Root canal treatment in Manila, Philippines, isn’t just about stopping pain—it’s about saving your tooth before it’s too late.

When a toothache burrows deep and refuses to leave, it’s more than discomfort—it’s your body’s way of saying: “Hey, something’s wrong here.

If that sounds familiar, you’re not alone. Many of our patients come to us after weeks—or months—of trying to ignore the pain.

At Smile More Dental Clinic in Ermita, Manila, we take a thoughtful, patient-first approach to root canal care. Our Endodontics-trained dentists treat infected teeth using modern techniques designed for precision, safety, and comfort. Many patients come to us not just for the treatment—but because we take time to listen, explain things clearly, and care gently every step of the way.

That’s why, across Ermita, Malate, Pasay, Taguig, Makati, Parañaque, and Quezon City, more patients are choosing affordable root canal care in Manila—it’s a smart, safe move to avoid tooth loss.

This guide walks you through what truly matters: when root canal therapy is needed, how the process works, what it costs—and how to get the care that helps you keep your natural tooth for years.      

Root canal care in Manila helps relieve pain and protect the tooth you still want to keep.

When the infection reaches the soft center of your tooth—called the pulp—things can get worse fast.

Bacteria usually sneak in through deep decay, cracks, or an old injury. Then, the pulp gets inflamed.

That’s when the real trouble begins: pressure builds, gums swell, and sometimes a painful gum boil appears.

But here’s the good news.

Using trusted techniques in endodontic care, we remove the infected tissue, clean the canals thoroughly, and seal them tight.

You keep your natural tooth. You stop the pain.

And yes—you bite, chew, and smile again with confidence.

What is a Root Canal - Illustration

When Do You Need A Root Canal in the Philippines?

Your tooth doesn’t need to scream for help to be in trouble.

Some signs are loud. Others are silent until the damage is done.

You may need endodontic treatment if you notice any of the following:

  • Lasting pain when you eat or drink something hot or cold
  • A cracked or leaking filling that’s reached the tooth’s nerve
  • Gums that swell or feel tender
  • A tooth that hurts when you chew
  • A visible crack or chip
  • A recurring gum pimple or bad taste in your mouth
  • Discoloration that makes one tooth stand out—in the wrong way

Even if the pain fades, that doesn’t mean the infection is gone.

Dental X-rays can’t show bacteria, but they do show what’s left behind—like bone loss around the root, which is a clear sign something deeper is wrong.

At Smile More Dental Clinic in Ermita, Manila, root canal therapy is done with focus, skill, and the right tools.

Our team uses rotary files, digital X-rays, and apex locators to treat infected teeth with accuracy—especially when working on molars with tricky or curved roots.

Why does that matter?

Because every tooth we save means less pain, fewer problems, and no need to start over.

We follow a step-by-step approach that removes infection, seals the tooth, and gets your bite back on track—quickly and safely.

It’s a kind of root canal care that puts your comfort and tooth first.

Step-by-Step Root Canal Treatment Procedure in the Philippines

Here’s what you can expect during your visit:

1. Digital X-ray and Diagnosis

We take a digital X-ray to see inside the tooth. The image helps us check the roots, spot infections, and plan the right treatment—before we touch the tooth.

2. Local Anesthesia

We numb the area fully. You stay calm and comfortable while we work.

3. Access Opening

We use a dental handpiece to gently open the tooth’s chewing surface. That small entry point allows us to reach the inflamed tissue hiding deep inside.

4. Measuring the Root Length

Before we clean, we measure. An apex locator tells us how long the root canal is—so we don’t miss a spot or go too far.

5. Cleaning the Canals

We remove the infected pulp using rotary files and cleansing solutions.

This process clears out bacteria and prepares the inside of the tooth for sealing.

6. Shaping and Drying

We shape the canals to better seal and dry them using absorbent paper points. After that, we place a temporary filling to protect the tooth.

7. Final Filling and Seal

After we prepare the canals, we press in gutta-percha—a firm, rubber-like material shaped to fit the inner space.

