Save Your Natural Tooth with Advanced Root Canal Treatment

Root canal therapy saves teeth that infection or severe decay would otherwise destroy — and despite its reputation, the procedure itself is far less dramatic than most patients expect. With modern anesthetic protocols and rotary instrumentation, a root canal performed today feels comparable to a routine filling, and the relief from pre-treatment pain is often immediate. Root canal therapy has been demonstrated to be effective at addressing tooth-related disease, with 79 to 95 percent of technically measured outcomes deemed successful PubMed Central, making it one of the most reliable procedures in restorative dentistry. If you are experiencing significant tooth pain, pressure, or swelling, getting prompt treatment at our Reno office is the fastest path to relief and the best chance of saving your natural tooth.
At Elite Dental Aesthetics, Dr. Travis Adams provides restorative dentistry services including root canal therapy for patients throughout Reno, South Reno, West Reno, Sparks, and Damonte Ranch, NV. Dr. Adams holds a Doctor of Dental Surgery degree from the University of the Pacific and has advanced training in comprehensive restorative dentistry, bringing both technical precision and a patient-first approach to every case. We also offer sedation dentistry for patients with dental anxiety, making the entire experience as comfortable as possible from start to finish.
What Is Root Canal Therapy?
Root canal therapy — also called endodontic treatment — is a procedure that removes infected or inflamed tissue from inside a tooth, cleans and disinfects the internal canal system, and seals it permanently to prevent reinfection. The goal is to eliminate the source of pain and infection while keeping the natural tooth intact, avoiding extraction and the additional restorative work an extraction would require.
The procedure becomes necessary when bacteria reach the pulp — the soft inner tissue containing nerves, blood vessels, and connective tissue. Once the pulp is infected, it cannot heal on its own. Without treatment, the infection spreads into surrounding bone and tissue, potentially leading to abscess formation and tooth loss.
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Signs You May Need a Root Canal in Reno

Recognizing the warning signs early gives Dr. Adams the best chance of saving your tooth with the least invasive treatment possible. Common indicators include:
- Persistent, throbbing tooth pain that worsens when biting or applying pressure
- Prolonged sensitivity to heat or cold that lingers well after the temperature source is removed
- Tooth discoloration, particularly darkening of the enamel
- Swelling in the gum tissue surrounding a specific tooth
- A small pimple-like bump on the gum near the affected tooth, which may indicate a draining abscess
- A persistent bad taste or odor that does not resolve with brushing
Not every case of tooth pain requires a root canal, but any of these symptoms warrant a prompt evaluation. Left untreated, a pulp infection progresses and may eventually require extraction rather than treatment.
The Root Canal Process at Elite Dental Aesthetics
Most root canal treatments at our Reno office are completed in one to two appointments, each lasting approximately 60 to 90 minutes. Knowing what to expect removes much of the anxiety associated with the procedure.
Examination and Diagnosis
Dr. Adams begins with a clinical evaluation and digital X-rays to assess the extent of infection, the number and curvature of the canals, and the overall condition of the tooth and surrounding bone. This imaging guides the entire treatment plan.
Anesthesia and Preparation
Local anesthesia is administered to the area before any instrumentation begins. The tooth and surrounding tissue are fully numb before Dr. Adams proceeds. A small rubber dam is placed around the tooth to keep the area dry and sterile throughout the procedure.
Cleaning and Shaping the Canals
A small access opening is made in the crown of the tooth to reach the pulp chamber. Using precision rotary instruments — a significant advance over the manual files of older endodontic techniques — Dr. Adams removes the infected pulp tissue and shapes the canals. Advancements in digital imaging and modern instrumentation techniques have significantly reduced patient discomfort while maximizing procedural success rates PubMed Central, meaning today’s root canal experience is far removed from what patients may have heard from older accounts.
Disinfection and Sealing
The canals are thoroughly irrigated with antimicrobial solutions to eliminate residual bacteria. Once clean and dry, the canals are filled with a biocompatible material called gutta-percha and sealed with dental cement to prevent reinfection. A temporary filling closes the access opening until the permanent restoration is placed.
Crown Placement
Following root canal therapy, most teeth require a dental crown to restore full strength and protect against fracture. Because the tooth structure has been compromised by both the infection and the access opening, a crown is essential for long-term function. At Elite Dental Aesthetics, CEREC same-day dental crowns allow Dr. Adams to place a permanent ceramic crown at a follow-up visit — often completing the entire restoration process in just two appointments.
How Long Do Root Canal-Treated Teeth Last?
With proper care, a root canal-treated tooth can function for decades. Long-term research shows cumulative survival rates of 97 percent at 10 years and 81 percent at 20 years for endodontically treated teeth PubMed Central, with outcomes closely tied to coronal restoration quality and ongoing oral hygiene. Crowning the tooth after treatment and maintaining regular dental cleanings are the two most important factors in maximizing longevity.
