Endodontics in Winston-Salem, NC
When the inside of a tooth becomes infected or damaged, saving that tooth takes advanced training, expert technique, and a gentle touch. That’s where endodontics comes in — a specialized area of dentistry focused on diagnosing and treating problems within the tooth’s pulp and root canal system.
At Trenton B. Bottoms, DDS, we offer comprehensive endodontic care in Winston-Salem for patients experiencing pain, infection, or trauma. Dr. Bottoms combines precise diagnostics, conservative care, and modern technology to restore comfort and preserve your natural smile whenever possible.
What Is Endodontics?
Endodontics is the branch of dentistry that treats the interior of the tooth — including the pulp, nerves, and root canals. It focuses on saving natural teeth by removing infection or inflammation from the inside, relieving pain, and restoring strength.
Common endodontic procedures include:
- Root Canal Therapy – Removes infected pulp and seals the canal
- Re-treatment of previous root canals
- Pulp capping and internal decay removal
- Evaluation of cracked or traumatized teeth
Endodontic treatment is often the last step before a tooth might need to be extracted — making it a vital part of conservative dental care.
Signs You May Need Endodontic Treatment
You may need endodontic therapy if you experience:
- Persistent or severe tooth pain
- Lingering sensitivity to heat or cold
- Swelling or tenderness near the gums
- A pimple-like bump (fistula) on the gum
- Discoloration or darkening of a tooth
- Pain when chewing or tapping the tooth
- History of trauma to the tooth
We use digital X-rays and CBCT 3D imaging when needed to evaluate your tooth structure and confirm the extent of damage or infection.
Root Canal Treatment: A Common Endodontic Solution
The most well-known endodontic procedure is the root canal, which allows us to preserve a tooth that’s infected or inflamed.
What Happens During a Root Canal?
- Diagnosis & Imaging – We confirm the issue and plan your treatment using high-resolution digital imaging.
- Numbing the Area – The tooth and surrounding tissue are numbed for a pain-free experience.
- Cleaning the Canal – Infected pulp is removed, and the inner tooth is cleaned and shaped.
- Filling the Tooth – The canal is sealed with biocompatible material.
- Final Restoration – A dental crown is typically placed to protect the tooth.
We offer same-day crowns in some cases using CEREC technology, restoring both health and function efficiently.
Why Choose Dr. Bottoms for Endodontic Care?
- Conservative, Tooth-Saving Approach
We prioritize preserving your natural teeth whenever possible — root canals and other endodontic procedures help make that possible. - Advanced Diagnostics
CBCT imaging and digital X-rays give us a detailed look inside your tooth for accurate diagnosis and planning. - Comfort-Focused Treatment
With local anesthesia, sedation options, and gentle care, we ensure you feel relaxed and informed throughout your procedure. - Complete Restorative Follow-Through
We provide full restoration after endodontic care, including in-house crown placement and long-term follow-up.
If you’ve been searching for a dentist near me who offers expert endodontic care and modern root canal treatment, we’re here to help restore your comfort and your smile
Frequently Asked Questions
Is a root canal painful?
No. With modern anesthesia and technique, most patients feel little to no discomfort during the procedure — and often relief afterward.
How long does endodontic treatment take?
Most root canals are completed in one appointment, though complex cases may require a second visit.
Will I need a crown after endodontic treatment?
Typically, yes — especially for back teeth, to protect the structure and restore function.
What happens if I don’t get treatment?
Infection can spread, leading to tooth loss, abscess formation, or more extensive oral health complications.
Is endodontic therapy covered by insurance?
Often, yes. We’ll help verify your coverage and offer financing options if needed.
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Preserve Your Natural Smile — Pain-Free
With expert endodontic care, you can relieve pain, stop infection, and save your tooth — all in one comfortable, efficient visit. Dr. Bottoms and our team are here to help you feel confident in your care and protected in your health.
Call us today at 336-765-8358 or request an appointment online to schedule your endodontic consultation in Winston-Salem.
