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
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!
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.
Super experience
Dr. Mihle and staff are outstanding. He resolved my tooth issues rapidly, pain-free, and care instruction that really helped me recover swiftly. I’ll definitely recommend Dr. Mihle to all my family and friends, including you too!
I always heard a root canal was something to fear. I went to Dr. Mihle and the entire procedure and recovery was completely painless. Also super friendly staff. Hope I don't have to come back, but if I need another root canal this is the place.
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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.