A Modern Approach to Saving Immature Teeth
Regenerative endodontics is an advanced treatment that helps restore health and function to immature teeth with damaged or infected pulp. Unlike traditional root canal therapy, which removes infected tissue and fills the root canal, regenerative procedures aim to stimulate the body’s natural healing process—encouraging new tissue growth inside the tooth.
What Is Regenerative Endodontics?
Regenerative endodontics is a biologically based procedure designed to restore the vitality of a tooth that has an underdeveloped root due to trauma or infection. This treatment promotes continued root development and thickening of the root walls, which can strengthen the tooth and improve its long-term prognosis.
This procedure is most commonly used in children and adolescents with immature permanent teeth whose roots have not yet fully developed.
When Is Regenerative Endodontics Recommended?
Your endodontist may recommend regenerative endodontic therapy if:
- A young permanent tooth has suffered trauma or deep decay
- The root is underdeveloped and thin, making the tooth more prone to fracture
- There is pulp necrosis (loss of vitality) in an immature tooth
- Preservation of the natural tooth structure is a priority
How Does the Procedure Work?
The goal of regenerative endodontics is to eliminate infection and create an environment where new tissue can regenerate within the root canal. Here’s a general overview of the process:
- Disinfection
The root canal is gently cleaned and disinfected to remove bacteria and infected tissue while preserving any surviving healthy tissue. - Medication Placement
A biocompatible medication is placed inside the canal to encourage healing and help eliminate remaining bacteria. - Induction of Bleeding
During a follow-up visit, the endodontist may gently stimulate bleeding into the canal space. This brings stem cells and growth factors from the surrounding bone, which support tissue regeneration. - Sealing the Tooth
A sealing material is placed over the blood clot to protect the developing tissue. The tooth is then restored with a temporary or permanent filling.
What Are the Benefits?
- Encourages continued root development and natural strengthening of the tooth
- Preserves the natural tooth structure
- Reduces the risk of tooth fracture over time
- Avoids or delays the need for more invasive procedures or prosthetics
Follow-Up and Expectations
- Multiple visits may be required to monitor healing and ensure success
- Regular follow-up x-rays will help track root development
- A final restoration, such as a permanent filling or crown, may be placed once the tooth has matured
Is Regenerative Endodontics Successful?
While still an emerging field, regenerative endodontics has shown promising results, especially in younger patients. Success depends on several factors including the stage of root development, the severity of infection, and the body’s healing response.
Have Questions?
If your child has suffered a dental injury or has been diagnosed with an immature tooth with pulp damage, regenerative endodontics may offer a safe and effective solution. Contact our office to schedule a consultation—we’re here to help preserve natural teeth and promote long-term oral health.