Root Canal Treatment in Boston, MA
Specialist Endodontic Care at BOSEA's Lewis Wharf Center
If you have tooth pain that is not improving, lingering sensitivity, swelling near a tooth, or a tooth your dentist is concerned may not be savable, it may be time for a specialist evaluation.
At Boston Oral Surgical & Endodontic Associates, root canal treatment is provided by endodontist Dr. Yasmine Basseghi, DMD using microscopic magnification, 3D CBCT imaging, and advanced endodontic techniques to relieve pain, treat infection, and preserve natural teeth whenever possible.
Whether you were referred by your dentist or want a second opinion before committing to a root canal or extraction, BOSEA helps you understand what is going on, what your options are, and what should happen next.
Root Canal or Extraction? One Practice Can Answer Both.
For many patients, the real question is not just how to treat a painful tooth. It is whether the tooth should be saved, retreated, or removed, and which option makes the most sense long term.
This is one of BOSEA’s biggest advantages. Because Dr. Basseghi and our oral surgery team work within the same practice, patients facing that decision can get a complete evaluation in one visit without having to go elsewhere for the surgical side of the conversation. If root canal therapy is the right path, we will tell you that. If extraction and implant planning make more sense, we will tell you that too.
For patients who have been told they need an extraction, or who are unsure whether a tooth is worth saving, BOSEA is a strong place to start for a second opinion.
Advanced Endodontic Care for More Complex Cases
At BOSEA, root canal treatment is performed with the experience, technology, and attention to detail that complex endodontic cases often require. Our approach is simple: diagnose carefully, treat precisely, and give the tooth the best chance of being saved when that is still the right option.
Our Endodontic Services Include:
- Root canal therapy for primary treatment cases
- Root canal retreatment when previous treatment has not healed
- Microscopic endodontic surgery, including apicoectomy
- Diagnosis and treatment of cracked or traumatized teeth
- 3D CBCT imaging for complex or unusual canal anatomy
- Emergency evaluation for tooth pain and active infection
Each procedure is performed in a private treatment suite with digital imaging, microscopic guidance, and ultrasonic instrumentation.
Meet Your Endodontist — Dr. Yasmine Basseghi, DMD
Dr. Yasmine Basseghi is BOSEA’s endodontist, specializing in microscope-assisted root canal therapy, diagnosis and management of dental pain and infection, retreatment of previously treated teeth, and endodontic surgery for cases that need a more advanced approach.
She earned her Doctor of Dental Medicine from Boston University Henry M. Goldman School of Dental Medicine and completed advanced specialty training in Endodontics with a focus on predictable outcomes in both routine and complex cases.
Dr. Basseghi has been recognized by Boston Magazine as a Top Dentist, reflecting the trust of both patients and referring providers across Greater Boston.
Patients who come to BOSEA for endodontic care are often dealing with:
· Significant or persistent tooth pain
· A cracked or traumatized tooth
· Swelling or signs of active infection
· A previously treated tooth that has become painful again
· Uncertainty about whether a tooth should be saved or extracted
A Better Root Canal Experience
Root canal treatment does not have to be intimidating. The goal is straightforward: remove infection or inflammation, relieve pain, and preserve the tooth. With the right specialist and the right technology, the experience is often much more manageable than most patients expect.
Signs you may need endodontic treatment:
· Persistent or severe tooth pain, especially with pressure or chewing
· Sensitivity to heat or cold that lingers after the source is removed
· Swelling or tenderness in the gum near a tooth
· A darkened or discolored tooth
· A recurring bump or pimple on the gum
· A crack, chip, or dental trauma
· A previously root canal treated tooth that has become painful again
Tooth infections do not resolve on their own. Waiting usually makes the tooth harder, and sometimes impossible, to save.
Technology That Enhances Comfort and Results
BOSEA uses advanced endodontic technology at every stage of treatment to improve accuracy, comfort, and long-term outcomes.
Dental Operating Microscopes
Microscopic magnification allows Dr. Basseghi to see canal systems, fracture lines, and anatomical details that are not visible to the naked eye and to treat them more thoroughly. Missed or untreated canals are one of the most common reasons root canal treatment fails. Microscopic technique helps reduce that risk.3D CBCT Imaging
This provides a full three-dimensional view of the tooth, roots, canal anatomy, and surrounding bone before treatment begins. It is especially helpful for complex anatomy, suspected fractures, and retreatment cases where prior treatment may have been incomplete.Digital Apex Locators and Ultrasonic Instrumentation
These tools help improve cleaning and shaping of the canal system, including areas conventional instruments may not reliably reach.Bioceramic Sealing Materials
These biocompatible, dimensionally stable materials help create a durable long-term seal and reduce the risk of reinfection after treatment is complete.
