Our Services
Save your tooth from extraction
Your teeth are valuable assets that can last a timeline if properly cared. As endodontists, we offer root canal treatment in Cape Fear Endodontics to help you be out of pain, free of infection, and save your natural teeth.
ROOT CANAL TREATMENT
- Consultation (30 minutes)
Meet one-on-one with your endodontist. We don’t double-book appointments — our time is devoted to YOU and you alone. This visit includes a specialized 3D x-ray (Cone Beam CT) of your teeth to ensure a highly accurate diagnosis and personalized treatment plan. - ROOT CANAL PROCEDURE (75 minutes)
Your consult and procedure can often be completed on the same day. Using the latest dental technology, your endodontist will remove the inflamed or infected pulp, carefully clean and disinfect the canal
system, and then fill and seal the canals. If your tooth needs an extra appointment to treat, feel confident that we will make the best clinical decision that is best for your body to heal. - RETURNING HOME
We’ll provide detailed aftercare instructions once your root canal treatment is complete. Visit your general dentist for the final step — a dental crown or other permanent restoration.
ROOT CANAL RETREATMENT
Give your tooth a second chance
Is your tooth causing problems even after a root canal? Here at Cape Fear Endodontics, we specialize in endodontic retreatment to help save a previously treated tooth and restore it to its full function.
- Consultation (30 minutes)
Meet one-on-one with your endodontist. We don’t double-book appointments — our time is devoted to YOU and you alone. This visit includes a specialized 3D x-ray (Cone Beam CT) of your teeth to ensure a highly accurate diagnosis and personalized treatment plan. - RETREATMENT PROCEDURE (60-90 minutes)
We use advanced technology for meticulous retreatment. This includes removing the existing filling, disinfecting and reshaping the canal system and refilling the canals. - RETURNING HOME
We’ll provide detailed aftercare instructions once your root canal treatment is complete. Visit your general dentist for the final step — a dental crown or other permanent restoration.
ENDODONTIC MICROSURGERY
Uncover and address recurrent infections
When a minimally invasive root canal or retreatment isn’t enough to save your tooth, endodontic microsurgery may be the best option. Our endodontists are here to guide you through the process and make it comfortable and successful.
- Consultation (30 minutes)
Meet one-on-one with your endodontist. We don’t double-book appointments — our time is devoted to YOU and you alone. This visit includes a specialized 3D x-ray (Cone Beam CT) of your teeth to ensure a highly accurate diagnosis and personalized treatment plan. - APICOECTOMY PROCEDURE (60-120 minutes)
An apicoectomy is a minor surgical procedure to remove the root tip and surrounding infected tooth tissue. Apicoectomy directly removes the abnormality. Utilizing Piezosurgery, our team can perform this procedure in a more gentle and precise manner, resulting in minimal trauma to the tissues and a more comfortable procedure for you. - FOLLOW-UP VISIT
Thanks to our use of state-of-the-art technologies, you can expect a fast recovery period with little to no after-procedure discomfort or bleeding. We’ll remove the sutures 3-5 days after treatment and work with your dentist to continue monitoring the health of your tooth.
PAIN-FREE DENTISTRY
Not just numbing, but eliminating stress
Confidence in your endodontic care comes easily when you know pain is out of the equation. Our caring and compassionate endodontists and staff allow you to focus on the benefits of the treatment rather than any anxiety.
CRACKED TOOTH TREATMENT
Signs and symptoms of a cracked tooth often include:
- Pain when biting or clenching your teeth together
- Sensitivity to cold and/or hot
- Chronic or spontaneous pain
- Bumps on your gums
If your mouth is in pain, or you’re worried about a visible crack in your tooth, contact our endodontists today. With our research-based special treatment, root canal therapy may not only alleviate uncomfortable symptoms but also effectively seal the crack, thereby extending the overall lifespan of the affected tooth.
- Consultation (30 minutes)
Meet one-on-one with your endodontist. We don’t double-book appointments — our time is devoted to YOU and you alone. This visit includes a specialized 3D x-ray (Cone Beam CT) of your teeth to ensure a highly accurate diagnosis and personalized treatment plan. - ROOT CANAL PROCEDURE (75 minutes)
If root canal therapy is indicated, your consult and procedure can often be completed on the same day. Using the latest dental technology, your endodontist will remove the inflamed or infected pulp, carefully clean and disinfect the canal system, and then fill and seal the canals. If your tooth needs an extra appointment to treat, feel confident that we will make the best clinical decision that is best for your body to heal. - RETURNING HOME
We’ll provide detailed aftercare instructions once your cracked tooth treatment is complete. It’s important to keep a close eye on how the cracked tooth heals after treatment. We might need you to come back to our office in 2-3 weeks for another check-up or additional treatment. Rest assured, we’ll be here to support you every step of the way.
TOOTH RESORPTION REPAIR
Have you been diagnosed with tooth resorption?
