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.

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.
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. 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. We schedule the crown appointment before you even leave your root canal visit.
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.
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.
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.
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.
"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. We won't recommend the more involved procedure unless testing actually confirms it's needed.
We check numbness thoroughly before starting, so pain during the procedure is rare. 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. 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. Molars with multiple canals typically cost more than single-canal front teeth.
Smile Center Dentistry provides Root Canal Treatment to patients throughout Elizabeth and neighboring Elizabeth, CO 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