Why are root canals not covered?

Asked by: Eda Prosacco  |  Last update: August 10, 2025
Score: 4.5/5 (46 votes)

Pre-existing Conditions. If your tooth was already damaged or infected before you purchased your dental insurance, your plan may not cover the root canal. Insurance companies may deny coverage for pre-existing conditions, so it's important to check the details of your policy.

Why does my insurance not cover root canals?

Your problem most likely is that this tooth has already had a root canal. Dental insurance typically only covers one root canal per tooth per life and one crown per 5 or 10 years per tooth. Leaving equipment in your tooth is malpractice and you should reconcile this with your previous provider directly.

Can you leave a root canal uncovered?

Getting Timely Treatment.

How quickly you treat an infected tooth will determine how long a root canal can last without a crown, as a severely infected tooth will require more excavation. With less healthy structure left over, the quicker the root canal may degrade without a crown.

What happens if a root canal is not sealed?

If the root canal is not properly sealed, the infection could return. If there is a failure to use a rubber dam, which has allowed bacteria to seep into the treated tooth and cause infection which can result in the root canal treatment failing.

What happens if you need a root canal but can't afford it?

Many communities have free dental clinics for people without insurance who cannot afford care at a dental practice. Look online for a local dental society or university dental school, call them, and ask about programs for free dental care.

No More Root Canals!

38 related questions found

How do I get coverage for a root canal?

Dental insurance policies generally cover 40% to 80% of the cost of a root canal. However, coverage eligibility and amounts can vary by insurer and the amount of coverage you select. Aflac dental insurance policies help cover the cost of root canals after your policy's waiting period ends.

What is the lifespan of a root canal?

Breaking down the root canal data

Teeth that receive a root canal, and a subsequent filling and crown last about 20 years. Teeth that receive either a filling or a crown after a root canal last around 11 years. Teeth that receive no restorative work after a root canal only last about 6.5 years.

Which tooth has the highest endodontic failure rate?

According to the tooth type, the majority of the endodontic failures were noted in maxillary molars (44.4%), mandibular molars (20%) and maxillary premolars (15.5%). The endodontic treatment performed by the general dental practitioners (GDPs) showed the most failure rate (78.8%).

Why do dentists use bleach in root canals?

Sodium hypochlorite (NaOCl), a halogenated compound, is routinely used to irrigate the root canal during endodontic treatments. It has antimicrobial action [5–8]; in water, sodium hypochlorite ionizes to Na and OCl.

How long can a root canal go untreated?

The length of time you can leave a root canal untreated varies depending on the severity of the infection and your personal pain tolerance. Some people may experience severe symptoms within days, while others may go weeks or even months without significant discomfort.

Do you always need a crown after a root canal?

The need for a crown is typically determined by the amount of remaining tooth structure after a root canal. Generally, if more than half of the tooth is gone, a crown is indicated to restore the tooth's structural integrity.

Why is root canal better than extraction?

The major advantage of a root canal is that it preserves the existing natural tooth and avoids extensive and costly restorative treatment (such as a bridge or implant) to replace it. An extraction is just what it sounds like: the complete removal of a tooth and its periodontal attachment from its bony socket.

Why is a root canal so expensive?

The primary reason why root canals are so expensive is due to the complexity and the skill required for the procedure. A highly skilled dentist or endodontist is needed. The procedure involves intricate work with a high level of precision and is typically long, often requiring multiple dental visits.

Do dentists warranty root canals?

Root Canals

If you lose your tooth within three years due to failure of the root canal, we will apply the root canal fee as a credit towards a replacement tooth. NOTE: If the tooth breaks because you did not have it properly restored following the root canal procedure, the warranty will not apply.

Does Blue Cross Blue Shield cover root canals?

Both our high-option and standard-option plans offer the comprehensive dental benefits you and your family need, including: in-network covered preventive care paid in full, including up to three cleanings a year. no deductible for in-network services, such as fillings and root canals.

What is the hardest tooth to get a root canal on?

The maxillary molars, especially the second molars, have the most complicated root canal system in permanent dentition. There are many variations in canal number and configuration in maxillary molars. Treatment may be unsuccessful because the dentist may fail to recognize the unusual canal configuration.

Who is responsible for a failed root canal?

Your dentist may be responsible for a bad root canal treatment. It ultimately depends on why your root canal failed. If your dentist did not provide an acceptable standard of treatment or live up to their duty-of-care mandate, you might incur unnecessary pain and suffering with root canal complications.

Which teeth decay the most?

For teens and other age groups, the most vulnerable teeth to cavities and decay are those in the back of your mouth. Known as molars or premolars, this category includes wisdom teeth—if you keep them in, that is.

Can a 20 year old root canal get infected?

Root canal reinfection isn't common, but it isn't unheard of either. Root canal procedures are overwhelmingly successful; however, a previously treated tooth can become reinfected days, weeks, months, or even years after the initial procedure.

What if I can't afford a crown after a root canal?

If you are unable to get a crown after a root canal, there are non-crown options that can be considered for the long-term. These options include using an inlay or onlay to cover the tooth, which can provide similar protection as a crown.

How much does a root canal cost?

Below are the approximated costs of a root canal treatment depending on the location of the damaged tooth: Front (anterior) – $600 - $900. Bicuspid – $700 - $1,000. Molar – $1,000 up to $2,000.

Why is my insurance not covering my root canal?

Pre-existing Conditions. If your tooth was already damaged or infected before you purchased your dental insurance, your plan may not cover the root canal. Insurance companies may deny coverage for pre-existing conditions, so it's important to check the details of your policy.

How can I afford a root canal?

Many dental offices will allow you to finance your root canal or pay the cost in installments through a payment plan. Contact your dental practitioner's office to find out if they offer these options, or to see what other payment alternatives may be available.

What are the symptoms of needing a root canal?

What are signs I may need a root canal?
  • Tooth pain that doesn't go away. Lots of things make your teeth hurt. ...
  • Pressure hurts. If your tooth hurts when you eat or touch it, it may mean something damaged the nerves around your tooth pulp.
  • Swollen gums. ...
  • Pimple on your gums. ...
  • Swollen jaw. ...
  • Discolored tooth. ...
  • Loose tooth.