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What Is Tooth Resorption?

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10/7/2026

Changes inside a tooth are not always easy to detect, and in some cases, damage may develop before you notice pain or other obvious symptoms. When the structure of a permanent tooth begins to break down, it may be caused by tooth resorption, a condition in which the body gradually absorbs parts of the tooth or its root. 

At Cape Fear Endodontics in Wilmington, NC, our team can evaluate these changes, determine where the resorption is occurring, and recommend care based on the extent of the damage. Timely evaluation and treatment may help limit further loss of tooth structure while supporting natural tooth preservation whenever possible. 

What causes tooth resorption in Wilmington? 

Several factors may contribute to resorption in permanent teeth, although the cause is not always clear. Previous dental trauma, orthodontic treatment, infection, inflammation, or pressure placed on a tooth may be associated with the condition. Depending on where the process begins, it may be classified as internal tooth resorption or external tooth resorption. 

Internal resorption starts within the tooth and gradually affects the surrounding dentin, while external resorption begins along the outer surface of the root. Over time, either type can lead to tooth root damage or loss of tooth structure, making an endodontic evaluation important when resorption is suspected. 

What are the symptoms of tooth resorption? 

Resorption does not always cause noticeable symptoms, especially during its earlier stages. Some people may experience tooth sensitivity, discomfort, changes in tooth color, swelling, or other signs that something is affecting the tooth. In other cases, the condition may be discovered unexpectedly during a dental x-ray performed for another reason. 

Since the extent and location of the damage can be difficult to determine with a standard visual examination alone, advanced imaging may be recommended. Our team may use 3D imaging to get a detailed view of the affected area and determine the type and severity of resorption before discussing tooth resorption treatment options. 

Can a tooth with resorption be saved? 

The possibility of saving the tooth depends on where the resorption is located, how far it has progressed, and how much healthy structure remains. When the condition is identified early enough, treatment may help stop or manage the resorptive process while preserving the natural tooth. For those wondering how tooth resorption is treated, root canal therapy may be recommended in many cases to address damaged or inflamed tissue inside the tooth. 

More complex forms of resorption may require surgical care, depending on the location of the affected area. Cape Fear Endodontics uses 3D x-rays to evaluate the specific type of resorption and determine an appropriate treatment approach. Early care is especially valuable because continued resorption can weaken the tooth and make preservation more difficult. 

Protect your natural tooth with specialized endodontic care 

Finding out that part of your tooth is being resorbed can sound concerning, but an accurate diagnosis can provide a clearer picture of what is happening and what can be done about it. If your dentist has identified resorption or you are concerned about unexplained changes in a tooth, our team at Cape Fear Endodontics in Wilmington, NC can evaluate the affected area and discuss your options. 

Seeking tooth resorption repair promptly may help limit additional structural damage and improve the opportunity to preserve the natural tooth. Contact our team to schedule an evaluation and determine the appropriate approach for protecting your dental health.

This dr and his staff are amazing !!!!!!

M.L. Google

Dr Mihle and his staff are top notch! Experience and professionalism along with a comfortable environment. I’m glad they are there when I need them!

K. Google

Dr Mihle and his staff are wonderful! To say I was extremely nervous is an understatement but, from my first visit until my last, everyone was so compassionate and caring. Dr Mihle was honest and cautioned me that he might not be able to successfully do the procedure due to underlying issues; however, the surgery was a success and I have healed nicely without complications. I highly recommend Dr Mihle! The compassion and professionalism shown to me was of the highest standards! Highly recommend! (My username on this site is different than my real name used at their office.)

M.P. Google

From the moment I entered the endodontist office, I felt welcomed and valued as a patient. The front desk (I believe Diane) greeted me amiably, welcomed me back, and made me feel at home. I cannot say enough positives about Dr. Mihle and his assistant, Alexis. They both exemplify professionalism and compassion. During invasive techniques, Alexis would often put her hand on my shoulder as a means to mitigate the inherent stress. Dr. Mihle did not hurt me once. He was gentle, kind, and extremely professional and thorough. Truly, these guys are the best!

A.D. Google

I cannot say enough good things about the entire team here. They are incredibly kind and do everything they can to improve a challenging situation with your teeth so you can return to normalcy. From the moment they called me after the referral, it felt like I was talking to a family member genuinely concerned about my condition, with the intention of getting me in quickly given the pain I was in. When I arrived and walked through the door, she greeted me sincerely and assured me everything would be okay, and that Dr. Mihle would see me as soon as possible. When I was called back, the staff was very sincere, taking all the X-rays to develop a plan of action. While doing this, they were very attentive to the area and made sure what they did didn't hurt me even more. What I mean is, it wasn't just a process of turn your head, etc., and hold still. There was compassion behind it. When Dr. Mihle greeted me, he spoke to me as if he were a long-time doctor of mine, here to fix my tooth and infection. It made me so comfortable, and I knew I was going to be okay. He presented multiple treatment options, and we worked out a plan to proceed in the following days. Fast forward to my procedure, I was very nervous, but they took it seriously and made sure I was comfortable throughout, focusing on my comfort rather than rushing through just to check it off a list. Every detail, even the process of numbing me, was handled carefully by the technician and Dr. Mihle to ensure I was okay and comfortable. I have two more sessions in my treatment plan, and my anxiety is nowhere near what it was before I first walked through their door. I also want to mention that I believe my treatment plan was priced very fairly for all the work Dr. Mihle and his team are doing to repair my failed root canal and infection. Thank you so much from the bottom of my heart for everything you have done for me! Sorry for the long-winded review but I think it is important for you if you're considering utilizing their service you hear everything so you can be assured you're making the right decision.

K. Google

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