Your endodontists are here to guide you through understanding this condition and your options. Many times, resorption can be treated with a root canal procedure. In some cases, surgical care may be required. A 3D x-ray of the affected tooth is essential for diagnosing your specific type of resorption and recommending the most effective plan for restoring your oral health
- CONSULTATION (45 minutes)
Meet one-on-one with your endodontist. Your consultation will include a specialized 3D x-ray (Cone Beam CT). Once diagnosing the specific location, type, and severity of the resorption, we’ll test the tooth to find out if the resorption has resulted in root canal disease. Treatment options may include a root canal, a root canal with an external root structure repair, or simply monitoring. In some cases, extraction may be recommended. - ENDODONTIC PROCEDURE
Your comfort is our top priority and if endodontic treatment is recommended we will make you feel at ease. - RETURNING HOME
Your well-being is at the heart of everything we do – that includes making sure you understand your post-op care. We’ll provide detailed aftercare instructions once your tooth resorption repair is complete.
DENTAL TRAUMA MANAGEMENT
Get help for a traumatic oral injury
If you’ve been in an accident that involves injury to your mouth or one or more teeth, call our endodontists as soon as possible. Common types of traumatic dental surgery include:
- Tooth Fracture
- Loose, dislodged, OR jammed tooth
- Knocked-out tooth
Our Cape Fear dental trauma management team cares about your comfort and well-being and will ensure that you get treated promptly to save your injured tooth.
Treatment for a fractured tooth
A crack or fracture in a tooth presents an opportunity for bacteria to enter the pulp and cause an infection. If your tooth or root is cracked, we’ll first carefully assess the need for any endodontic intervention. If the tooth shows signs of infection or irreversible inflammation, an endodontic treatment such as root canal therapy, vital pulp therapy, or regenerative endodontics may be recommended to preserve the tooth and avoid extraction. Your endodontist will thoroughly assess the affected tooth and discuss the most suitable option for your or your child.
Treatment for a loose tooth
If you or your child’s tooth became loose, dislodged (luxated), or jammed into its socket as a result of dental trauma, this is a dental emergency, and you should call us right away. If possible, your endodontist will reposition the tooth in the socket at the appointment. Once the tooth is stabilized, we’ll determine whether a root canal treatment is needed to protect the tooth further.
CONSULTATION
Meet one-on-one with your endodontist. Your consultation will include a specialized 3D x-ray (Cone Beam CT) of your teeth to ensure a highly accurate diagnosis and personalized treatment plan.
Treatment for a knocked-out tooth
When a tooth is dislocated (avulsed), prompt action and treatment are crucial because the tooth may be replaced in its socket successfully if treated within one hour. Please contact us immediately for guidance on urgent action and to schedule an emergency visit. If possible, your endodontist will reposition the tooth in the socket at the appointment. Once the tooth is stabilized, we’ll determine whether a root canal treatment is needed to protect the tooth further.
SINGLE TOOTH WHITENING (INTERNAL BLEACHING)
Do you have a tooth that looks gray, yellow, or red compared to adjacent teeth?
Does the appearance of a discolored tooth affect your smile? More importantly, it could be a sign of an underlying root canal disease, especially If only a single tooth is affected. At Cape Fear Endondontics, we not only address the infection but also tackle the discoloration of the tooth. Our internal bleaching, also known as single tooth whitening, can restore the natural shade of the tooth, so you can smile with confidence again.
Internal Bleaching Procedure
Your endodontist will remove the source of discoloration and clean the internal surface of the tooth, The root canal system will be sealed to prevent leakage before a biocompatible bleaching agent is placed inside the tooth. Finally, the tooth will be sealed with a temporary filling, allowing the bleaching agent to take effect.
- CONSULTATION (30 minutes)
Meet one-on-one with your endodontist. Teeth can appear dark and stained for various reasons. Your consultation will include a specialized 3D x-ray (Cone Beam CT) of your teeth to understand the cause of your discoloration and ensure a highly accurate diagnosis and personalized treatment plan. - INTERNAL BLEACHING PROCEDURE
Your endodontist will remove the source of discoloration and clean the internal surface of the tooth, The root canal system will be sealed to prevent leakage before a biocompatible bleaching agent is placed inside the tooth. Finally, the tooth will be sealed with a temporary filling, allowing the bleaching agent to take effect.
REGENERATIVE ENDODONTICS & VITAL PULP THERAPY
Preserve and revitalize your natural tooth
When the inside of a tooth is damaged, whether from decay, injury, or infection, it doesn’t always need a root canal or extraction. Regenerative endodontics and vital pulp therapy are advanced, evidence-based treatments that help preserve or restore the health of your tooth’s pulp.
Using the latest techniques and materials, we can stimulate healing, reduce the need for invasive treatment, and support long-term tooth development, especially in younger patients.
Vital Pulp Therapy
When the pulp inside your tooth is inflamed but still alive, vital pulp therapy (VPT) offers a conservative alternative to root canal treatment. We remove the damaged or decayed portion of the tooth, place a biocompatible material to protect the healthy pulp, and seal it to encourage healing. This approach helps preserve the tooth’s natural vitality, stimulates dentin repair, and maintains normal function.
Regenerative Endodontic Therapy
For immature teeth with necrotic (non-vital) pulp, regenerative endodontic therapy focuses on restoring living tissue rather than removing it. After disinfecting the canal with minimal instrumentation, we induce controlled bleeding to create a scaffold for stem cell activity. This process promotes the regeneration of pulp-like tissue and allows the root to continue developing — strengthening the tooth over time.
Cape Fear Endodontics accepts new patients with or without a dentist referral. You can set an appointment using our Contact Us page.