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Root canals have a reputation that is far worse than the reality. At Elevated Smiles Dentistry in Bel Air, MD, Dr. Joshua Englander performs root canal treatment to relieve tooth pain quickly and comfortably. Most patients are surprised at how easy the procedure actually is.
Fillings address cavities that have not reached the pulp. If the infection or decay has spread into the inner nerve tissue, a root canal is needed. Dr. Englander will take X-rays and do a clinical exam to confirm which treatment is appropriate before recommending anything.
If you choose local anesthesia only, yes. If you opt for oral conscious sedation, you will need someone to drive you home. Nitrous oxide wears off within minutes, so most patients who use it can drive themselves.
Most patients feel back to normal within one to three days. Mild soreness around the tooth is common for a day or two and is easily managed with over-the-counter pain relief. Avoid chewing on the treated tooth until your permanent crown is placed.
The infection will spread. Without treatment, the bacteria move into the surrounding bone and neighboring teeth, and can eventually reach the bloodstream. At that point, the tooth typically cannot be saved and extraction becomes the only option.
Yes. We make every effort to see patients with tooth pain the same day they call. If you are in pain, call (410) 893-3613 and let us know it is urgent. We will get you in as quickly as possible.

Save the Tooth
Gentle, comfortable care
A root canal is a dental procedure that removes infected or damaged tissue from inside the root of a tooth. Each tooth contains a soft core called the pulp, which houses nerves and blood vessels. When bacteria reach the pulp through a deep cavity, a crack, or a traumatic injury, the tissue becomes inflamed and infected. A root canal cleans out that infected pulp, disinfects the root canals, and seals the tooth to prevent reinfection. The result is a tooth that looks and functions normally without the pain.
Common signs you may need a root canal include a severe or persistent toothache, sharp pain when biting, prolonged sensitivity to heat or cold, visible swelling near the tooth, a pimple-like bump on the gums, or a tooth that has darkened in color.
The procedure typically takes one to two appointments depending on how involved the case is. First, Dr. Englander numbs the area completely with local anesthesia. You should feel nothing during the procedure beyond pressure. A small opening is made in the top of the tooth to access the root canals. The infected pulp is carefully removed, the canals are cleaned and shaped, and a rubber-like filling material called gutta-percha is placed to seal the roots. In most cases, a crown is recommended afterward to protect and strengthen the treated tooth.
No. This is the most common concern patients have, and the answer is consistently no. Modern anesthesia makes root canal treatment no more uncomfortable than a standard filling. The procedure removes the tissue that is causing your pain, so most patients feel significant relief within a day or two. If you experience dental anxiety, Dr. Englander offers nitrous oxide and oral conscious sedation options to help you stay comfortable and relaxed throughout the appointment.
Most root canal treatments at our Bel Air office take between 60 and 90 minutes per appointment. Front teeth with a single root canal are usually completed in one visit. Back teeth such as molars have multiple roots and may require a second appointment. After the root canal is complete, you will need to return for a dental crown to protect the tooth. Dr. Englander can place a same-day CAD/CAM crown in many cases, which means your entire treatment may be finished in two visits rather than three.
The cost of a root canal at Elevated Smiles Dentistry depends on which tooth is being treated. Front teeth typically cost less than molars because they have fewer root canals. Most dental insurance plans cover root canal treatment as a restorative procedure, often at 50 to 80 percent after your deductible. Our front office team will verify your benefits and provide a full cost estimate before treatment begins. Flexible financing is available if you need it.

We Welcome You to Elevated Smiles Dentistry of Bel Air Maryland.
Schedule an AppointmentVisit us at our modern office in downtown Bel Air. We’re ready to help you achieve your best smile.
Monday: 8am – 4pm
Tuesday: 8am – 4pm
Wednesday: 7am – 3pm
Thursday: 7am – 3pm
Friday: By Appointment Only
Saturday: Closed
Sunday: Closed
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