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101 Union St N, Nashville, Tennessee 37201, US
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Root Canal Treatment Downtown Nashville, TN

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Nashville • Expert Integrative Dentistry • Functional & Biological Care • Prepless Veneers & Dental Facelifts • TMJ, Bite & Airway Focus • Anxiety-Friendly • Advanced & 3D Technology • Conservative, Enamel-Sparing Restorations • Nashville • Expert Integrative Dentistry • Functional & Biological Care • Prepless Veneers & Dental Facelifts • TMJ, Bite & Airway Focus • Anxiety-Friendly • Advanced & 3D Technology • Conservative, Enamel-Sparing Restorations •

Our conservative approach to root canals

Root canal therapy is a procedure that may be recommended if the nerve of a tooth is infected (from decay), dead (from trauma), or has become hyperactive (from decay or trauma).

Spoiler alert: we don’t believe every patient actually NEEDS a root canal.  If a tooth has become hyperactive but no decay is present, sometimes that lingering tooth discomfort can be addressed with more conservative options.

Additionally, almost all root canal therapy can be avoided by:

  • Addressing decay before it reaches the nerve, including decay around older restorations
  • Attending to any force-related issues (clenching & grinding) to avoid unnecessary trauma damaging the nerve
  • Managing occlusal forces (bite balance) before and after any restorative dentistry is completed

Even in the best circumstances, a root canal treated tooth has a shorter lifespan than a natural tooth with a live and healthy nerve and is at risk for future infection and failure.  Because of that fact, we make sure to rule out all other effective and conservative options prior to recommending root canal therapy as an option.  If root canal therapy has been completed it is imperative that the tooth is monitored with 3D imaging regularly to ensure it is remaining healthy.

Second opinions for root canals: 3-D imaging

Advancements in dental imaging have made diagnostics much safer and simpler for evaluating the need for root canal therapy and ensuring prior root canal treated teeth are not harboring chronic infection.

At Downtown Dental we use low dose 3D CBCT imaging to ensure root canal therapy is actually necessary and to monitor the health root canal treated teeth. The images deliver incredible accuracy with very minimal radiation.  Should root canal therapy actually be recommended, 3D imaging improves the success rate of the procedure by allowed the specialist to clearly see all root canals in the tooth.

3D technology allows endodontic diagnostics and treatments to be done more safely and accurately.  This new technology:

  • Prevents unnecessary endodontic procedures
  • Allows the doctor to see chronic infection not able to be seen with traditional 2D imaging
  • Makes root canal therapy more effective and safe

If you are looking for a second opinion on root canal therapy, or you have prior root canal treated teeth that need to be evaluated for chronic infection, contact our office for a consultation.

Do root canals cause cancer?

You may have heard about the documentary called “Root Cause”, which makes eye-popping claims about how cancer, heart conditions and other serious illnesses are caused by asymptomatic infections inside root canals or in the empty spaces left behind after a wisdom tooth extraction. Bacteria and other toxins, the film argues, fester in the jaw and then travel to other organs along “meridian lines”, which according to traditional Chinese medicine move life force throughout the body, spreading infection and causing cancer and other illnesses to take root.

There aren’t any studies that show people who get root canals have a higher risk of cancer. In fact, research on the link between cancer and endodontic procedures like root canals shows that people who have had these treatments have a lower risk of certain cancers.

The danger of these claims is that these fears can crowd out other real cancer risks or health concerns, including smoking, weight gain, and failing to get the right cancer screening tests on time.  To be blunt, even if there is some truth to this whole idea, your old root canal is probably not harming your body nearly as much as your bleeding gums, cigarette smoking, or undiagnosed sleep disorder. Illness is cumulative, so it’s important to focus on the bigger concerns first when working towards optimal health and well-being.

your jaw pain and headaches could be tmj/tmd from a misaligned jaw.

HOWEVER, there is one very important thing that the documentary ‘Root Cause’ gets right!  There are many patients walking around with active infection in their tooth roots and bone who have ABSOLUTELY NO IDEA that there is any problem whatsoever.  We know this is true because we have advanced 3D imaging that allows us to routinely see infections in the tooth and bone that simply cannot be seen in traditional 2D dental imaging.

Because of this, we have been able to help countless patients get rid of active infection in their body quickly and easily.  The first step to health is an accurate and actionable diagnosis.

Bottom Line: The most important thing is that you find a provider that you trust who will help you navigate through all the conflicting information out there, and who will have an in-depth understanding of your individual circumstances in order to provide you customized advice on how to get and stay healthy.

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Your healthiest, most confident smile starts here—with care focused on lasting comfort and natural results.
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Why Us

Our team has decades of experience in modern functional dentistry, combining advance diagnostics with integrative care to solve dental "mysteries" and create predictable results.

Comprehensive Health + Beauty

We connect overall health ↔ dental health, and design smiles that fit your face (not just your teeth).
Meaning: Looks you love and a mouth that stays healthy.

Conservative by Design

Protecting your natural tooth first and pursuing root-cause, natural fixes – diet, remineralization, balancing bite force, retraining habits (myofunction), supporting sleep, laser therapies – before drilling, drugs, or quick patches.
Meaning: Less tooth removal, fewer medications, and results that last.

