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Restorative Dentistry  ·  Houston, TX  ·  Se habla español

Root Canal Treatment in Houston, TX — Save Your Tooth, Relieve Your Discomfort

Many patients are relieved to learn that modern root canal treatment is a comfortable, routine procedure — and often the most effective way to preserve a natural tooth that has become deeply infected or inflamed. Dr. Maddipati will explain exactly what is happening with your tooth and what your options are, so you can make the best decision for yourself.

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Mon 9am–5pm (Front Office) Tue · Wed · Fri 9am–6pm (Clinical)
Written & Clinically Reviewed By
Dr. Soujanya Maddipati, DDS, MPH
DDS — University of Colorado Denver School of Dental Medicine (2013)  ·  MPH — University of Oklahoma Health Sciences Center  ·  Licensed by the Texas State Board of Dental Examiners  ·  Texas Medicaid Provider  ·  Serving North Houston since November 2022  ·  Mi Smile Family Dental at 11834 Airline Drive
Last Reviewed: April 2026
Reviewed against ADA guidelines & CDC data
Should I be seen today?

If you are experiencing severe or worsening tooth pain, visible swelling in your face or jaw, fever, or difficulty swallowing, please call us right away — same-day appointments are available when capacity allows, and we want to help you promptly. For discomfort that is manageable, scheduling an evaluation as soon as is convenient is still a good step, so Dr. Maddipati can assess the situation and discuss your options with you.

Call Now Learn about emergency care
About This Treatment

Understanding Root Canal Treatment

Each of your teeth contains a soft inner space called the dental pulp — a collection of nerves, blood vessels, and connective tissue that helped the tooth develop. Once a tooth is fully formed, the pulp can be safely removed without affecting the tooth's function, because the tooth continues to receive nourishment from the surrounding tissues.

When bacteria enter the pulp — most commonly through deep decay, a crack or fracture, or repeated dental procedures on the same tooth — the pulp can become inflamed or infected. Root canal treatment (also called endodontic therapy) is the process of carefully removing this affected tissue, cleaning and shaping the root canals, and sealing them to prevent re-infection. The goal is to save your natural tooth and eliminate the source of discomfort.

Preserving your natural tooth is generally considered the most favorable outcome — it maintains the bone structure of your jaw, keeps neighboring teeth in their proper positions, and supports your ability to chew and speak comfortably. Dr. Maddipati will discuss all appropriate options with you at your evaluation.

What Leads to This?

Why Might the Pulp Become Affected?

Pulp involvement most often develops gradually. Tooth decay that is not addressed at an early stage can progress through the outer enamel and into the dentin — the softer layer beneath — and eventually reach the pulp. Once bacteria reach the pulp, inflammation and infection can follow.

Common Underlying Causes

  • Untreated tooth decay that has progressed deeply
  • A crack or fracture that creates a pathway for bacteria
  • Repeated dental procedures on the same tooth over time
  • A chip or injury that exposes the inner tooth
  • Severe wear from teeth grinding (bruxism)

Signs Worth Evaluating

  • Persistent or throbbing tooth discomfort
  • Sensitivity to heat or cold that lingers after the trigger is gone
  • Pain when biting or applying pressure
  • Swelling or tenderness in the gum near a tooth
  • Darkening or discoloration of a tooth
  • A small bump (sinus tract) on the gum near the tooth

Please note: These signs may have various causes. Only a clinical examination with appropriate X-rays can determine whether root canal treatment is appropriate for your situation. Dr. Maddipati will evaluate your tooth thoroughly and explain her findings clearly before recommending any course of action.

What to Expect

What Root Canal Treatment Involves

The steps below describe the general approach to root canal treatment. Every patient and every tooth is different — Dr. Maddipati will explain what your specific treatment will look like before anything begins.

1

Evaluation & Imaging

Dr. Maddipati takes X-rays of the tooth to assess the extent of any infection and the shape of the root canals. She reviews these images with you and explains what she sees in plain language.

2

Comfort Through Local Anesthesia

The area around the tooth is numbed thoroughly with local anesthetic before treatment begins. Most patients are pleasantly surprised by how comfortable the procedure is once the area is properly numbed.

