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2329 Devine St, Suite 2 Columbia, SC 29205

New Patients: (803) 500-4146​

Established Patients: (803) 799-3368

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Root Canal Therapy in Columbia, SC

Why should I choose root canal therapy?

That nagging toothache isn’t just an annoyance – it could be a sign of a serious infection. Root canal therapy can alleviate your pain, restore your tooth’s health, and help you avoid extraction down the road. With modern techniques, the procedure is more comfortable than ever before, so you can get back to living pain-free.

What Is A Root Canal?

A root canal is a treatment used to save a tooth when the inside of the tooth (called the pulp) becomes infected or inflamed. The pulp holds nerves and blood vessels, and when it is irritated by deep decay, a crack, or trauma, it can lead to pain and swelling. During a root canal, the infected tissue is removed, the inside of the tooth is cleaned and shaped, and then it is sealed to help prevent the infection from coming back.
Many people worry that a root canal is painful, but the goal of treatment is actually the opposite. In most cases, a root canal helps stop the pain caused by infection. With modern dental tools and local anesthesia, root canal treatment often feels similar to getting a filling.

Reasons for Needing A Root Canal

A root canal may be needed when bacteria reach the inner part of the tooth. This can happen from a deep cavity, a broken filling, gum disease, or a tooth that is cracked or chipped. Sometimes an old injury can damage the nerve even if the tooth looks fine on the outside.

There are also signs that a root canal may be needed. You might notice a toothache that lingers or feels worse when you chew, sensitivity to hot or cold that does not fade quickly, or a tooth that feels sore to touch. Some people see swelling near the tooth, a small pimple-like bump on the gums, or gum tenderness that comes and goes. You may also notice tooth discoloration, bad taste, or bad breath that does not improve even with good brushing and flossing. If you have any of these symptoms, an exam is important because infection can spread if it is not treated.

What to Expect During Root Canal Procedure

At Carolina Dentistry, we start with a full evaluation. Dr. Natalia Antley will examine the tooth and may take X-rays to see the roots and check for infection. Advanced digital imaging techniques have taken the guesswork out of root canal therapy, resulting in a quicker, more efficient procedure with less pain and discomfort than ever before. After we confirm that a root canal is the best option, we numb the area so you stay comfortable.
Next, a small opening is made in the tooth so the infected pulp can be removed. The inside of the tooth is cleaned carefully, and the root canals are shaped to prepare for sealing. Once the area is cleaned, the canals are filled with a safe material that helps block bacteria. The tooth is then sealed with a filling.
In many cases, a tooth that has had a root canal will need a crown to help protect it, since the tooth can become weaker over time. If a crown is recommended, our team will explain the timing and steps so you know what to expect.
After treatment, it is normal to feel some mild soreness for a few days, especially when chewing. Most patients can return to work or school the same day. We will also share simple home-care tips and let you know when to come back for follow-up or a crown.

Benefits of Root Canal Treatment vs. Tooth Extraction

When a tooth is infected, you may wonder if it is better to remove it. In many situations, saving the natural tooth with a root canal has clear benefits. A root canal allows you to keep your real tooth structure, which helps you chew normally and maintain a natural-looking smile. Keeping the tooth can also help prevent nearby teeth from shifting out of place.
Extraction can be the right choice sometimes, but it often means you will need to think about replacing the missing tooth later. Replacements like bridges or implants can work very well, but they take more time and can cost more overall. A root canal is often a strong way to treat the infection while keeping your smile intact.
Dr. Natalia Antley will review your options with you and recommend the most conservative plan that supports your long-term oral health.
FAQ

Root Canal

How long does a root canal take?
Most root canal visits take about one to two hours, depending on the tooth and how complex the infection is. Some cases may take more than one visit.
The area is numbed before treatment, so you should not feel sharp pain. Many patients say the appointment is easier than they expected.
Common signs include lingering sensitivity, pain when biting, swelling, or a gum bump near the tooth. The only way to know for sure is an exam and X-rays.
Not always, but it is very common—especially for back teeth that do most of the chewing. A crown helps protect the tooth from cracking.
An infected tooth usually does not heal on its own. Waiting can lead to more pain, a larger infection, or tooth loss. Early treatment is often simpler and more comfortable.

Request Your Appointment

If you have tooth pain, sensitivity, or swelling, don’t wait to get answers. Carolina Dentistry in Columbia, SC is here to help you find relief and protect your smile. Call us today at (803) 500-4146​ or fill out our form to request your appointment with Dr. Natalia Antley, and let’s talk about whether root canal treatment is the right next step for you.