Everything Connected. All Here.

One team practicing connective healthcare – seeing the big picture and delivering outcomes: fewer surprises, faster answers, healthier gums and fewer cavities, a stable bite with less pain, better sleep and energy, a confident natural smile, beautiful facial structure, and kids who grow and breathe better.
Meaning: Clarity and ease – integrative, whole-picture care from one team.

Tech That Proves It

3D CBCT, digital smile design, digital bite mapping, 3D printing, lasers, and in-mouth photos/scans so you can see the why.
Meaning: From confusion to clarity, more comfort, predictable results.

Health and beauty go hand in hand

Every detail is planned to preserve natural tooth structure and create results that look and feel authentic.

Conservative by design

Keep more natural tooth for stronger long-term results.

Strong, Beautiful, Lasting

We plan for both, so your smile looks natural and
lasts.

Prove the plan

Digital smile previews, bite maps, and printed guides mean fewer
surprises.

Our Reviews

What Our Patients Are Saying

Services

Prevention, Gum Health & Comfort

  • Cleanings & Gum Health: Gentle hygiene with laser therapy options to limit antibiotics.
  • Cavity Care: Conservative fillings/onlays that save healthy tooth.
  • Sensitivity & Emergency Relief: Same-day when possible.
  • Cold Sore & Ulcer Laser Treatment: Laser care for herpetic lesions/aphthous ulcers to reduce pain and speed healing.
  • Risk & Habits Review: Diet, saliva, myofunction, and mouth-breathing that elevate cavity/gum risk.
  • Homecare Plan: Simple, sustainable changes with measurable impact.

Restorative & Missing Teeth Replacement 

  • Conservative Cavity Care: Small, tooth-colored fillings that remove as little enamel as possible so your teeth last longer.
  • Inlays & Onlays First: Bonded inlays/onlays as our go-to over crowns, preserving far more natural tooth structure.
  • Enamel-Sparing Crowns: When crowns are truly needed, we design them to leave up to 50% more natural enamel than typical approaches.
  • Save-Your-Teeth Reconstruction: In severe wear or erosion, we rebuild and stabilize teeth that many offices would extract for full-arch implants, often avoiding full-mouth removal.
  • Full-Arch Implants When Needed: All-on-X-style implant solutions for cases that genuinely require extractions-never a one-size-fits-all default.
  • Bite-Tuned, Long-Lasting Results: Every restoration is calibrated to your bite to reduce fractures and the cycle of redoing dentistry every few years.

Bite, TMJ & Myofunction

  • Digital Bite Mapping & Calibration: Measure contacts and timing to stop chips, cracks, and “high” crowns.
  • Custom Day/Night Appliances: Designed to your ideal joint/muscle balance (beyond generic guards).
  • Myofunctional Therapy: Retrain tongue, lips, and breathing to reduce clenching, improve stability, and lower cavity/gum risk.
  • TMJ Care (Non-Surgical): Joint, muscles, teeth, airway/sleep, and posture considered together.

Airway, Sleep & Myofunction

  • Screening for Mouth-Breathing/Apnea: Identify sleep contributors to inflammation, decay, and grinding.
  • Oral Appliances and Myofunctional Therapy for Sleep Apnea: Plus collaboration with sleep/ENT partners.
  • Tongue-Tie Release (Frenectomy): When indicated, to support nasal breathing, speech, and oral function.

Orthodontics & Alignment (Adults & Teens)

  • Clear Aligners/Orthodontics: Improve alignment and function, timed to health and airway needs.
  • Relapse & Retention Planning: Stabilize muscles and bite so results last.

Kids & Growing Smiles

  • Early Growth & Airway Evaluation — Age-appropriate screening for nasal breathing, tongue posture, crowding, and sleep-related issues.
  • Myofunctional Support (Early Intervention) — Train healthy habits (nasal breathing, tongue posture, lip seal, chewing/swallow) to guide growth and reduce future problems.
  • Guided Orthodontics — When needed, we time orthodontic treatment to growth to expand space, correct crowding, and help them catch up if development is behind.
  • One Team, Clear Roadmap — We coordinate with parents on what to do now, what to watch, and when to act next.

Cosmetic & Facial Aesthetics

  • Prepless, conservative veneers: Transform your smile while preserving your natural enamel whenever possible.
  • Facially driven smile design & previews: Plan your smile around your face, lips, and profile-and use digital mockups/temporaries to try out your new look before anything is permanent.
  • Non-surgical "dental facelift": Improve facial support, fullness, and symmetry through thoughtful changes in bite and tooth position.
  • Additive cosmetic bonding: Repair chips and reshape worn edges without aggressive drilling.
  • Whitening & color harmony: Professional whitening and shade-matching that works with your natural teeth and restorations.
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Working Hours

Ready to stop by? View Downtown Dental’s office hours below.
Monday7:00 AM – 5:00 PM
Tuesday7:00 AM – 5:00 PM
Wednesday7:00 AM – 5:00 PM
Thursday7:00 AM – 5:00 PM
Friday7:00 AM – 3:00 PM
SaturdayClosed
SundayClosed
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Modern Care. Timeless Smiles.
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