Root Canals in Billings, MT

What is a Root Canal?

A root canal, or endodontic therapy, is a dental procedure designed to save a severely damaged or infected tooth. The treatment involves removing the damaged pulp, which is the soft tissue inside the tooth containing nerves, blood vessels, and connective tissues. When the pulp becomes infected or inflamed due to deep decay, cracks, repeated dental procedures, or trauma, it can cause excruciating pain and lead to abscess formation.

Root canal treatment is a valuable alternative to extraction, as it allows Dr. Thomas to preserve your natural tooth, maintaining the integrity of your smile and preventing the need for more extensive dental work such as dental implants or bridges.

Common Symptoms of Tooth Infection:

  • Constant tooth pain
  • Swelling in the face
  • Pain when biting or chewing
  • Sensitivity to hot or cold beverages
  • Recurring fever and bad breath

The Root Canal Process

Initial Examination and X-rays

The first step in the root canal treatment journey at Thomas Smile Designs is a thorough examination by Dr. Thomas. During this examination, he’ll assess the affected tooth and surrounding areas using advanced diagnostic tools, such as X-rays, to identify the extent of the damage and determine if a root canal is necessary.

Local Anesthesia

On the day of the root canal procedure, Dr. Thomas will administer local anesthesia to ensure your comfort throughout the treatment. Contrary to common misconceptions, root canals are not painful — rather, they relieve the pain caused by the infected tooth.

Accessing the Tooth

Once the anesthesia takes effect, Dr. Thomas will create a small access hole in the tooth's crown to reach the pulp chamber.

Pulp Removal

Using specialized dental instruments, Dr. Thomas will carefully remove the infected or inflamed pulp from the pulp chamber and root canals. The canals are then thoroughly cleaned to eliminate any bacteria or debris.

Filling and Sealing

With the pulp chamber and canals clean and empty, they’ll be filled with a biocompatible material called gutta-percha, which seals the space to prevent reinfection.


After the root canal procedure, the tooth may be more fragile than usual. Dr. Thomas will place a temporary filling to protect the tooth until a permanent restoration, such as a dental crown, is fabricated to restore its strength and appearance fully.

Dental Crown Placement

In the final step of the process, a custom-made dental crown is placed over the treated tooth to provide additional protection and support. The crown is designed to blend seamlessly with your natural teeth, restoring the functionality and aesthetics of your smile.

Follow-up Care

After the root canal treatment is complete, Dr. Thomas will schedule follow-up appointments to monitor the tooth's healing and ensure everything progresses as expected. Proper oral hygiene, regular dental check-ups, and teeth cleanings are essential for maintaining the health of the treated tooth and surrounding gums.

Frequently Asked Questions

The Art of Saving Smiles

At Thomas Smile Designs, we understand how debilitating tooth pain can be, and we're here to help. Our dedicated team, led by Dr. Thomas, is committed to providing exceptional root canal treatment in Billings, MT, to bring back the joy of pain-free living. With our state-of-the-art technology and a gentle, compassionate approach, we'll make your root canal experience a breeze.

Don't let fear or uncertainty stand in the way of your oral health — take action now and call us at (406) 298-4485 to schedule your appointment. Reclaim your smile, restore your confidence, and let Thomas Smile Designs be your partner on the journey to a happier, healthier you.