Short answer
As of October 2026, public listings from Cairo clinics put a root canal at roughly 1,500–4,500 EGP for a front tooth, 2,000–4,500 EGP for a premolar and 2,500–7,000 EGP for a molar. Complex cases and re-treatment can reach about 9,000 EGP. A back tooth usually also needs a crown, which is a separate cost. The exact price depends on an examination and X-ray.

If a dentist has told you a tooth needs root canal treatment (in Egypt usually called حشو العصب or علاج العصب), the first two questions are usually "will it hurt?" and "how much will it cost?". This page answers the second one honestly. The pain question has its own answer in is root canal treatment painful?
As of October 2026, public price listings from private clinics in Cairo show most root canals falling between about 2,000 and 7,000 EGP per tooth, depending mainly on which tooth it is and how complicated the canals are. Discount offers on booking platforms can be lower, and specialist or very complex cases can be higher. The exact cost for your tooth can only be confirmed after an examination and an X-ray.
Root canal cost in Egypt by tooth type
The main thing that drives the price is the number of canals and how hard they are to reach. A front tooth usually has one straight canal. A lower molar usually has three or four, often curved, at the back of the mouth.
| Tooth | Typical canals | Range in Cairo listings (Oct 2026) |
|---|---|---|
| Front tooth (incisor or canine) | 1 | about 1,500–4,500 EGP |
| Premolar | 1–2 | about 2,000–4,500 EGP |
| Molar (back tooth) | 3–4 | about 2,500–7,000 EGP |
| Complex cases (curved, blocked or calcified canals) | varies | about 2,500–9,000 EGP |
| Discount offers on booking platforms | varies | from about 2,500 EGP per session |
These figures come from public clinic listings in Cairo and Giza on international and Egyptian booking platforms, gathered in October 2026. International comparison sites quote a similar band, roughly USD 44–100 for a root canal in Cairo. They are a guide, not a quote: two clinics a few streets apart can price the same tooth very differently.
How much is root canal re-treatment?
Re-treatment means redoing an old root canal that has become infected again, for example when the original filling did not seal the canals fully or a leaking crown let bacteria back in. The old filling material has to be removed first, sometimes a broken instrument or a post as well, so it takes longer than a first treatment.
Few clinics publish a separate re-treatment price. In practice it is usually priced at the level of a complex root canal or above, so expect the upper part of the ranges in the table. If an old root canal tooth is causing problems, ask the dentist to explain on the X-ray whether re-treatment, a small surgery at the root tip, or removal and replacement makes more sense for that particular tooth.
Do I also need to pay for a crown after a root canal?
Often, yes, and this is the cost many people forget. A back tooth that has had a root canal is usually weakened by the original decay and the access opening, so a crown is commonly recommended to protect it from cracking. A front tooth with little damage may only need a good filling. The details are explained in do I need a crown after a root canal?
As a rough guide, public Cairo listings in October 2026 put a zirconia crown at roughly 2,500–9,500 EGP per tooth, with many established clinics at the upper end (about 6,500–9,500 EGP); porcelain-fused-to-metal crowns cost less. Our page on zirconia crown prices in Egypt breaks this down further. A tooth that has lost a lot of structure may also need a core build-up or a post before the crown, which adds to the total.
Why the crown matters for your money
A large prospective study of root canal outcomes found that about 95% of treated teeth were still in place four years later, and that having a proper laboratory-made restoration rather than a temporary one was linked to better tooth survival (Ng et al., International Endodontic Journal, 2011). In plain terms: paying for the root canal and then leaving the tooth with only a temporary filling for months is the most common way to waste that payment.
What changes the price of a root canal?
- Which tooth and how many canals. Molars cost more than front teeth because there is more work and more risk of a missed canal.
- Canal shape. Narrow, curved or calcified canals take longer and may need magnification and specialised files.
- Infection level. An abscess may need the canals cleaned and medicated over two or more visits before they are sealed.
- First treatment or re-treatment. Removing old material adds time and difficulty.
- Who treats it. A general dentist and an endodontist (root canal specialist) may charge differently, especially for difficult molars.
- X-rays and extras. Some quotes include X-rays and the final filling; others do not. A 3D scan (CBCT) is sometimes needed for complicated anatomy.
- The restoration afterwards. Filling, build-up, post and crown are usually priced separately.
How many sessions does a root canal take?
A straightforward front tooth or premolar can often be finished in one appointment. Molars and infected teeth commonly need two or more visits; the NHS notes that root canal treatment usually takes two or more appointments (NHS: root canal treatment). Ask whether a quote is per tooth or per session, because offers advertised "per session" may not cover the whole treatment.
Is a cheaper extraction a better deal than a root canal?
Pulling the tooth costs less on the day, but a missing back tooth usually leads to neighbouring teeth drifting and over-erupting, and replacing it later with a bridge or an implant costs several times more than saving it. For most restorable teeth, a root canal plus a crown is the more economical choice over the years. Removal is sensible when the tooth is cracked down the root, has very little structure left, or the gum and bone support is poor. You can compare replacement options in implants vs bridge vs denture.
Red flags in very cheap root canal offers
- No X-ray before, during or after the treatment.
- A price "per session" with no clear total.
- No mention of how the tooth will be restored afterwards.
- Pressure to decide immediately.
When a root canal is urgent
Do not wait for a better price if you have swelling of the face or gum, a throbbing pain that keeps you awake, fever, or a bad taste from a draining gum boil. These are signs of infection that can spread. Antibiotics alone do not clean an infected canal; the source has to be treated.
How Prof. Nouran approaches a root canal decision
Many patients arrive with a quote in hand and one question: is this tooth really worth saving? As a Professor of Prosthodontics, Prof. Nouran looks beyond the canal itself to the tooth you will chew on afterwards: how much healthy structure is left, whether it can hold a crown, and how it fits with the rest of your bite. You get a written plan that lists the root canal, the build-up and the crown separately, so you know the full cost before you start and can compare calmly.
If you already have an X-ray, you can send it to us on WhatsApp and we will tell you the sensible first step. More about the treatment itself is on our root canal treatment page.

Recognise yourself in this?
Send us a message or a photo of your X-ray on WhatsApp. Prof. Nouran will look at your case and give you a clear plan, with no pressure to start.

