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.

An apex locator helps measure canal length precisely during treatment, reducing guesswork. 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.
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. Skipping a needed crown is one of the most common reasons a treated tooth fails later.
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.
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.
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.
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.
"They showed me the X-ray and explained exactly why a filling wouldn't be enough. Made the decision easy."
"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."
"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. 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. 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.
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. Molars with multiple canals typically cost more than single-canal front teeth.
Smile Center Dentistry provides Root Canal Treatment to patients throughout Coldstream and neighboring Coldstream, OH 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