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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.

My second visit first was 2008 and now last week, it was a great experience since I’m terrified of dentist but they made it painless and that’s why I came back for my other root canal. I really don’t like pain. I will tell everyone about my experience

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Excellent care from start to finish. I never write reviews but love this practice so much I had to share how great they are.To start, Chris in the front office was amazing to work with from scheduling to receiving a care plan, so professional and easy. Went first for in person consultation on potential root canal which was thorough and very educational. No hard sell, just quality care dialogue and consultative approach from Dr Mihle. Ended up needing my first root canal which was painless and so comfortable I fell asleep in the chair. Thank you Dr Mihle and all the exceptional staff.

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