Inside every tooth is a soft tissue called the dental pulp — a bundle of nerves, blood vessels, and connective tissue that runs through the root canals to the jawbone. When this pulp becomes infected or inflamed (due to deep decay, a crack, trauma, or a failed filling), it cannot heal on its own. The infection spreads through the root canals to the surrounding bone, causes severe pain, and — if untreated — results in abscess, bone loss, and eventual tooth loss.
Root canal treatment removes the infected pulp, thoroughly cleans and shapes the root canals, and seals them to prevent reinfection. The tooth is saved, the infection is eliminated, and the pain is gone.
A root canal is not a painful procedure — it is a pain-relieving procedure. The infection is what causes the pain. The root canal ends it.
Recognizing the signs early makes treatment simpler. Here’s what we look for — and the surest way to know is a quick exam with a Boca dentist.
Digital X-rays confirm infection or inflammation of the pulp and assess root canal anatomy. A clinical exam including percussion and thermal tests confirms the diagnosis.
The tooth and surrounding area are fully numbed. Most patients are surprised by how comfortable the procedure is.
A small opening is made through the top of the tooth to access the pulp chamber.
Infected pulp tissue is removed, and the root canals are cleaned, shaped, and irrigated with antimicrobial solution to eliminate all bacteria.
The cleaned canals are filled with a biocompatible rubber-like material (gutta-percha) and sealed with dental cement, so the tooth can no longer become infected at the root.
The access opening is closed with a temporary or permanent filling. A crown is almost always recommended afterward to protect the weakened tooth.
A dental crown is placed at a subsequent appointment to restore full strength, function, and appearance to the tooth.
The root canal itself takes 1–2 appointments (60–90 minutes each), with crown placement typically scheduled 1–2 weeks later.
Saves a tooth that would otherwise be extracted.
Eliminates the infection and resolves the toothache.
Comfortable with modern anesthesia and technique.
Stops infection from spreading to adjacent teeth and bone.
Preserves jawbone that would resorb after an extraction.
Most often completed in a single appointment at Boca.
| Factor | Root Canal + Crown | Tooth Extraction |
|---|---|---|
| Natural tooth | Saved | Lost |
| Appearance | Natural tooth preserved | Gap; replacement needed |
| Cost (short-term) | Higher (root canal + crown) | Lower (extraction only) |
| Cost (long-term) | Lower — no replacement needed | Higher — implant or bridge needed |
| Bone preservation | Yes | No — bone resorbs at extraction site |
| Chewing function | Fully restored | Compromised until replaced |
| Recovery | 1–3 days | 3–7 days |
| Timeline | 2–3 visits over 2–3 weeks | 1 extraction visit + healing |
Everything Reno and Sparks patients ask us most about root canal treatment — tap any question to read the answer.
At Boca, cost should never stand between you and the care you need. We accept Nevada Medicaid and many major dental plans, verify your benefits at no charge, and offer flexible financing — so you can move forward with confidence.
Boca Specialty Dental & Braces performs root canal treatment at 3 locations serving Reno, Sparks, Spanish Springs, Sun Valley, and Washoe County. Same-day appointments available for urgent cases. Most insurance accepted.
Choose your nearest Boca location and we'll confirm within one business hour. Same-day and next-day appointments available.