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General dentistry

Root canal filling in Astana: how it goes, how much it costs, warranty

Root canal filling is a stage of endodontic treatment: the canals are cleaned, disinfected, and filled with gutta-percha and sealer. The procedure involves the root, not just the crown. The number of visits, the need for a crown, and how you feel afterward depend on the clinical picture. The decision is made by the dentist based on the X-ray.

Answer a few questions in the calculator below — and the administrator will send you a quote for your case before your visit.

30+years the Dental-Center network has been treating patients
by type of workwarranty period is stated in the contract
0%Installment plans: Jusan bank — 24 months, Kaspi — 12

How much does root canal filling cost in Astana

Full price list
TreatmentDuration & warrantyPrice
Pulpitis treatment, 1 canalfrom64 000 ₸Message on WhatsApp
Endodontic retreatment, 1 canalfrom73 000 ₸Message on WhatsApp
General dentist consultation and treatment plan0 ₸Message on WhatsApp
Caries treatmentfrom15 000 ₸Message on WhatsApp
Treatment of superficial cavitiesfrom15 000 ₸Message on WhatsApp
Treatment of moderate cariesfrom24 000 ₸Message on WhatsApp
Treatment of deep cavitiesfrom36 000 ₸Message on WhatsApp
Caries treatment using the Icon methodfrom26 000 ₸Message on WhatsApp
Treatment of a wedge-shaped defect, one toothfrom32 000 ₸Message on WhatsApp
Periodontitis treatmentfrom79 000 ₸Message on WhatsApp

Case examples: root canal filling

Root canal filling — close-up clinical photograph of the result after treatmentRoot canal filling — pre-treatment condition on clinical imageBeforeAfter
General dentistry

Root canal filling of anterior teeth

A dark carious spot and a small cavity are visible on the incisors. The canals were treated and filled, and the cavities were restored with a filling.

Root canal filling — close-up clinical image of the result after treatmentRoot canal filling — pre-treatment condition on clinical imageBeforeAfter
General dentistry

Treatment of caries in the lower jaw

A dark carious cavity was observed on a tooth in the lower jaw. Root canal filling was performed, and the shape and function of the tooth were restored.

Root canal filling — clinical image showing the result after treatment, close-upRoot canal filling — pre-treatment condition on clinical imageBeforeAfter
Endodontics

Endodontic treatment of anterior teeth

Carious lesions were identified in the smile zone. Root canal filling was performed, followed by restoration.

Root canal filling — close-up clinical image of the treatment resultRoot canal filling — pre-treatment condition on clinical imageBeforeAfter
General dentistry

Restoration of adjacent teeth after root canal treatment

Two adjacent teeth had carious cavities. Root canal filling and restoration of the anatomical shape were performed.

Root canal filling — post-treatment close-up on a clinical imageRoot canal filling — pre-treatment condition on clinical imageBeforeAfter
Endodontics

Restoration of the occlusal surface

Dark areas and cavities were found on the occlusal surfaces. Root canal filling and modeling of the occlusal surface were performed.

Root canal filling — close-up clinical image of the result after treatmentRoot canal filling — pre-treatment condition on clinical imageBeforeAfter
General dentistry

Comprehensive root canal treatment of the lower jaw

Carious changes were noted in the lower jaw. Root canal filling was performed with restoration of the tooth structure.

Doctors

Who provides care in this specialty

Clinic doctors who see patients for this service. A treatment plan is drawn up after an examination.

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Ismailova Alisiya Akhatovna, General Dentist — dentist at Dental-Center dental clinic in AstanaThe estimate is reviewed by the clinic's restorative dentistTakes 20 seconds — an administrator will reply during business hours
Estimate based on the clinic's 2026 price listExamination and treatment plan — 0 ₸0% installment plan: Jusan bank — 24 months, Kaspi — 12

How does endodontic treatment differ from a regular filling?

A filling repairs a defect on the surface. Endodontic treatment goes deeper — inside the root, where a filling no longer works. The difference is not only in depth but also in purpose: a surface restoration restores the shape, while root canal treatment removes the source of inflammation inside the tooth.

