Persistent throbbing or sensitivity to hot and cold that lingers often means the nerve inside the tooth is infected or inflamed. Smile Center Dentistry uses digital X-rays and, when needed, an apex locator to treat the canal precisely.
A root canal performed with the right tools and enough time has a high success rate — rushed cases are where problems happen. We'd rather take an extra ten minutes with the apex locator than leave canal length to a guess.
We confirm nerve involvement with digital X-rays before recommending a root canal over a filling. You'll see your own X-ray and understand the reasoning before we proceed.
We check numbness thoroughly before starting, not just assume the injection worked. If you're still feeling anything, we pause and address it before continuing.
Infected or badly decayed teeth don't wait well, so we prioritize root canal cases for same-week scheduling. We know how miserable this pain can be, which is why we don't make you wait unnecessarily.
Post-treatment protection is part of the plan from day one, so the tooth stays saved long-term. We schedule the crown appointment before you even leave your root canal visit.
Here's what's typically involved once imaging confirms treatment is needed.
We rule out a simple filling before recommending the more involved root canal procedure. This step alone often explains pain patients couldn't previously identify.
Infected pulp tissue is removed and the canal is cleaned and shaped to prepare it for filling. This is the core of the procedure and where precision matters most.
A properly sealed canal is what keeps bacteria from returning to the treated tooth. We confirm the seal with a follow-up X-ray before moving to restoration.
For teeth with significant structure loss, a post-and-core buildup provides a foundation for the final crown. This step is planned before crown placement, not decided last minute.
A crown protects a root-canal-treated tooth from fracture, since it's more brittle without its nerve supply. Material options are discussed based on which tooth and how much force it takes when chewing.
If a previously treated tooth becomes reinfected, we assess whether retreatment or extraction is the better path. We explain honestly whether your specific tooth is still a good save candidate.
We triage by phone to determine how quickly you need to be seen.
You'll see your own X-ray and understand exactly what's happening before we recommend anything.
We check comfort throughout the procedure rather than assuming the anesthesia is holding.
We schedule the follow-up before you leave, so nothing falls through the cracks.
"Put off calling for weeks because I dreaded a root canal. It was genuinely nothing like what I feared."
"Got in the same week I called with severe pain. Anesthesia worked well and I felt nothing during the procedure."
"Two visits total — cleaning and shaping first, crown fitted a couple weeks later. Tooth feels completely normal now."
"Follow-up X-ray confirmed everything sealed properly. Nice to have that confirmation instead of just hoping."
"Needed retreatment on an old root canal from another dentist years ago. They explained clearly why it had failed and what was different this time."
Lingering pain to hot or cold, especially if it wakes you at night, often points to nerve involvement that a filling can't fix. We won't recommend the more involved procedure unless testing actually confirms it's needed.
Modern anesthesia and technique make it far more comfortable than its reputation suggests — most patients report mild discomfort at most. Most patients tell us it was easier than they braced themselves for.
Most cases are completed in one to two visits, depending on the tooth and infection severity. Multi-canal back teeth sometimes take longer than single-canal front teeth.
Front teeth sometimes don't need a crown; back teeth that handle more chewing force usually do. We plan crown placement into your treatment timeline from day one.
The infection can spread, cause worsening pain and swelling, and eventually require extraction instead of a save. We'd rather treat it now while the tooth is still savable.
We break out the root canal and crown costs separately so you understand the full picture. Molars with multiple canals typically cost more than single-canal front teeth.
Our team serves Troy Hills and the surrounding zip codes with digital imaging on-site at every location. We coordinate with local oral surgeons for retreatment cases that need it, so you're not searching for a referral yourself.
We'll confirm what's actually happening before recommending treatment.
Call +1-866-227-2801