How Much Does a Root Canal Cost in Reno?
The cost of root canal therapy at Elite Dental Aesthetics typically ranges from $1,000 to $3,000. The final cost depends on which tooth is being treated and the complexity of the case. Front teeth typically have one or two canals and fall toward the lower end of the range. Molars have three to four canals, require more time, and generally cost more.
The following factors influence the total cost of root canal treatment in Reno:
- Number of canals in the tooth (front teeth have fewer; molars have more)
- Severity of infection and whether retreatment of a previously treated tooth is needed
- Whether a core buildup is required before crown placement
- The type of crown selected for final restoration
A root canal combined with a CEREC ceramic crown typically falls between $2,500 and $4,500 total, depending on the above variables. Most dental insurance plans provide coverage for root canal therapy when it is medically necessary, and our team will verify your benefits before treatment so you have a clear cost estimate in advance. For patients without insurance or with out-of-pocket balances, financing options are available through our practice.
Root Canal vs. Tooth Extraction: Why Saving the Tooth Matters
Patients sometimes ask whether extraction is a simpler or less costly alternative to root canal therapy. In most cases, saving the natural tooth is the better long-term choice — both clinically and financially. Root canal treatment shows survival rates comparable to single-tooth implant therapy PubMed Central, yet preserving a natural tooth avoids the additional cost and healing time associated with implant placement or a dental bridge.
Extracting a tooth without replacing it leads to bone loss at the extraction site, shifting of neighboring teeth, and bite changes that can create larger problems over time. An implant or bridge to replace the extracted tooth often costs more than the root canal and crown combined. When a tooth can be saved, saving it is almost always the right decision.
Frequently Asked Questions About Root Canal Treatment
How do I know if I need root canal therapy?
Common signs include severe tooth pain, prolonged sensitivity to hot or cold, tooth discoloration, swollen or tender gums, and persistent bad taste or odor. If you experience these symptoms in Reno, contact Dr. Adams immediately for an evaluation.
Is a root canal treatment painful?
The procedure itself is not painful. Local anesthesia ensures the tooth and surrounding tissue are completely numb before any instrumentation begins. Most patients report feeling pressure or movement but no pain during treatment. The discomfort most people associate with root canals is actually the pre-treatment infection — which the procedure resolves. Mild soreness for one to three days following treatment is normal and manageable with over-the-counter pain relievers.
How do I know if I need a root canal or just a filling?
A filling addresses decay that has not yet reached the pulp. If decay has penetrated into the pulp chamber or if the pulp has become infected — indicated by persistent pain, swelling, temperature sensitivity, or abscess — a root canal is required. Dr. Adams evaluates this during examination using clinical testing and digital X-rays. In some cases, a tooth may need a root canal with no obvious external symptoms, which is why regular exams are important.
How long does root canal treatment take?
Most root canals at Elite Dental Aesthetics are completed in one to two appointments of 60 to 90 minutes each. The number of appointments depends on the number and complexity of the canals and whether the infection requires a dressing period between visits.
What happens if I delay root canal treatment?
Delaying treatment allows the infection to progress. An untreated pulp infection can spread to surrounding bone and neighboring teeth, develop into a dental abscess, and may eventually make the tooth non-restorable — requiring extraction. Early treatment consistently produces better outcomes and lower total costs than waiting.
How long will my tooth last after root canal therapy?
With proper care, a tooth treated with root canal therapy can last a lifetime. Regular dental checkups at our Reno office, good oral hygiene, and avoiding biting hard foods will help maintain your restored tooth.
Can I drive myself home after a root canal?
If you receive only local anesthesia, yes, you can drive yourself home after the appointment. If you choose nitrous oxide or oral conscious sedation through our sedation dentistry options, you will need a ride home. Dr. Adams will discuss your sedation options during consultation so you can plan accordingly.
Schedule Root Canal Therapy at Elite Dental Aesthetics in Reno
Tooth pain does not resolve on its own, and the longer an infection goes untreated, the more limited your options become. Dr. Adams and the team at Elite Dental Aesthetics are committed to providing root canal therapy in Reno with the precision, comfort, and efficiency that modern dentistry makes possible. Dr. Adams’s training in comprehensive restorative procedures — combined with our in-office CEREC technology for same-day crown restoration — means patients can move from diagnosis through final restoration in as few as two visits. We proudly serve patients across South Reno, West Reno, Sparks, and the broader Northern Nevada region.
If you are experiencing tooth pain or have been told you need a root canal, do not wait. Reach out through our contact form to schedule your evaluation with Dr. Adams at our Reno, NV office.