3

Accessing & Cleaning the Canals

A small opening is made in the top of the tooth. Specialized instruments are used to carefully remove the affected pulp tissue and clean and shape the root canals. The canals are rinsed with antimicrobial solutions to help eliminate bacteria.

4

Sealing the Tooth

The cleaned canals are filled and sealed with a biocompatible material (gutta-percha) to prevent re-infection. The access opening is then sealed with a temporary or permanent filling.

5

Protecting the Tooth Afterward

Because root canal treatment removes the pulp, the tooth may become more brittle over time. In many cases, Dr. Maddipati recommends placing a dental crown to protect and strengthen the tooth. She will discuss this with you and explain why it may be beneficial for your specific tooth.

The number of appointments required and the steps involved may vary based on the complexity of the tooth, the extent of infection, and your individual clinical circumstances. Dr. Maddipati will outline your personalized treatment plan before beginning.

Your Options

Root Canal Treatment vs. Tooth Extraction — An Honest Comparison

When a tooth is severely infected or damaged, patients sometimes wonder whether it is better to save the tooth or simply have it removed. This is a completely reasonable question, and Dr. Maddipati will discuss both options openly with you based on your specific situation.

Preserving with Root Canal

  • Keeps your natural tooth in place
  • Supports healthy jawbone density over time
  • Neighboring teeth remain in their natural positions
  • Natural biting and chewing is generally maintained
  • No need for a replacement option (bridge or implant)

Tooth Extraction

  • May be appropriate if the tooth is not restorable
  • Once removed, neighboring teeth may gradually shift
  • Jawbone in the area can diminish over time without a tooth root
  • A replacement option (dental implant, bridge, or partial denture) is typically recommended to restore function
  • Dr. Maddipati will discuss all replacement options if extraction is the best path forward for you

Not every tooth can or should be saved. Dr. Maddipati will evaluate your tooth thoroughly and give you her honest assessment of what is possible and what she recommends — and why.

Ready to Talk to Dr. Maddipati?

Call us to describe your symptoms — our team will schedule you promptly and verify your insurance coverage before your visit.

Call 832-779-5522

Every Patient Sees Dr. Maddipati — Every Visit

There are no rotating associates here. When you come to Mi Smile Family Dental, you see the same doctor each time — Dr. Soujanya Maddipati, who founded this practice with the goal of making quality dental care genuinely accessible to families in the Houston area.

Dr. Soujanya Maddipati
DDS, MPH
DDS — Univ. of Colorado Denver MPH — Univ. of Oklahoma Texas Licensed Medicaid Provider Bilingual English/Español

A Dentist With a Public Health Foundation

Dr. Maddipati earned her Master of Public Health degree before completing her dental training — an uncommon path that shapes her approach to every patient encounter. She believes that understanding the whole person, not just the tooth in question, leads to better care and better outcomes.

She founded Mi Smile Family Dental at 11834 Airline Drive specifically to serve the North Houston community — including patients who rely on Medicaid or who have been hesitant to seek care due to cost concerns. She accepts Medicaid genuinely and verifies coverage personally before any treatment begins.

Patients frequently describe feeling heard and respected from the first phone call. Dr. Maddipati explains every finding in plain language, shows you your X-rays, and waits until you have a full understanding of your situation before recommending anything.

What your visit looks like — from the moment you call:

1

A real conversation — not an automated system

You call, we answer. Tell us what you're experiencing. Our team listens, asks the right questions, and schedules you accordingly. No hold music, no call trees.

2

Dr. Maddipati hears your story first

Before picking up an instrument, she wants to understand what you've been experiencing — when it started, what it feels like, what concerns you. Your description guides the examination.

3

A thorough, gentle evaluation

Dr. Maddipati examines the tooth carefully, takes targeted X-rays, and explains what she finds — in English or Spanish — as she goes. Nothing is rushed.

4

Clear findings, clear options — before anything is decided

She explains what she has found, what the options are, and what each involves. Any cost discussion, including what your insurance covers, happens before treatment begins. You decide at your own pace.

