Root Canal


A root canal therapy is a procedure designed to remove the bacteria from the infected part of the tooth, thus, saving the natural tooth. The inflamed or infected pulp is removed and the inside of the tooth is carefully cleaned and disinfected, then filled and sealed.

About Root Canal

Root canal therapy & treatment is needed when the nerve of a tooth is affected by decay or infection. In order to save the tooth, the pulp (the living tissue inside the tooth), nerves, bacteria, and any decay are removed and the resulting space is filled with special, medicated, dental materials, which restore the tooth to its full function.

Persistent pain in the tooth or tooth sensitivity, swollen gums, or infection around the tooth, tooth discoloration, or cracked tooth, are a few of the identified pain points of the patients having dental problems. Dr. George Orfaly makes sure that the treatment occurs in favor of saving the natural tooth (by root canal treatment) instead of extracting the tooth.


Our staff at Fisher & Orfaly Dental will guide you through each and every step. Having a root canal done on a tooth is the treatment of choice to save a tooth that otherwise would die and have to be removed. Many patients believe that removing a tooth that has problems is the solution, but what is not realized is that extracting (pulling) a tooth will ultimately be more costly and cause significant problems for adjacent teeth.

Root canal treatment is highly successful and usually lasts a lifetime, although, on occasion, a tooth will have to be retreated due to new infections.

Information Capsule

Synopsis of the treatment

Root Canal treatment is intended to get rid of bacterial infection around the tooth and safeguard the natural tooth enlisting step by step procedure like anesthesia, removal of pulp, antibiotics, and temporary fillings.

Length of treatment

30- 60 minutes. In severe cases, it takes 90 minutes. This may require scheduled 1-2 appointments


Novocaine or topical anesthesia.


Couple of days to recover and rest. In a few cases, it may stretch beyond a week or a two.

Alternative name

Endodontic therapy or root canal therapy.

Signs & Symptoms For Possible Root Canal Therapy

The most common sign of an infected tooth is the formation of a cavity or severe pain while chewing. The other noticeable signs when a root canal is needed may include:

Cause Of Damaged Pulp

The bacteria occupy the infected tooth pulp and affect the innermost layer of the tooth. The bacteria enter through the faulty crown or crack on the tooth, thus damaging the complete area and the soft tissue of the tooth, where the blood vessels and connecting nerves are present. This may also lead to inflammation and tooth discoloration which is an alarming sign of getting the root canal.

Reasons for Root Canal Therapy

What Does Root Canal Therapy at Fisher & Orfaly Dental Involve?

Under the guidance of Dr. Orfaly, there will be a thorough evaluation and appropriate clinical diagnosis. A root canal procedure requires one or more appointments and can be performed by a dentist or endodontist (a root canal specialist).

Follow-up Appointments For Tooth Filling

At the next appointment, usually, a week later, the roots and the inside cavity of the tooth will be filled and sealed with special dental materials. A filling will be placed to cover the opening on top of the tooth. In addition, most teeth that have root canal treatment should have a crown (cap) placed. This will protect the tooth and prevent it from breaking, and restore it to its full function.

Good oral hygiene practices and regular dental visits will aid in the life of your root canal treatment.

How Is The Recovery Post Root Canal?

After treatment, your tooth may still be sensitive, but this will subside as the inflammation diminishes and the tooth has healed. Dr. Orfaly will give care instructions after each appointment. 

The time when the local sedation starts to wear off, there will be soreness and tooth sensitivity observed. Nevertheless, this pain lasts for a couple of days and by regular intake of prescribed oral medications, the situation comes to normal.

How Much Does A Root Canal Therapy Cost?

The expense depends upon how complex the issue is and the extent of tooth infection. The cost will likewise vary depending on your insurance, and the extent of root canal treatment. Most dental insurance plans will cover at least some portion of the cost for a root canal therapy. Call the Fisher & Orfaly Dental office to check what is covered under your plan.

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Patient Testimonials

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Deej Twombly
October 7, 2020

Coming to Dr Orfaly is The best decision I could have made. I didn’t have a dentist for years and they saw me when I had an emergency. Now I am getting all of my dental work here, perfect caps, bridges and hygiene. I highly recommend Dr Orfaly and his staff.

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Mica Bolotin
October 28, 2020

After having a negative experience with a filling with a past dentist, I was nervous to go to a new dentist with tooth pain. Dr. Orfaly and team were very understanding and knowledgable when walking me through my options for a cracked tooth. 10/10 would recommend due to their professionalism, attention to detail, and level of care. Thanks team!

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Ashley Spencer
April 1, 2021

Dr Orfaly is the best dentist around! I have alot of anxiety around going to the dentist & Dr Orfaly always makes sure to check in to see how I'm doing & is so nice. If a referral is needed to a specialist, he makes the call for you & gets you an appt quickly (mine was even the same day) I love how they book you with the same dental hygienist for all cleanings.. Adds another level of comfort... Shoutout to mine, Kathy!


Dr. George Orfaly

About Dr. George Orfaly

Dr. George Orfaly is a Doctor of Medicine in Dentistry and has been practicing as a dentist in Salem, MA since 2005. He has consistently improved the lives of his patients by providing them relief, confidence, and healthy smiles. He believes that oral health is directly related to overall health and well-being. Dr. Orfaly has also been an active member of the American Dental Association, Massachusetts Dental Society, and North Shore District Dental Society.

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18 Hawthorne Blvd. Salem, MA 01970

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