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Save Your Natural Tooth and Relieve Pain
If you're dealing with a persistent toothache, swelling, or sensitivity, you may need root canal therapy — a trusted procedure that can save your natural tooth and eliminate infection. At Civic Dental, Dr. Dunya Antwan offers gentle and effective endodontic treatment in Vista, CA, including root canals and root end therapy, to help you get out of pain and back to smiling with confidence.
Despite their reputation, root canals are safe, routine procedures that relieve discomfort — not cause it. With modern technology and a compassionate approach, we make the process as smooth and comfortable as possible.
What Is a Root Canal?
A root canal is an endodontic procedure that treats infection or inflammation inside the tooth. When decay, trauma, or a deep crack reaches the tooth’s pulp (nerve tissue), bacteria can enter and cause pain or abscesses. A root canal removes the damaged pulp, disinfects the root canals, and seals the tooth to prevent further issues.
Signs you may need root canal therapy:
- Severe or lingering tooth pain
- Sensitivity to hot or cold
- Swelling or tenderness in the gums
- A darkened tooth or abscess
- Pain when biting or chewing
Early treatment can prevent the need for extraction and protect your surrounding teeth and bone.
Root End Therapy (Apicoectomy)
In rare cases when a standard root canal isn’t enough, root end therapy — also known as an apicoectomy — may be recommended. This involves removing the tip (apex) of the tooth’s root to eliminate persistent infection.
Root end therapy is typically performed only when retreatment or other options are not effective, and is often the final step in preserving a compromised tooth.
What to Expect During Root Canal Treatment
- Evaluation and Imaging
Dr. Antwan will assess your symptoms and take X-rays to determine the extent of the infection. - Treatment and Cleaning
Under local anesthesia, the infected pulp is removed, and the canals are cleaned, shaped, and disinfected. - Filling and Sealing
The canals are filled with a biocompatible material and sealed to prevent reinfection. - Restoration
A dental crown is often placed afterward to protect the tooth and restore full function.
The procedure is usually completed in one to two visits, with minimal downtime.
Trusted Endodontic Care in Vista and Beyond
Civic Dental provides comprehensive root canal therapy for patients in Vista, Oceanside, Carlsbad, Fallbrook, and North County San Diego. Dr. Dunya Antwan brings more than 30 years of clinical experience to every case, ensuring that even complex procedures are handled with precision and care.
For other restorative needs, we also offer Tooth-Colored Fillings, Tooth Repair, and Dental Crowns & Bridges as part of your personalized treatment plan.
FAQs: Root Canal Therapy
Is a root canal painful?
No. Modern root canals are performed under local anesthesia and are no more uncomfortable than getting a filling. Most patients report immediate pain relief afterward.
How long does the procedure take?
Root canals typically take one to two visits depending on the tooth’s condition. Each appointment lasts about 60 to 90 minutes.
Do I need a crown after a root canal?
In most cases, yes — especially for molars or premolars. A crown restores the tooth’s strength and protects it from future damage.
What happens if I delay treatment?
Untreated infection can spread, leading to abscesses, bone loss, or even systemic issues. Early intervention saves teeth and prevents complications.
Is root canal therapy covered by insurance?
Most PPO dental plans cover root canals. Visit our Patient Information page or call us to check your benefits.

Schedule a Root Canal Consultation
If you're experiencing tooth pain or signs of infection, don’t wait. Schedule a consultation for root canal therapy in Vista, CA with Dr. Dunya Antwan at Civic Dental. Call (760) 941-1906 or contact us online today for gentle, expert care.