What is treated inside the tooth

The crown is covered on the outside by enamel, beneath which lies dentin, and at the center is a chamber containing the pulp: blood vessels and nerves. As long as inflammation or decay has not spread beyond the dentin, a filling is sufficient. Once the process reaches the pulp, a surface restoration is no longer enough. The infected tissue must be removed from inside, the chamber cleaned and sealed hermetically. Work in the internal space proceeds in two stages: first in the coronal portion, then in the root canals. Canals are narrow branches extending from the pulp chamber to the root apex. Incisors usually have one, molars may have three or more. Inside each are remnants of the pulp and, when inflamed, bacteria as well. The dentist removes this content, widens the lumen and fills it with material. If a canal is left empty or sealed inadequately, the infection persists and will make itself known. That is why the scope of intervention here is broader than with an ordinary filling, and the outcome depends on the clinical picture.

Where the filling ends and the canal begins

A filling restores the form and function of the crown. It is retained on the dentin and protects it from load and saliva. The canal is a different zone, and the approach to it is different. The dentist works blindly at depth, guided by X-rays and length measurements. First the pulp is removed, then the canal walls are mechanically prepared, irrigated with solution and dried. Only after that is the canal filled with sealer and gutta-percha. The filling is placed later, once the canals are sealed. Sometimes it is done in the same visit, sometimes it is postponed — the dentist decides based on the condition of the tissues. The question of cost often arises when a person compares a surface restoration with work inside the root. These are procedures of different complexity: one involves the visible part, the other the hidden part. The outcome depends on the anatomy of the canals, the degree of inflammation and how completely all the branches could be treated. In complex cases, several appointments may be needed.

What root canal retreatment is and when it is needed

A tooth canal is filled with material to keep bacteria from entering. If the filling is not hermetic, it is removed and the tooth is treated again. The procedure is called root canal retreatment.

Why old material is removed

Old material does not always maintain a hermetic seal. Over time it shrinks, pulls away from the canal walls or fails to fully close the branches. Then bacteria reappear in the canal and inflammation develops. Retreatment is needed to free up the space and carry out repeat cleaning. Sometimes material is removed if it has extruded beyond the root apex or has not reached it. It also happens that a canal is filled unevenly, with voids. In such situations the dentist decides whether observation is sufficient or intervention is needed. The reason may be different as well: the tooth hurts after treatment, and it is necessary to understand what is happening. Then the old material is removed partially or completely. The decision depends on the clinical picture and the X-ray. If the canal was sealed long ago and there are no complaints, sometimes it is left alone. But when there are signs of inflammation, retreatment is unavoidable. The dentist assesses the condition of the tissues around the root, and this helps determine whether repeat treatment is needed.

Repeat treatment and its difficulties

  • Access: the old material is removed through the crown of the tooth; sometimes a filling or crown must be taken off to reach the canal openings.
  • Instruments: special solutions and instruments are used to remove the filling material; they dissolve or soften it without damaging the canal walls.
  • Anatomy: canals can be curved, narrow, and have branches, so it is not always possible to remove all the material on the first attempt.
  • Risk of perforation: when re-negotiating the canal there is a chance of making a hole in the wall; this depends on the dentist's experience and the complexity of the case.
  • Time: retreatment often takes more visits than initial treatment and requires X-ray monitoring at every stage.
  • Prognosis: success depends on how completely the canal was cleaned and re-sealed, as well as on the condition of the tissues around the root.

Why does a tooth hurt after root canal filling?

Pain after root canal filling is not always a sign of error. The tissues around the root react to the intervention, and this is expected. Let us break down where it is normal and where it is a reason to return to the dentist.

Tissue reaction and material extrusion

After root canal filling, an area of inflammation forms around the root apex. This is a response to instrumentation, to material extruded beyond the canal, or to remnants of infected tissue. The periodontal ligament reacts with swelling, and the tooth begins to ache when biting. Sometimes the material itself is to blame: paste or gutta-percha has gone past the apex, and the body perceives it as a foreign body. This reaction occurs more often with complex anatomy — curved, branching canals where the instrument does not reach the walls everywhere. If the canal is not filled to the end, bacteria remain in the unfilled section, and inflammation persists. The severity depends on the clinical picture: in one patient the discomfort resolves within a few days, in another it lasts longer. The dentist decides after an examination and an X-ray. Pain when biting that worsens at night, or swelling of the gum, is no longer normal.

When pain signals a problem

  • Pain that worsens over time: if the discomfort does not ease but increases, it is a reason to see a dentist — the material may have been extruded beyond the apex or a section of the canal may have been left unfilled.
  • Swelling of the gum: swelling near the tooth or on the face indicates inflammation beyond the root that will not resolve on its own and requires examination.
  • Pain on biting that lasts longer than a week: mild sensitivity after root canal filling is acceptable, but a prolonged reaction is a signal to check how the canals were filled.
  • Tooth mobility: if the tooth has started to loosen, this may indicate involvement of the periodontal ligament or a root fracture, and the dentist decides after an X-ray.
  • Fistula or discharge: the appearance of a fistula on the gum, pus, or bad breath is a sign of chronic inflammation that needs treatment.

How many canals a tooth can have and what this depends on

The number of canals is not a constant value. It varies from tooth to tooth and even between neighbors in the mouth. Let's break down where to expect how many and why an X-ray decides more than an anatomical atlas.

Tooth groups and the typical number of canals

ToothUsual number of canalsWhat affects it
Incisors and canines1Root shape
Lower incisors1, less often 2Thin root
Premolars1–2Branching near the apex
Upper molars3–4A separate canal in the buccal root
Lower molars2–3Additional branches
Wisdom teeth2–4Highly variable

Why an X-ray matters more than anatomy

A textbook gives average figures, but a specific tooth can disprove them. An upper molar sometimes carries a fourth canal, which is found only during treatment. A lower incisor sometimes has two narrow canals instead of one wide one. Anatomy is only a guide. The dentist decides based on the X-ray: a periapical image or a CBCT scan shows the number of canals, their curves, their length, and where one canal splits in two. This determines how many times the tooth will need to be accessed and which approach to choose. The patient asks how much root canal filling will cost: the price is made up of the number of canals and how passable they are, not a single flat rate. The warranty on fillings is also tied to how completely each canal could be treated: an untreated branch leaves a focus of infection, and the inflammation returns. That is why an X-ray before treatment is not a formality but a working map on which all further work is based. Sometimes the X-ray shows that a canal was not completely filled, and then retreatment is needed.

Is a crown needed after root canal treatment?

This question is debatable. The answer depends on how many walls of the tooth remain, what the chewing load is, and what the X-ray shows. There is no single rule: in one case a restoration is enough, in another the tooth may crack without a covering.

What the dentist takes into account when deciding

  • Extent of destruction: if only thin walls remain of the crown portion, or just one of them, a filling will not hold its shape under load, and the dentist discusses a crown.
  • Type of tooth: incisors and canines mainly experience shear forces, while molars experience compression, so the strength requirements are higher for chewing teeth.
  • Condition of the surrounding tissues: mobility, pocket depth, and gum quality affect whether such a tooth can serve as an abutment, and the dentist decides this.
  • X-ray findings: the quality of canal obturation and the thickness of the remaining walls are visible on the X-ray, and they determine the choice of restoration.
  • Bite and habits: bruxism, wear, and missing adjacent teeth shift the load, and then the decision about a crown changes.

When a crown can be avoided

Sometimes a filling or an inlay is enough. If at least two walls remain after root canal treatment, and the tooth itself is not in the area of maximum chewing load, the dentist may suggest a restoration without a covering. Front teeth with thin edges cut food differently than molars, and there a filling lasts longer. The opposite also happens: the X-ray shows a crack, and then a filling will only delay the loss. An inlay is a separate situation: it replaces the defect but does not encircle the tooth. The decision is made based on the clinical picture, not on the rule "always a crown" or "always a filling." What is more important in a specific case is a question for the dentist who sees the tooth, not just the X-ray. Sometimes observation over time shows that the restoration is holding up, and then the question of a covering is revisited later.

How many visits are needed for root canal treatment

The number of appointments is different for everyone. It depends on the anatomy of the tooth, the condition of the surrounding tissues, and how many canals need to be treated.

What the number of appointments depends on

  • Number of canals: a single-rooted tooth is treated faster than a molar with four canals, each of which must be negotiated and filled separately.
  • Canal patency: narrow, curved, or partially blocked canals require more time and sometimes an intermediate stage with medication.
  • Condition of the tissues around the apex: if there is inflammation in the bone, the dentist may prescribe temporary filling and a follow-up visit.
  • Presence of infection: if the canal was infected, it is treated in several stages to reduce the risk of flare-up.
  • Retreatment: removing the filling from previously treated canals usually takes longer than initial treatment and requires more X-rays.
  • The patient's response: with severe pain or swelling, the approach is changed, and this also affects the number of appointments.

Options by case complexity

ComplexityWhat it includesApproximate number of visits
Simple caseOne straight canal, no signs of inflammation1 visit
Moderate complexityTwo to three canals, moderate curvature2 visits
Complex caseMolar with four canals, retreatment2–3 visits
Complicated caseInfection beyond the apex, an intermediate stage is needed3–4 visits

How to care for a tooth after root canal filling

After root canal filling, the tooth remains a living part of the jaw but responds to load differently. Care comes down to gentle hygiene and reasonable chewing load.

Hygiene and load on the tooth

  • Soft brush: in the first days after treatment, the gum around the tooth may be sensitive, so stiff bristles are set aside, and strokes are made in a sweeping motion, without pressure on the treated area.
  • Interdental brush and single-tuft brush: the spaces at the edge of the filling and hard-to-reach areas are cleaned precisely so that plaque does not accumulate at the gingival sulcus and trigger inflammation.
  • Chewing load: hard nuts, croutons, pits, and opening bottles with the teeth are best avoided until the dentist permits full loading after a follow-up X-ray.
  • Food temperature: very hot and very cold foods can cause discomfort in the area of the tooth if inflammation persists nearby; a comfortable temperature reduces tissue irritation.
  • Onset of pain or swelling: self-treatment in such a situation is dangerous — canal retreatment is performed by the dentist according to indications, not at the patient's request.

Why follow-up checkups are needed

A follow-up examination is not a formality but a way to see what the eye cannot. The dentist compares the condition of the tissues around the tooth with the baseline picture, assesses how the treatment area is healing, and checks for signs of inflammation at the root apex. Sometimes there are no complaints, yet the X-ray shows changes that require attention. That is why follow-up visits are scheduled at specific intervals — the exact timing depends on the clinical picture and is determined by the dentist. During the appointment, plaque is removed, the edge of the filling is checked, and the bite and contact with neighboring teeth are evaluated. If the tooth is weakened, a crown is discussed — but that is a separate decision, not an automatic consequence of root canal treatment. It is worth coming in even when nothing is bothering you: early changes are easier to correct. If pain when biting, gum swelling, tooth mobility, or bad breath appear, you should book an appointment earlier than the scheduled date.

What to keep in mind

Key points of treatment

Root canals are not a 'hole in the tooth' but a system of narrow passages. They are cleaned, disinfected, and sealed airtight. The filling on top merely restores the shape of the crown. If infected dentin remains inside or the canal is not filled along its entire length, the inflammation returns. That is why follow-up imaging is not a formality: it shows exactly where the canal space remains. Sometimes a periapical X-ray is enough, sometimes a CT scan is needed. The dentist decides based on the clinical picture. After root canal treatment, the tooth walls thin out and the enamel loses its support. A crown or inlay protects against fracture, but it is not always needed — it depends on how much tissue remains. Hygiene around such a tooth is routine: brush, toothpaste, dental floss. There are no specific dietary restrictions, except during the period while anesthesia is still in effect.

What the doctor decides

The number of visits, the choice between a filling and a crown, the need to remove old root canal filling material — these aren't a one-size-fits-all protocol, but a decision made for a specific tooth. The dentist looks at the X-rays, assesses the condition of the tissues around the root apex, the response to cold and heat, and the extent of coronal destruction. Sometimes the canal can be negotiated in a single appointment; sometimes several are needed. A narrow, curved canal, calcification, a broken instrument fragment inside — all of these change the course of the work. The patient can help: by honestly reporting pain, chronic conditions, medications being taken, and previous treatments of this tooth. If the tooth remains uncomfortable for more than a few days after root canal filling, it's not worth waiting — it's better to see the dentist and get an X-ray. A timely visit is easier than retreatment. A separate note should be made about teeth that have already been treated before: in those cases the dentist evaluates not only the canals but also the condition of the remaining walls.

Questions about root canal filling in Astana

The price depends on the number of canals in the tooth, how passable they are, the condition of the tissues around the apex, and the amount of work involved: sometimes only the canal needs to be filled, while in other cases the old material must first be removed and the canal retreated. X-rays, anesthesia, and restoration of the crown portion of the tooth after treatment are calculated separately. The final amount is given by the dentist during the examination, once they see the X-ray and understand the plan. You can view current prices in the prices section on this page.

Endodontic treatment is work on the root canals: the dentist removes the inflamed pulp, cleans and widens the canals, treats them with antiseptics, and fills them hermetically along their entire length. The cost depends on the number of canals, their anatomy — some canals are severely curved and narrow — and also on whether this is initial or repeat treatment. The price also includes follow-up X-rays, which are used to check that the canal is filled to the apex. The exact amount is given by the dentist after the examination, and you can see approximate prices in the prices section.

Root canal retreatment is the removal of old filling material from the canal when previous treatment was incomplete or unsuccessful. The indications vary: the canal was not filled to the apex, inflammation developed around the root over time, pain or a fistula appeared, and sometimes the tooth is being prepared for retreatment before a crown is placed. The procedure is more complex than initial treatment because the material must be removed without damaging the canal walls, and the entire cleaning process must be repeated. Afterward, the canal is filled again, and the tooth is restored with a filling or crown.

Building up a tooth with a filling is suitable when the damage is small and enough natural tooth structure remains to support the material. If the tooth walls are thin or the chip extends under the gum, the filling will not withstand chewing forces: it may break off, and the crack may spread to the root. In such cases, the dentist recommends a crown, which covers the entire tooth and protects it from fracture. What to choose in your case is decided by the dentist after an examination and X-ray — sometimes both options are possible, and then the choice depends on budget and prognosis.

The guarantee for treatment at our clinic depends on the type of procedure and is specified in the contract; it is valid provided the patient follows the doctor's recommendations and attends regular preventive check-ups. Root canal treatment is considered successful when the canal is sealed hermetically along its entire length, there is no inflammation around the apex, and the tooth does not bother the patient. This is confirmed by a follow-up X-ray and an examination several months after the procedure. If pain occurs during this period or a problem is visible on the X-ray, the doctor decides whether retreatment is necessary.

The price difference is primarily due to the number of canals: in incisors and canines there is usually one, while molars may have three or even four, and each requires separate treatment. The complexity of the anatomy also plays a role — curved, branched, or previously treated canals take more time and require additional X-rays. The restoration of the tooth after treatment is calculated separately: a filling, inlay, or crown. That's why no two cases cost the same, and the doctor provides the exact cost during the examination, while general guidelines are available in the pricing section.

Yes, root canal treatment is painless — the doctor uses local anesthesia, which completely blocks sensation in the treatment area. If the tooth is already inflamed and the anesthesia is less effective, the doctor selects a different medication or adds a nerve block, so discomfort during the procedure remains minimal. Mild soreness is possible after the appointment when the anesthesia wears off: this is a normal tissue response to the procedure and can be relieved with painkillers. If the pain is severe or lasts more than a few days, you should return for an examination — this can happen with incomplete canal cleaning or a flare-up.

At our clinic, the guarantee period depends on the type of procedure and is specified in the contract; it also covers root canal therapy and fillings, provided the patient follows the doctor's recommendations. For the guarantee to remain valid, patients must attend preventive check-ups and not delay treatment of adjacent teeth, since some complications are specifically related to untreated problems nearby. The guarantee does not cover cases where the patient failed to attend a follow-up appointment or disregarded the prescribed treatment. The doctor explains the exact terms before treatment begins and records them in the documents.

You can book by calling +7 777 911 07 83 — the clinic is open daily from 9:00 to 20:00, so you can choose a convenient time almost any day. The initial examination and treatment plan are free: the doctor examines the tooth, refers you for an X-ray if necessary, and explains how many canals need treatment and during which visits. If you have been to us before and know which tooth is bothering you, tell the administrator — this will speed up the booking. It's best to arrive a little early for your appointment to fill out the paperwork calmly.

If a root canal is not filled completely, the tooth should be examined by a general dentist: incomplete filling leaves a space where bacteria accumulate, and over time this causes pain, inflammation at the root apex, or a fistula. In such cases, the canals are retreated — the material is removed, the canal is cleaned again and filled along its entire length to the apex. Sometimes only one canal needs retreatment, sometimes all of them. The sooner you seek help, the higher the chance of saving the tooth without surgery, so don't delay your visit if pain or swelling appears.

We are open daily from 9:00 to 20:00, seven days a week. The clinic is located in Astana at 11/1 Abay Avenue. Phone for appointments: +7 777 911 07 83. Initial examination and treatment plan: 0 ₸.

Address: Astana, 11/1 Abay Avenue. Parking for patients is free. Phone for appointments: +7 777 911 07 83. Appointments are available daily from 9:00 to 20:00.

The warranty period depends on the type of work and is stated in the contract. The initial examination and treatment plan are 0 ₸. Appointments are available daily from 9:00 to 20:00.

Installments for 24 months with Jusan bank or 12 months with Kaspi. Initial examination and treatment plan: 0 ₸. Appointments are available daily from 9:00 to 20:00. Phone for appointments: +7 777 911 07 83.

The initial examination and treatment plan are 0 ₸. There is no separate fee for the first visit. The warranty period for the work depends on the type of work and is stated in the contract. Installment plans are available from Jusan bank for 24 months and from Kaspi for 12 months.

Parking is free. The clinic is located in Astana at 11/1 Abay Avenue. Appointments are available daily from 9:00 to 20:00. Phone for appointments: +7 777 911 07 83.

Reviews of root canal filling in Astana

4,9
33 reviews on the site
33 ratings
ТТатьяна З.2 September 2026
★ 5,0

I had a filling placed, and they made sure it was painless. Everything went according to plan. Alexey answered my questions.

ЕЕржан Ж.26 July 2026
★ 4,0

Came here on a colleague's recommendation, and they treated a cavity on a molar; the root canal was irrigated thoroughly and for a long time. They quoted the prices upfront, and nothing was added at the end — that's a whole separate story —. All in all, no regrets. I'm one of those people who asks again three times over — they were patient with me. Parking is in the courtyard, and I found a spot, just as agreed. They showed me the X-ray before and after the root canal filling. The contract and receipt were provided without me having to ask. They arranged an installment plan on the spot, no running around to banks...

РРоман З.15 July 2026
★ 5,0

Lechili karies na zhevatelnom. Plombu ne vidno, cvet sovpal. Kliniku rekomenduyu!

ААнна Р.9 July 2026
★ 5,0

I didn't expect it to be completely painless at all, but one small complaint: we waited a bit longer for the appointment. I had a cavity treated on a molar. It seems to me that the people here simply love what they do...

ЮЮлия А.6 July 2026
★ 5,0

The filling isn't visible, the color matches perfectly, and I've already gotten used to the idea that it's all behind me. The root canal was redone under a microscope, with anesthesia, and I didn't feel a thing. I put this off for about a year and a half. Now I only come here.

ААсем П.5 July 2026
★ 5,0

The tooth ached at night, and painkillers no longer helped. I ended up here by chance, I was nearby. They placed a filling and matched the color.

The clinic administrator gives the patient a treatment plan at the front desk
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