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. We'd rather over-image than under-treat a tooth that could still be saved.
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.
Digital X-rays and cold/heat sensitivity testing confirm whether the nerve is infected or just inflamed. This step alone often explains pain patients couldn't previously identify.
An apex locator helps confirm exact canal length, reducing the chance of under- or over-treatment. 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.
We schedule crown placement as part of your treatment plan from the start, not as a separate afterthought. 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.
A crown or filling restores the tooth's strength, with a follow-up to confirm healing.
"They showed me the X-ray and explained exactly why a filling wouldn't be enough. Made the decision easy."
"Crown discussion happened at the first visit, not as a surprise bill after the root canal was already done."
"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."
"Pulp testing before treatment confirmed exactly what was going on. No guessing involved."
Lingering pain to hot or cold, especially if it wakes you at night, often points to nerve involvement that a filling can't fix. A filling addresses surface decay; a root canal addresses infection reaching the nerve — imaging tells us which applies.
Modern anesthesia and technique make it far more comfortable than its reputation suggests — most patients report mild discomfort at most. Post-procedure soreness is normal for a few days and manageable with standard pain relief.
We tell you which applies to your case after imaging, not as a generic estimate. Multi-canal back teeth sometimes take longer than single-canal front teeth.
Often yes, since the tooth becomes more brittle without its nerve supply — we discuss this at your first visit. 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. We verify insurance benefits before treatment so you know your out-of-pocket cost.
Our team serves Comstock Northwest 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.
Licensed, imaging-equipped, and local to Comstock Northwest — call and get a real diagnosis.
Call +1-866-227-2801