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. 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. 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.
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.
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.
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."
"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. 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.
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.
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.
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 Alva and neighboring Alva, OK 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