful evaluation and consultation with an experienced endodontist.

Before opting for this dental procedure, patients should be aware of the following considerations:

  • Emergency root canals: Same-day RCTs are often recommended when patients need an emergency root canal where immediate treatment is necessary to alleviate severe pain or prevent further infection.
  • Dental team expertise: It is crucial to ensure that the dental team performing the same-day RCT has sufficient experience and expertise in handling complex cases.
  • Infection control: The dental technology used during the procedure should adhere to strict infection control protocols to minimize any risk of complications.

Complications of same-day root canal treatment

Complications that may arise from undergoing an RCT and crown procedure on the same day include potential damage to adjacent teeth and inadequate sealing of the root canal, which can lead to persistent infection and the need for further treatment.

It is important to note that same-day RCT should only be performed by experienced dental professionals in emergency dental services. In some cases, if there are signs of severe infection or extensive damage, tooth extraction may be necessary instead of attempting a same-day RCT.

The success of the procedure also depends on the proper removal of infected matter, thorough disinfection, and effective sealing with gutta-percha before placing a temporary filling and permanent crown.

Frequently Asked Questions

What is the average cost of a same-day RCT?

The average cost of a same-day RCT can vary depending on various factors such as the location, complexity of the case, and the dentist’s fees. However, on average, RCT can cost between $800 to $1,500 per tooth.

Are there any specific post-treatment instructions or precautions to follow after a same-day RCT?

Specific post-treatment instructions and precautions may vary depending on the individual case, but generally, it is important to follow good oral hygiene practices, avoid chewing on hard or sticky foods, and attend regular dental check-ups to ensure proper healing and maintenance of the treated tooth.

Is there any difference in the success rate between same-day RCT and those done on separate days?

There is no significant difference in the success rate between same-day RCT and those done on separate days. Both approaches have similar outcomes when performed by experienced dentists following standard protocols.

How long does a same-day RCT typically take?

The duration of a same-day RCT can vary depending on the complexity of the case and the dentist’s expertise. On average, it may take about 1-2 hours to complete the entire process, including the removal of infected tissue and placement of a permanent crown.

Are there any alternative treatments or options available for those who are not eligible for same-day RCT?

Alternative treatments or options may be available for individuals who are not eligible for same-day RCT. These may include temporary measures to alleviate pain or infection, such as antibiotics or temporary fillings, and over-the-counter pain medications until a comprehensive treatment plan can be implemented.


In conclusion, same-day RCT can be a convenient and efficient option for individuals with severely damaged teeth and free them from pain and discomfort. This approach saves time, reduces discomfort, and may be more cost-effective. However, it is crucial to consider eligibility factors such as pre-existing medical conditions or complex tooth damage before opting for this treatment.

Despite the benefits, there are potential complications associated with same-day RCT that should not be overlooked. Therefore, making an informed decision in consultation with a dental professional is paramount.

If you still want to know more about root canal treatment and what to expect you can read the guide about it.

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