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.

An apex locator helps measure canal length precisely during treatment, reducing guesswork. 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. Comfort checks happen throughout, not just at the very start.
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.
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.
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.
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.
Retreatment involves reopening the tooth, cleaning it again, and resealing — more involved than the original procedure. We explain honestly whether your specific tooth is still a good save candidate.
Call +1-866-227-2801 and describe the pain — lingering sensitivity, swelling, or throbbing all point us toward the right exam.
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.
"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."
"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."
"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.
We check numbness thoroughly before starting, so pain during the procedure is rare. 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.
Often yes, since the tooth becomes more brittle without its nerve supply — we discuss this at your first visit. Skipping a needed crown risks the tooth fracturing later, which we explain clearly.
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.
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.
Smile Center Dentistry provides Root Canal Treatment to patients throughout Buckeystown and neighboring Buckeystown, MD 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