6100 W. 41st St. Sioux Falls, SD 57106

Saving Your Natural Tooth from Infection or Damage
A tooth that has become infected or severely decayed does not always need to be extracted. Root canal therapy allows a damaged tooth to be treated from the inside out, removing infected tissue and sealing the tooth so it can continue functioning for years to come. Despite its reputation, modern root canal treatment is a comfortable procedure focused on relieving pain, not causing it.
Designer Dentistry & Smiles provides root canal therapy for patients throughout Sioux Falls, Sioux Falls, Brandon, Harrisburg, and Tea, helping patients avoid extraction and preserve their natural teeth whenever possible. Whether pain has developed suddenly or a tooth has been sensitive for some time, prompt evaluation can determine whether root canal therapy is the right path forward.
Schedule a Root Canal Evaluation
Signs You May Need a Root Canal
- Persistent or Throbbing Tooth Pain - Pain that lingers or worsens when chewing or applying pressure often signals infection deep within the tooth.
- Lingering Sensitivity to Hot or Cold - Discomfort that continues well after the temperature source is removed can point to nerve involvement inside the tooth.
- Swelling or Tenderness in the Gums - Inflammation localized around a specific tooth is a common sign of infection at the root.
- A Small Bump on the Gums - A pimple-like bump near a tooth can indicate a developing abscess.
- Darkening or Discoloration of the Tooth - A tooth that appears noticeably darker than surrounding teeth may have internal damage or a dying nerve.
- No Pain at All Despite Damage - In some cases, a tooth may show no symptoms even with significant internal damage, which is one reason routine exams and X-rays play such an important role in catching problems early.
Why Choose Root Canal Therapy
Saving a natural tooth almost always comes with advantages over removing it entirely. A root canal preserves the tooth's root structure, which helps maintain the strength and shape of the surrounding jawbone in a way that an extraction alone cannot. Keeping the natural tooth in place also avoids the need for a bridge or implant to fill the resulting gap, which can mean less overall treatment, time, and cost.
Because the tooth is treated and sealed rather than removed, chewing function and bite alignment are maintained without disrupting neighboring teeth. For most patients, especially when a tooth still has a healthy root and supporting bone structure, saving the natural tooth through root canal therapy remains the preferred option over extraction.
What Happens During Root Canal Treatment
Numbing the Area
Accessing the Tooth's Interior
Removing Infected Tissue
Cleaning and Shaping the Canals
Filling and Sealing
Restoring the Tooth
Recovering After Your Root Canal
Most patients find recovery after a root canal to be far more manageable than the discomfort that led them to seek treatment in the first place. Mild soreness or sensitivity in the treated area is common for a few days afterward and typically responds well to over-the-counter pain relief.
Eating on the opposite side of the mouth until any temporary restoration is replaced with a permanent crown helps protect the tooth while it fully settles. It is important to continue regular brushing and flossing around the treated tooth, just as with the rest of the smile, since a root canal does not remove the risk of future decay elsewhere on the tooth. Attending the follow-up appointment for the permanent crown placement is one of the most important steps in recovery, as it protects the tooth long-term and restores full biting strength.