A root canal has a reputation it doesn't deserve anymore — modern technique and anesthesia make it manageable. 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. 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.
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.
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.
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.
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.
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.
"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."
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. 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.
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 Custer 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 Custer team handles both in-house.
We'll confirm what's actually happening before recommending treatment.
Call +1-866-227-2801