What Our Patients Share

These moments reflect what matters most — patients who arrived worried and left feeling cared for, informed, and at ease.

 5-Star Google Reviews

"I called in the morning and they got me in the same day. Dr. Maddipati was calm, thorough, and explained everything before touching anything. I left feeling so much better."

Maria R. · Houston, TX

"I had been putting off going to the dentist for years. She never made me feel judged — took her time, explained everything, and checked in with me throughout. I finally trust a dentist."

James T. · Houston, TX

"They verified my Medicaid before I arrived so I knew exactly what to expect. Clean office, no long wait, and the doctor answered every question I had. This is how dental care should feel."

David C. · Houston, TX

"Dr. Maddipati is an exceptionally caring, compassionate, and talented dentist. I drive from the Champions area just to see her. Highly recommend!"

Google Reviewer · Champions Area, Houston TX

Reviews reflect individual patient experiences. Individual outcomes vary. Displayed with permission.

Insurance, Medicaid & Payment Options

Cost should never be a barrier to care you need. We verify your coverage before your visit and explain any out-of-pocket costs before treatment begins — so there are no surprises.

Texas Medicaid, CHIP & Medicare Advantage

We are a proud Medicaid provider serving adult and pediatric patients. Texas Medicaid (STAR) covers endodontic treatment on certain teeth for eligible patients, and CHIP covers enrolled children. Many Medicare Advantage (Part C) dental plans are also accepted. We verify your specific benefits — including any prior authorization requirements — before scheduling treatment.

PPO & Private Insurance Plans

Most PPO dental plans include coverage for root canal treatment, typically as a major restorative benefit. The amount covered varies by plan and by which tooth is being treated. We will verify your benefits, explain your estimated out-of-pocket responsibility, and help you understand how to make the most of your plan.

Plans we work with include:
Aetna  ·  Delta Dental  ·  Cigna  ·  MetLife  ·  Guardian  ·  Humana  ·  United Healthcare  ·  Texas Medicaid (STAR)  ·  CHIP  ·  Medicare Advantage  ·  CareCredit  ·  Sunbit financing

Coverage varies by individual plan and clinical circumstances. Financing is subject to lender approval. We verify your specific benefits before your appointment — please call us with your insurance information and we will check coverage for you at no charge.

Call to Verify Your Coverage — 832-779-5522

Frequently Asked Questions

These answers are for general educational purposes. Please schedule a consultation with Dr. Maddipati for guidance specific to your situation.

Root canal treatment is performed under local anesthesia, and most patients find the procedure far more comfortable than they anticipated. The discomfort associated with a deeply infected or inflamed tooth — before treatment — is generally much more significant than the treatment itself. Dr. Maddipati takes time to ensure the area is fully numb before beginning and checks in with you throughout the appointment.
In many cases, a dental crown is recommended after root canal treatment to protect and strengthen the tooth. Because the pulp has been removed, the tooth can become more brittle over time — a crown provides durable protection and helps maintain the tooth's function. Whether a crown is needed and what type is most appropriate depends on which tooth was treated and its current structure. Dr. Maddipati will discuss this with you as part of your overall treatment plan.
Texas Medicaid covers endodontic treatment on certain teeth for eligible adult and child patients. Coverage specifics — including which teeth are covered and any prior authorization requirements — depend on your individual plan. We verify your specific Medicaid benefits before scheduling any treatment and explain coverage clearly before we begin. Call us with your Medicaid information and we will confirm coverage for you.
Whenever it is clinically appropriate, preserving a natural tooth is generally considered the preferred option. Your natural tooth supports the surrounding jawbone, helps keep neighboring teeth in proper position, and provides a familiar and effective biting surface. That said, not every tooth can or should be saved — it depends on how much healthy tooth structure remains and the extent of any infection or damage. Dr. Maddipati will give you her honest clinical assessment and discuss all available options, including tooth replacement if extraction becomes the right path.
A tooth with an infected pulp will generally not resolve on its own. Without treatment, the infection may progress and affect the surrounding bone and tissues. Seeking a professional evaluation sooner rather than later typically gives you the most options. Dr. Maddipati will assess your situation and explain what she finds — including how urgent treatment is — so you can make an informed decision.
Root canal treatment is typically performed under local anesthesia, and most patients drive themselves home afterward without difficulty. If sedation is used, arrangements for a driver would be needed. Dr. Maddipati will discuss any specific post-treatment instructions with you at your appointment.
Some tenderness around the treated tooth is normal in the days following the procedure — this is your body's natural healing response. Over-the-counter pain relievers, taken as directed, are typically sufficient to manage any post-treatment soreness. Dr. Maddipati will provide specific aftercare instructions and let you know what to watch for.
The difference between a filling and root canal treatment depends on how deeply decay or damage has progressed — specifically, whether the pulp has been reached. A clinical exam and X-ray are the only reliable way to determine this. If you have been experiencing persistent or worsening tooth pain, sensitivity to temperature that lingers, or swelling near a tooth, it is worth scheduling an evaluation so Dr. Maddipati can assess the situation accurately.
Yes. Patients without insurance are welcome. We offer flexible payment options through CareCredit and Sunbit financing (subject to lender approval) and can discuss a clear cost estimate with you before any treatment begins. Call us and we will walk you through the options.
Yes — se habla español. Dr. Maddipati and members of our team speak Spanish and are happy to explain your treatment, answer your questions, and guide you through the process entirely in Spanish if you prefer.

