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. Saving the natural tooth is almost always better than the alternative, so we treat this procedure with real care.
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.
Severe pain gets triaged quickly — we don't make patients wait weeks for a diagnosed infection. Same-week availability applies whether you're a longtime patient or calling us for the first time.
Post-treatment protection is part of the plan from day one, so the tooth stays saved long-term. Skipping a needed crown is one of the most common reasons a treated tooth fails later.
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.
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."
"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."
"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.
We tell you which applies to your case after imaging, not as a generic estimate. We schedule the crown visit separately once the canal treatment itself is complete.
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.
Delaying rarely makes the problem go away — it typically makes treatment more complicated later. 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.
Smile Center Dentistry provides Root Canal Treatment to patients throughout Capitol View and neighboring Capitol View, SC communities, with same-week availability for urgent cases. 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