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.
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.
We discuss whether a crown is needed after treatment at your very first visit, not as a surprise afterward. 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.
The cleaned canal is filled with a biocompatible material and sealed to prevent reinfection. 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.
The canal is cleaned, shaped, and filled under local anesthesia, typically in one to two visits.
A crown or filling restores the tooth's strength, with a follow-up to confirm healing.
"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."
"Pain was gone within a day of treatment. Wish I hadn't waited so long to call."
"Pulp testing before treatment confirmed exactly what was going on. No guessing involved."
We confirm with digital X-rays and sensitivity testing before recommending a root canal over a simpler 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.
Most cases are completed in one to two visits, depending on the tooth and infection severity. 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.
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 Bryn Mawr-Skyway and the surrounding zip codes with digital imaging on-site at every location. Whether it's your first root canal or a retreatment case, our Bryn Mawr-Skyway team handles both in-house.
We'll confirm what's actually happening before recommending treatment.
Call +1-866-227-2801