Robert Aiken, DDS is a dedicated endodontist practicing in Chattanooga who focuses exclusively on root canal therapy, retreatment of failed endodontic cases, and related procedures to save teeth that might otherwise require extraction. As one of a small number of specialists in the area whose practice is limited to endodontics, he sits apart from general dentists who perform basic root canals and serves patients referred by other dental practices or those seeking a specialist opinion on difficult cases.
Endodontics is the dental specialty concerned with the pulp of the tooth, the nerve and blood vessel tissue inside the root. Root canal therapy removes infected or damaged pulp to eliminate pain and preserve the tooth structure. Dr. Aiken handles routine root canal cases, retreatment (root canals performed on teeth that have already had the procedure but remain symptomatic), surgical endodontics (apicoectomy, a procedure where the tip of the root is removed if nonsurgical treatment fails), and treatment of traumatized teeth. His practice accepts referrals from other dentists and treats patients seeking a specialist's evaluation for complex cases or second opinions.
Dr. Aiken's primary service is root canal therapy on front teeth (incisors and canines), premolars, and molars. Root canal cost varies substantially by tooth type and complexity. Front-tooth root canals typically range from $900 to $1,200; premolars from $1,100 to $1,500; molars from $1,400 to $2,000 or higher. Retreatment cases, which involve reopening and cleaning out an existing root canal, generally cost more than initial treatment. Surgical endodontics (apicoectomy) typically falls between $1,000 and $1,500 depending on tooth position and root anatomy. Many insurance plans cover endodontic treatment at 50 percent of the fee schedule or allowable amount; verify your plan's coverage before scheduling. Dr. Aiken's office will estimate your out-of-pocket cost after insurance verification. Prices are subject to change; confirm current fees when you call for an appointment.
Chattanooga has a limited pool of full-time endodontists. Dr. Aiken is one option for patients seeking specialist care; comparing him to other practitioners in the region requires direct contact with offices to confirm current credentials, referral policies, and availability. Most general dentists in Chattanooga perform routine root canals in-house, which is appropriate for straightforward cases and may be more convenient for some patients because referral and travel are not necessary. However, general dentists do not specialize in endodontics and typically refer complex, retreatment, or surgical cases to a specialist. If your dentist has recommended you see an endodontist, it signals that your case lies outside routine treatment. Dr. Aiken's exclusive focus on endodontics distinguishes him from general practitioners who manage root canals alongside fillings, crowns, and other restorations.
Dr. Aiken is the right choice for patients whose dentist has referred them for root canal therapy on a difficult tooth, patients seeking retreatment after a root canal that failed or caused ongoing pain, patients who need a specialist evaluation of a traumatized tooth (caused by injury or accident), and patients with complex anatomy or medical history that makes endodontic treatment in a general practice inadvisable. He is also appropriate for patients who prefer a specialist's expertise or want a second opinion on whether a tooth can be saved. He is not a first point of contact for routine dental care; patients see him by referral or appointment request. If your dentist has recommended a simple, straightforward root canal for a front tooth with no prior treatment history, your general dentist is usually capable of handling it, and proceeding there avoids the referral and scheduling delay.
Your first appointment with Dr. Aiken typically begins with a review of your medical and dental history, pain symptoms, and circumstances of the problem (such as whether it followed a cavity, filling, crown, or injury). The dentist will examine the tooth and surrounding gum and bone, take radiographs (X-rays) to assess root anatomy and any existing pathology, and may use percussion testing (gently tapping the tooth) to check sensitivity. If root canal therapy is indicated, Dr. Aiken will explain the procedure, timeline, expected outcome, and cost. Some cases can be treated in a single visit; others require a second appointment if medication is needed inside the tooth between visits. The appointment generally takes 45 minutes to two hours depending on tooth location and complexity. Bring your insurance card and arrive 10 to 15 minutes early to complete any necessary paperwork.
Confirm current hours by calling the office directly; endodontic practices often maintain limited schedules and may offer early-morning or evening appointments to accommodate working patients and referrals from other dental offices. Street or lot parking is typically available; ask the office about specific parking instructions for the location. If you are being referred by your dentist, request that your dentist send radiographs and clinical notes to Dr. Aiken's office before your appointment to reduce redundant imaging and speed the evaluation.
Dr. Aiken's specialty in endodontics and focus on treatment that preserves natural teeth rather than extraction makes him a necessary resource for Chattanooga patients facing root canal challenges that lie beyond the scope of general dentistry.
