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.
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.
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.
Cape Fear Endodontics Reviews
They worked me in two weeks faster than another Endodontist and four weeks faster than a third. This was very much appreciated. I was very pleased with his consult and the actual root canal. The staff and doctor were very friendly and knowledgeable.I went back less than a week later and had a root canal. Everything went very well. The staff explained what they were doing each step along the way and most importantly, they made sure I was sedated properly. Additionally, they contacted my dentist and got me worked in the very next day to have my crown installed. Overall, a very positive experience.
This was my first time going to Dr Mihle’s office and had a very nice experience! Dr Mihle and staff were very knowledgeable. He was thorough with his exam. He took the time to explain everything to me and answered any questions that I had about my upcoming procedure. I would definitely recommend his practice to anyone with Endodontic needs!
They worked me in two weeks faster than another Endodontist and four weeks faster than a third. This was very much appreciated. I was very pleased with his consult and the actual root canal. The staff and doctor were very friendly and knowledgeable.
Highly recommend Dr. Mihle’s endodontic practice!!! My dentist referred me to him, and it has been the easiest process ever. From scheduling my appointment to my appointment, my consult and now a plan to target the issues at hand. Professional and assertive. The energy overall is the best I’ve experienced! I am grateful to have become a patient and cannot wait to complete my treatment plan.
Office staff extremely helpful, even with out of network insurance, Dr Mihle makes the effort to explain every thing and doesn't rush through anything. I initiated a follow up visit 3 months after surgery with some concerns and Dr Mihle did additional xrays and consultation and explained away my concerns. Very satisfied.
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Frequently Asked Questions
Where does the biocompatible material used during VPT come from?
The materials used in vital pulp therapy are specially designed medical-grade compounds created to be safe and compatible with the body. They are not taken from another person or donor source, but instead are carefully engineered to support healing and protect the tooth. Our team selects materials that are well studied and known for promoting a healthy response within the tooth.
Does VPT feel the same as a root canal?
From a patient perspective, the experience can feel similar in that the area is numbed and the goal is to keep you comfortable throughout. However, VPT is typically less extensive because it focuses on preserving as much healthy pulp as possible rather than removing it entirely. Our team will walk you through what to expect so you feel prepared and at ease during treatment.
How soon will I know if my regenerative endodontic treatment was successful?
Success is usually evaluated over time rather than immediately. Follow-up visits and imaging allow us to see how the tooth is healing and whether normal function is being restored. In the weeks and months after treatment, our team will monitor changes and look for signs that the tooth is responding well.