Root Canal Therapy in Manhattan, NYC

Advanced Endodontic Care for Tooth Preservation

When tooth pain becomes persistent or a deep cavity reaches the pulp, root canal therapy may be the only way to save your natural tooth. At Madison Dental Loft in Midtown and Concierge Dental Design in the Financial District, our skilled dental team performs efficient and precise root canals using modern techniques and advanced imaging to relieve pain and restore function—without the anxiety often associated with the procedure.

We focus on making your experience comfortable and your outcome predictable, with a deep commitment to preserving your long-term oral health.

Root Canal Therapy

What Is Root Canal Therapy?

Root canal therapy is a treatment designed to remove infected or inflamed pulp tissue from inside the tooth, clean the canal system, and seal it to prevent further damage. It’s often necessary when:

  • A cavity has progressed to the inner pulp
  • A tooth has been cracked or traumatized
  • There is a deep infection causing pain or swelling
  • Abscesses have developed at the root tip

Despite its reputation, a root canal is a routine procedure that alleviates pain rather than causing it. Most patients feel significantly better within a day or two after treatment.

Symptoms You May Need a Root Canal

Some signs that indicate you may require root canal therapy include:

  • Persistent toothache or pressure
  • Sensitivity to hot or cold, especially when lingering
  • Swelling near the gums or jaw
  • Discoloration of the affected tooth
  • A bump or pimple-like lesion on the gums
  • Pain when chewing or biting

If you’re experiencing any of these symptoms, don’t delay. Our team can assess your condition and determine whether a root canal—or an alternative treatment like dental crowns or tooth extraction—is appropriate.

What to Expect During Your Root Canal

At both of our NYC practices, root canal therapy is handled with precision and care. The treatment typically involves the following steps:

  1. Imaging and Diagnosis
    We use digital X-rays or CBCT scans to identify the extent of the damage and plan your procedure.
  2. Anesthesia and Isolation
    Local anesthesia ensures you remain comfortable throughout. The tooth is isolated with a dental dam for cleanliness and control.
  3. Pulp Removal and Cleaning
    The infected pulp is removed, and the canal system is carefully shaped and disinfected.
  4. Filling and Sealing
    The canals are sealed with biocompatible material to prevent reinfection.
  5. Final Restoration
    Most root canal-treated teeth require a dental crown for protection and strength.

Please note: we do not offer root canal retreatment. If a previously treated tooth becomes problematic, we’ll refer you to a trusted endodontic specialist.

Specialized Root Canal Techniques

At Madison Dental Loft, root canal procedures are guided by advanced diagnostics and in-house 3D planning systems to ensure accuracy and efficiency. These treatments are performed under the direction of Dr. Yohan Kim, Dr. Jonathan Wu, Dr. Kate Zhang, Dr. Sahiba Atwal-Purewal, and Dr. Raysa Perez, whose combined background in complex restorative cases supports seamless transitions to follow-up care such as post-core build-ups and crown placement.

Concierge Dental Design focuses on delivering root canal therapy that balances esthetics, comfort, and long-term stability. Dr. Violet Jang approaches each case with a patient-first perspective, aiming to preserve natural teeth whenever possible while reducing post-treatment disruption.

FAQs About Root Canal Therapy

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Does a root canal hurt?

No. Modern root canals are virtually painless thanks to effective anesthesia and advanced techniques. Most patients feel immediate relief after the procedure.

How long does a root canal take?

Most root canals can be completed in one visit, though more complex cases may require a second appointment.

Is it better to get an extraction instead?

Whenever possible, saving your natural tooth is the ideal option. Extractions can lead to bone loss and often require replacement options like dental implants or bridges.

Will I need a crown afterward?

Yes, in most cases. A crown reinforces the treated tooth and protects it from fracture over time.

Can a root canal fail?

It’s rare with proper care, but failure can happen if the tooth is reinfected. If so, we will refer you to an endodontic specialist, as we do not perform retreatments.

Still have questions?

Take the First Step Toward Relief

If you're dealing with pain, swelling, or sensitivity, don’t wait for symptoms to worsen. Our team is here to restore your health and help you keep your natural smile intact. Schedule an appointment today: