How Long Does Root Canal Therapy Take?

November 4, 2025

Dentist performing root canal on patient.

If your dentist has recommended root canal therapy, one of your first questions might be, “How long is this going to take?” Many patients are surprised to learn that root canal treatment is often quicker and more comfortable than they expect. Thanks to modern techniques, advanced technology, and improved numbing methods, the procedure is more efficient than ever. Here’s a clear breakdown of what determines how long a root canal takes and what you can expect during each step.

Most Root Canals Take 60 to 90 Minutes

For a typical case, a root canal can be completed in a single appointment lasting about 60 to 90 minutes. However, the exact duration depends on several factors including:

  • Which tooth is being treated.
  • The number of canals inside the tooth.
  • Whether the infection is mild or severe.
  • Your dentist’s preferred treatment method.

Front teeth tend to take less time because they generally have one canal. Molars, which may have three or four canals, require more attention and therefore more time.

Front Teeth: Typically the Fastest

The simplest root canals involve the front teeth, incisors and canines. These teeth usually have just one straight canal, making them much quicker to treat. Most front-tooth root canals can be completed in about 45 to 60 minutes. If the tooth is not severely infected, the procedure may even finish sooner.

Premolars: Moderate Treatment Time

Premolars, located between the front teeth and molars, usually have one or two canals. Because of this, treatment times often fall in the 60- to 75-minute range. The more canals present, the more time the dentist will need to clean, shape, and disinfect each one thoroughly.

Molars: The Most Time-Consuming

Molars are the workhorses of your mouth and often contain three to four canals or sometimes more. Their complex structure makes them the most time-consuming teeth to treat. A molar root canal usually takes 90 minutes or slightly longer, especially if infection has spread or the canals curve.

When Two Appointments Are Needed

Not all cases can be completed in a single visit. Your dentist may schedule two appointments if:

  • The infection is extensive.
  • The canals are unusually narrow or complex.
  • Medicated material needs time to work.
  • Additional restoration steps are required.

During the first appointment, your dentist cleans out the infection and places medicine inside the tooth to eliminate bacteria. At the second visit, the canals are sealed and the tooth is prepared for its final restoration.

Don’t Forget the Crown Appointment

After a root canal, most teeth—especially back teeth—need a dental crown for protection. The crown process typically requires an additional appointment or two, adding to the total treatment time. While this isn’t part of the root canal itself, it’s important for long-term success.

Root canal therapy may sound intimidating, but the procedure is straightforward and efficient. Most treatments are completed in a single visit lasting under two hours, allowing you to return to normal activities quickly. With the right care and restoration, your treated tooth can last a lifetime.

About the Practice

Do you need to save a damaged tooth or alleviate pain? Turn to our experienced team at Dental Designs of Maryland for root canal treatment! We use state-of-the-art dental technology for precise treatment, like a cone beam scanner for enhanced viewing and planning. You’ll love working with our dentists who offer compassionate care, ensuring a comfortable and pleasant experience. Don’t wait any longer – schedule an appointment online or call (443) 936-2899.