A Calming, Private Treatment Setting
BOSEA’s Lewis Wharf practice is designed to feel different from a traditional high-volume dental office. Private operatories, a waterfront setting, and a clinical team focused on clear communication create a calmer environment, which can make a real difference for patients arriving in pain or already anxious about what comes next.
Sedation options are available for patients who want additional comfort during treatment or for longer procedures. Learn more about anesthesia options .
From the first visit through follow-up, we explain what we are seeing, what the treatment involves, and what to expect next.
For Referring Dentists
BOSEA partners with general dentists and specialists across Greater Boston for root canal treatment, retreatment, and endodontic surgery. Dr. Basseghi’s clinical approach, efficient scheduling, and clear post-treatment documentation help ensure a smooth specialty handoff, and your patients are returned to your care with a complete treatment record.
Boston Oral Surgical & Endodontic Associates
Conveniently located on Boston’s historic waterfront at Lewis Wharf, BOSEA serves patients and referring dentists throughout Boston, the North End, Seaport, Cambridge, Charlestown, Brookline, Newton, and the Greater Boston area.
28 Atlantic Avenue, Lewis Wharf – Boston, MA
Your destination for specialist endodontic care and surgical excellence.
Boston Oral Surgical & Endodontic Associates
Conveniently located on Boston’s historic waterfront at Lewis Wharf, our surgical center serves patients and referring dentists throughout Boston, the North End, Seaport, Cambridge, and the Greater Boston area.
28 Atlantic Avenue, Lewis Wharf – Boston, MA
Your destination for Oral Surgical Excellence and Smile Restoration
Read what our happy patients are saying
We’ve proudly treated thousands of happy patients from throughout New England. Read what they have to say:
Frequently Asked Questions — Root Canal Treatment in Boston
Do I need a root canal?
A root canal is needed when the pulp inside your tooth becomes infected or inflamed, typically from deep decay, a crack, trauma, or a failing restoration. Common signs include persistent tooth pain, sensitivity that lingers after temperature changes, swelling near a tooth, or a darkened tooth. A clinical evaluation and imaging are the only reliable way to confirm whether endodontic treatment is indicated.
Is a root canal painful?
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How long does a root canal take?
Most primary root canals are completed in one to two appointments. Complex cases, retreatment, and unusual anatomy may require additional time. Your full timeline is explained clearly at your consultation before treatment begins.
How much does a root canal cost in Boston, MA?
Cost varies based on which tooth is being treated, whether it is a primary treatment or retreatment, and whether endodontic surgery is involved. Dental insurance often covers a portion of endodontic treatment. A clear cost estimate is provided following your evaluation and imaging before you commit to treatment.
What happens if I don't get a root canal?
Tooth infections do not resolve on their own. Without treatment, infection typically spreads into surrounding bone or adjacent teeth, making the tooth increasingly difficult or impossible to save. Acting earlier usually preserves more options and reduces the risk of the problem becoming more complicated.
What is root canal retreatment?
Retreatment is performed when a previously treated tooth has not healed, developed a new infection, or was not fully treated the first time. The process involves removing previous filling material, re-cleaning the canal system, and resealing. Retreatment is more technically complex than primary treatment and is a core focus of Dr. Basseghi’s specialty practice at BOSEA.
What is an apicoectomy?
An apicoectomy is endodontic surgery performed when infection at the tip of the root cannot be fully resolved with conventional root canal treatment. The infected tissue and root tip are removed, and the root end is sealed directly under microscopic magnification. It is a microsurgical procedure, not a standard root canal.
Can my tooth be saved, or do I need an extraction?
That depends on the extent of infection, remaining tooth structure, fracture status, and long-term prognosis. Because BOSEA has both endodontic and oral surgery specialists in one practice, Dr. Basseghi and our surgical team can evaluate this question together and give you an honest recommendation, whether that means root canal therapy, retreatment, apicoectomy, extraction, or implant planning. Patients seeking a second opinion on this question are welcome to schedule directly.
Do I need a referral to see Dr. Basseghi at BOSEA?
No. You can contact BOSEA directly to schedule an endodontic evaluation. If you are in pain or experiencing signs of a tooth infection, you do not need to wait for a referral from your general dentist.