Next, we bind it in place with a biocompatible seal that keeps bacteria from finding their way back in.

Finally, we place a permanent filling to protect the top of the tooth and restore its strength.

8. Dental Crown Protection

A back tooth or molar often needs a dental crown.

That’s because root canal teeth become brittle over time.

We place a Porcelain or  Zirconia crown to protect it from cracks and keep your bite strong.

Cartoon-style illustration of a Filipino in Manila and an Australian in Sydney standing on opposite sides of the globe, both asking: "How much is the cost of Root Canal Treatment?"

If you’re asking, “How much does a root canal cost in Manila?”—you’re not alone. The cost depends on several important factors:

  • Tooth type and location: Front teeth usually have 1 canal, premolars may have 1 or 2, and molars often have 3 or more. The more canals, the more time and care needed.
  • The severity of the infection: If there’s an abscess, cyst, or deep decay, extra steps are required to clean and disinfect the area.
  • Post or crown requirements: Some patients may need a dowel post and a ceramic crown—especially if the tooth is severely damaged and needs long-term support.
  • Pre-existing restorations: If the tooth already has a dental crown or is part of a fixed bridge, we may remove it or make a small access hole through the crown to release infection and start treatment.
  • Tooth structure condition: If the tooth is badly decayed or has lost too much structure, we may need to reconstruct it using a dental filling or build-up before endodontic treatment.

That’s why we always suggest this first:

👉 Visit us for a quick X-ray and check-up—you’ll get a clear, honest quote based on your tooth’s exact condition.

Root canal therapy usually works the first time—but sometimes, things don’t go as planned.

You may still feel pain if:

  • One of the canals was missed.
  • Bacteria returned due to deep infection.
  • The root has a tricky shape.
  • Infection rebounded years after the initial treatment.
  • The sealing wasn’t fully complete, and bacteria leaked back in.

When that happens, we may suggest a second treatment—or an apicoectomy, which is a small surgical fix that targets the root tip.

We’ll explain your options clearly so you’re never left guessing.


👉 Let’s give your tooth a real chance to heal.

Looking for a patient-approved root canal care clinic in the Philippines? Many of our patients from Makati, Taguig, Pasay, and Quezon City say they came in for the treatment—but stayed because they felt heard, respected, and looked after.

We’ve treated patients from all over Metro Manila—and even from overseas, including those seeking the best root canal care in Asia and quality root canal work at fair prices outside Australia.

Here’s what they find when they arrive:

  • Precise tools like rotary endo motors and apex locators
  • Dentists with hands-on experience in root canal therapy
  • A clean, welcoming clinic near Robinsons Manila in Ermita
  • Fair pricing and clear treatment plans—no surprise charges

A team that listens first and treats with comfort in mind.

a dowel post and core model

When a tooth is too weak or broken to support a crown, a dowel post and core give it a second chance.

We place a tiny support inside the cleaned root canal and secure it in place. This post acts like a spine, giving structure to a tooth that’s lost its core.

Next, we rebuild the inside using a strong dental material—this becomes the foundation for the crown.

Here’s what we typically use:

  • Pre-fabricated: Easy to place and works well for standard root shapes.
  • Custom-made: Ideal when we need precision. If your crown must follow a specific bite or shape, this gives us better control over strength and fit. Because it’s lab-made, it can cost more—but the result is worth it.

Without this support, a root canal-treated tooth—especially a molar—can break under pressure. That’s why we reinforce it before restoring the crown.


At Smile More Dental Clinic, we don’t just treat teeth—we preserve the ones that still matter to you. Early care makes all the difference whether you’re facing lingering toothache, a failed filling, or signs of infection. Our Ermita, Manila team offers compassionate, high-precision endodontic care using advanced rotary tools and digital imaging—because every root deserves the chance to heal.

Root canal therapy doesn’t mean the end of a tooth. It’s the start of saving it.

What is your next move? Don’t wait for the pain to return. Let us help you keep the smile that still has so much life ahead.

👉 Ready to stop the pain and protect your natural tooth?

Click below to talk to our team today.