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
Everyone at Cape Fear Endodontics made me feel comfortable with my visit. They all were professional, knowledgeable and courteous. Thank you. Jeff
About as pleasant as one can make a root canal. 😄 every step was thoroughly explained and the tech asst gave verbal warnings before each drilling sequence.Tim’s been at this for so many years and exudes confidence and calm.
Thank you Dr.Mihle and staff for taking good care of me
Every aspect of my experience with Dr. Mihle, his staff, and his incredible office exceeded my expectations. From the welcoming, professional team to the state-of-the-art diagnostic technology, every detail reflects an exceptional level of care and excellence. This was, without question, one of the best healthcare experiences I've ever had. I could not recommend Dr. Mihle more highly.
Dr. Milhe, explained what he was going to do. If the tooth root couldn’t be cleaned it would need to be pulled. Shot me w novacane. And away went. He cleaned out the roots. Made I feeling OK. Great team.
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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.