Proudly Serving Houston and Surrounding Communities

Mi Smile Family Dental is conveniently located on Airline Drive in North Houston, and we are proud to welcome patients from our core service neighborhoods: Greenspoint (77060), Aldine (77037, 77038) along the Airline Drive corridor, Greenspoint North (77067) along I-45 north, and Greater Inwood / Hidden Valley (77088) near Hwy 290.

We also warmly welcome patients from North Houston near Spring (77073), North Houston District (77014), the FM 1960 / Champions area (77090, 77066), Aldine Far North (77039, 77032), Northside / Independence Heights (77076), Greater Inwood West (77086), Acres Home (77091), and Northeast Houston / Eastex-Jensen (77093). Wherever you are coming from, you are always welcome here.

A Comfortable, Caring Experience — Starting with One Call

Dr. Maddipati will evaluate your tooth, explain exactly what she finds, and discuss your options clearly — in English or Spanish. Medicaid, CHIP, Medicare Advantage, and most PPO plans are welcome.

Call 832-779-5522
Front Office: Mon 9am–5pm Clinical: Tue · Wed · Fri 9am–6pm Se habla español

Or request an appointment online.

General Information Only — Not a Substitute for Professional Dental Advice. The content on this page is intended for educational purposes and does not constitute dental advice, diagnosis, or a treatment plan. Individual needs vary significantly. Please schedule a consultation with Dr. Soujanya Maddipati, DDS, MPH for a personalized evaluation. If you are experiencing a dental emergency, call 832-779-5522 or visit your nearest emergency room. Content reviewed and updated 2026.

Reviewed by: Dr. Soujanya Maddipati, DDS, MPH  ·  Owner, Mi Smile Family Dental  ·  Texas-Licensed DDS  ·  Medicaid Provider  ·  Last reviewed 2026

Also available in Spanish: Tratamiento de conducto radicular en Houston, TX

Clinical References & Sources

This page is intended for educational purposes only. Clinical recommendations are individualized based on a thorough examination. Content is not a substitute for professional dental evaluation. Last reviewed April 2026.

Yes — if you are experiencing severe tooth pain in Houston, call Mi Smile Family Dental at 832-779-5522 and we will do our best to see you the same day. We serve patients from Greenspoint, Aldine, Greenspoint North, and all of North Houston. Dr. Maddipati evaluates your situation and explains every option before any treatment begins.
Texas Medicaid covers root canal treatment when clinically necessary, subject to prior authorization requirements. At Mi Smile Family Dental in Houston (77037), we handle the authorization process and verify your benefits before scheduling. We welcome patients from Greenspoint (77060), Aldine (77037, 77038), and surrounding communities.