Root Canals & Endodontic Treatment
in Plano, TX
Top Root Canal Treatment from Dr. Varun P. Joseph & Dr. Middleton
Relieving Tooth Pain and Saves Smiles
What is a Root Canal?
Root canals remove the blood supply and nerves from your tooth. This is done for teeth that have large cavities that reach the nerve, for infected teeth or for dying/dead teeth. Your pain and infection should subside and be resolved after the treatment.
Process of getting a root canal:
For a root canal, you will schedule an appointment with our in-house root canal specialist. They will numb the tooth with anesthesia. A small hole is created so the specialist can remove the infected pulp. The inside of the tooth is cleaned, disinfected, and filled with dental material. It is sealed with a temporary filling. Later, your tooth is protected with a crown.
Your visit expectations:
Often root canals can be completed in a single appointment, but there are times when 2 visits are necessary. The process is explained to you, the specialist will get you numbed and proceed with the root canal. Thanks to modern day anesthesia this process is usually painless. Another appointment will be scheduled to place a permanent restoration.
Am I a good candidate:
If you have large cavity, have a moderate to severe toothache, temperature sensitivity, tender/swollen gums or pain with biting, and/or discoloration of your tooth, you may be a good candidate for a root canal.
How much does a Root Canal Cost?
Root canals range from $780 to $1480, depending on tooth and what type of root canal. Molars and premolars are usually more compared to front teeth due to complexity.
Our Patients Love Us!
Patient Experiences
“Dr. Joseph loves his work and is excellent at it. When I broke my front tooth crown, he squeezed me into his busy schedule and was able to start the replacement process the same day. He meticulously worked until we got the perfect result, a fully natural- looking and comfortable crown. I could not be more pleased. I highly recommend it!!!”
“Love this office! Always professional, caring, and gentle! Never made me feel dumb when I asked any questions, always super informative! My 5 and 3 you see them as well and everyone is super patient with them! Had a filling done and barely felt the doctor's needle prick. He has such a gentle touch! I used to work for a dental office so I have always had a high standard and picky from front office to bedside manners It is all important to me! New to the area and I won't go anywhere else!”
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The Dental Implant Process
Initial Exam Your journey begins with a thorough examination to determine if root canal therapy is your best option. Dr. Joseph will review your X-rays and perform tests to evaluate your tooth's condition and nerve health. We'll explain why a root canal is necessary and address any concerns you might have about the procedure.
Root Canal Therapy Your comfort is our priority. We offer various sedation options and use the latest techniques for a pain-free experience. The procedure typically takes just one visit. We'll remove the infected tissue, clean the canals thoroughly, and seal them with a biocompatible material. Before you leave, we'll provide a temporary cown and detailed aftercare instructions and schedule your follow-up appointment.
Permanent Protection About two weeks after your root canal, you'll return for your final restoration – usually a custom crown. This step is crucial for protecting your treated tooth and ensuring its long-term success. We'll remove the temporary filling and prepare your tooth for a permanent crown. Your new crown will be designed to last for years while maintaining your tooth's strength and appearance.
Finally, Dr. Joseph will check your bite and polish the filling for a natural look and comfortable feel.
Meet Dr. Middleton
Meet Dr. Gary Randall Middleton II, Top Endodontist in Plano Dr. Gary Randall Middleton, who prefers to be called Dr. Randy Middleton, is a Dallas native and a leader in endodontic care. He brings a philosophy of undivided attention to each patient, striving to make endodontic treatment comfortable and to build lasting relationships. As a member of the American Association of Endodontists, Dr. Middleton is committed to continuous professional development, attending conferences and educational programs regularly.
Dr. Middleton, his wife, and two sons are proud residents of Plano, Texas. When not practicing endodontics, he enjoys golfing and traveling.
His education includes:
- Bachelor of Business Administration, University of Texas, Dallas
- Doctor of Dental Surgery, University of Texas Health Science Center, San Antonio (graduated magna cum laude)
- General Practice Residency, Texas Health Science Center, Houston
- Advanced Specialty Education in Endodontics, University of Nebraska Medical Center
He holds memberships with:
American Dental Association
- Texas Dental Association
- American Association of Endodontists
With his advanced endodontic training, Dr. Middleton performs all aspects of root canal therapy. Services he provides include:
- Root canal treatment
- Root canal retreatment when initial treatment fails
- Apicoectomies or root end surgery
- Treatment of dental trauma, cracks, and fractures
- Management of dental pain emergencies
- Vital pulp therapy to save damaged pulp tissue
Dr. Middleton utilizes advanced technologies like digital imaging, microscopes, ultrasonics, and nickel-titanium instruments for superior root canal treatments. His commitment to patient comfort ensures an anxiety-free visit.
Trust Plano’s Top Endodontist for Your Root Canal If you’ve been told you need a root canal or are looking for an endodontist near me, choose the team of specialists at Plano Family Dental. Dr. Randy Middleton is the leading endodontist in Plano, providing precise, gentle, and advanced root canal treatments. With his expertise, you can feel confident in a successful outcome.
You could be next!
From complete smile makeovers to minor cosmetic touch-ups, our experienced team has a
proven track record of delivering life-changing results.
FAQs
Advanced diagnostics to accurately identify issues; use of specialized equipment like microscopes for superior visualization; advanced techniques to fully clean, disinfect, and shape root canal systems; better outcomes with reduced need for re-treatment; more comfortable procedures with advanced anesthesia options; expertise with complex cases and root canal revisions. Choosing an endodontist ensures the highest level of care.
Root canal treatments typically range from $780 to $1,480, depending on the tooth being treated. Molars and premolars usually cost more than front teeth due to increased complexity.
An experienced in-house specialist endodontist performs the root canal treatment.
Root canals require highly trained professionals, specialized tools, and advanced technology. Although costly, they are less expensive than tooth loss and replacement and involve complex, time-intensive care.
Common signs include hot or cold sensitivity, a pimple-like bump on the gums near the tooth, and severe biting or chewing pain. Some infections may have no symptoms and are only visible on X-rays.
Root canals are often worth the cost when saving a natural tooth is the goal. Value depends on your dental condition, budget, and long-term priorities.
Endodontic surgery includes procedures such as an apicoectomy (root-end surgery), used when infection persists after a root canal. Modern technology allows these procedures to be done comfortably and predictably.
With modern anesthetics, discomfort is similar to getting a cavity filled. Mild sensitivity after treatment is normal and usually managed with over-the-counter medication.
Pain can come from inflammation or infection in the surrounding bone and ligaments. Even after the nerve is removed, surrounding tissues still contain nerve endings that can register discomfort.
Costs vary depending on the tooth and complexity. Teeth with multiple roots typically cost more. The specialist’s office will review fees and insurance details.
Yes. Most teeth require a final restoration, such as a crown, to prevent fracture. Restorative work is completed after consultation between the endodontist and Dr. Joseph.
Avoid eating until numbness wears off. Stick to soft foods for a day or two and avoid biting on hard foods until the final restoration is completed.
Contact the office immediately to schedule an emergency visit. You will be examined promptly, and referrals to specialists will be handled as needed.
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“Dr Joseph and his staff are the best. They are welcoming, caring and provide excellent dental care. Dr Joseph is the best! Nothing but perfection will do for him. If you are looking for a new dentist your search will be over at Plano Family Dental.”