Relieve Tooth Pain and Save Your Natural Tooth with Gentle, Precise Care

Root Canal Treatment in Winston-Salem, NC

If you’re experiencing persistent tooth pain, swelling, or sensitivity to hot and cold, you may need a root canal — but don’t worry. At Trenton B. Bottoms, DDS, we offer gentle, precise root canal treatment in Winston-Salem using modern techniques and advanced imaging to make the process smooth, comfortable, and effective.

We understand that the words “root canal” often create anxiety. That’s why Dr. Bottoms approaches every procedure with compassion, conservative judgment, and a focus on pain relief — not pressure.

What Is a Root Canal?

A root canal is a common endodontic procedure used to treat infection or inflammation in the pulp of the tooth — the soft tissue inside that houses nerves and blood vessels. When this tissue becomes infected due to decay, trauma, or a cracked tooth, a root canal can remove the problem and preserve your natural tooth structure.

Signs you may need a root canal include:

  • Persistent toothache or pressure
  • Lingering sensitivity to hot or cold
  • Swollen or tender gums near a specific tooth
  • Darkening or discoloration of the tooth
  • A pimple or bump on the gums (possible abscess)

Without treatment, the infection can spread — leading to bone loss, abscess formation, or the need for extraction.

The Root Canal Procedure: What to Expect

Many patients are surprised at how straightforward and comfortable a root canal can be — especially when performed with today’s technology and techniques.

  1. Diagnosis & Imaging
    We use digital X-rays and/or CBCT scans to confirm the diagnosis and visualize the root structure.
  2. Local Anesthesia
    The area is completely numbed. Most patients report the procedure feels no different than getting a filling.
  3. Pulp Removal & Cleaning
    We access the tooth’s pulp chamber, gently remove the infected tissue, and clean the canals thoroughly.
  4. Filling & Sealing
    The canals are filled with a biocompatible material (gutta-percha) and sealed to prevent reinfection.
  5. Restoration
    Most teeth treated with root canals will need a dental crown to restore strength and function. We offer traditional and CEREC same-day crowns for added convenience.

Benefits of Root Canal Treatment

  • Eliminates pain and infection
  • Preserves your natural tooth
  • Restores full chewing and speaking function
  • Protects surrounding teeth and bone
  • Prevents the need for extraction or implants

If you’ve been searching for a dentist near me to treat a painful or infected tooth, we’re here to offer relief with a steady hand and a clear plan.

Why Choose Dr. Bottoms for Root Canal Care?

  • Conservative Treatment Philosophy
    We only recommend root canals when necessary — and we always aim to preserve your tooth and avoid extractions.
  • Comfort-First Care
    We take time to explain the process, answer your questions, and ensure a stress-free experience from start to finish.
  • Advanced Diagnostics
    Our CBCT 3D imaging and digital X-rays provide unparalleled clarity to guide treatment and prevent complications.
  • Restorative Precision
    Post-treatment crowns are crafted to match your natural bite and smile — often completed in a single visit.
  • Continued Support
    After your root canal, we’ll monitor healing, ensure long-term success, and support you through any follow-up needs.

Frequently Asked Questions

Does a root canal hurt?

No. With modern anesthesia and techniques, most patients feel little to no discomfort during the procedure — and immediate relief afterward.

How long does a root canal take?

Most procedures are completed in one visit, lasting about 60–90 minutes. Complex cases may require a second visit.

Is a crown always needed after a root canal?

In most cases, yes — especially for back teeth. A crown helps protect the tooth and prevent fractures over time.

What happens if I don’t get a root canal?

Untreated infection can spread, cause bone damage, and eventually lead to tooth loss or a dental abscess.

Are root canals covered by insurance?

 Yes, most insurance plans cover root canals as a medically necessary treatment. We’ll help you verify your benefits and offer financing options if needed.

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Don’t Let Tooth Pain Disrupt Your Life

Root canal treatment doesn’t have to be stressful. With Dr. Bottoms’ conservative approach and modern techniques, we’ll relieve your pain, preserve your tooth, and get you back to smiling with confidence.

Call us today at 336-765-8358 or schedule your appointment online to learn more about root canals in Winston-Salem.