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.

We use imaging to confirm the diagnosis before recommending treatment, not just responding to reported pain. 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. We'd rather over-image than under-treat a tooth that could still be saved.
Modern anesthesia techniques keep the procedure comfortable — most patients report less discomfort than expected. 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. 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. We schedule the crown appointment before you even leave your root canal visit.
Every root canal case is a little different depending on which tooth and how advanced the infection is.
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.
Not every root canal needs this step — we explain when your specific tooth requires it. 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.
Digital X-rays and sensitivity testing confirm whether the nerve is involved and treatment is needed.
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."
"They checked my numbness twice before starting. Appreciated that they didn't rush it."
"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. 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. 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. Skipping a needed crown risks the tooth fracturing later, which we explain clearly.
The infection can spread, cause worsening pain and swelling, and eventually require extraction instead of a save. An untreated infection can also spread beyond the tooth itself in more serious cases.
Cost depends on which tooth and whether a crown is needed — we give a specific quote after diagnosis, not a vague range. We verify insurance benefits before treatment so you know your out-of-pocket cost.
Our team serves Buckner 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