Root canal therapy can relieve acute pain and preserve a front tooth or premolar when the case fits our in-house treatment scope.
At Smiles by Mario Montoya, in-house root canal treatment is limited to anterior teeth and premolars. Complex multi-canal molar root canals are referred to an endodontic specialist.
That boundary is part of the decision from the beginning. We first determine whether root canal therapy is appropriate and whether the tooth can be treated here. If the case falls outside that scope, we refer it instead of stretching an in-house service beyond its intended limits.

Which Root Canals Are Treated In-House?
The Sandy Springs team treats root canals on anterior teeth and premolars when the case fits the in-house scope. Complex molar root canals are referred out.
Root Canal Therapy Is About Preserving a Restorable Tooth
When root canal therapy is appropriate and the case fits the in-house scope, treatment aims to relieve acute pain while preserving the natural tooth. Any additional restorative care is determined after the clinical evaluation and root canal treatment plan are established.
Why Complex Molar Cases Are Referred to Endodontists
All complex multi-canal molar endodontic cases are referred to endodontic specialists.
In-house treatment is restricted to anterior teeth and premolars. Cases outside that scope are referred rather than treated here.
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Root Canal Questions Patients Ask
Start With the Diagnosis, Not the Procedure
Acute tooth pain does not tell you by itself whether the tooth needs root canal therapy, extraction, or another treatment. The first step is identifying the source of the problem and whether the tooth can be preserved. If root canal therapy is appropriate and the tooth falls within our anterior or premolar scope, treatment can be discussed here. Complex molar cases are referred to an endodontist.
