What Is Endodontic Regeneration?
Endodontic regeneration is an advanced biologically based procedure that encourages the natural healing and regrowth of pulp tissue inside immature permanent teeth. This treatment is most commonly used in children and teens with developing teeth that have experienced trauma or infection before the roots fully formed. Instead of traditional root canal therapy, regenerative endodontics uses disinfectants, stem cell activation, and biocompatible materials to promote tissue regrowth, continued root development, and the return of vital pulp function. As noted by the American Association of Endodontists (AAE), this is one of the most innovative approaches in modern dental medicine.
What to Expect During Endodontic Regeneration
The process typically takes place over two or more visits. During the first visit, the canal is disinfected using medicated solutions that eliminate bacteria while preserving vital cells. At a follow-up appointment, a scaffold (such as blood clot, platelet-rich plasma, or collagen) is used to stimulate regeneration. A biocompatible material such as MTA (mineral trioxide aggregate) is placed over the scaffold, followed by a temporary or permanent restoration. Over time, this method can result in root elongation, thickening of dentinal walls, and even partial return of nerve function.
Benefits of Regenerative Endodontics
- Preserves the natural tooth and its function
- Encourages continued root development in immature teeth
- Less invasive than traditional root canal therapy
- May allow the tooth to regain some vitality and sensation
- Ideal for pediatric and teen patients with underdeveloped roots
Who Is a Good Candidate for Endodontic Regeneration?
You or your child may be a candidate if:
- There is a traumatic injury or deep decay in an immature permanent tooth
- Root development is incomplete
- Traditional root canal therapy is too risky due to open apex
- The tooth is non-vital or severely infected, but not fractured
- You’re seeking a biologically guided alternative to standard treatments
Aftercare and Recovery Tips
- Avoid biting or chewing on the treated tooth for a few days
- Maintain excellent oral hygiene with gentle brushing and flossing
- Attend all follow-up appointments to monitor root development
- Take any prescribed medications as directed
- Contact us if symptoms like swelling or pain persist
Why Choose 3D MicroEndo for Tooth Regeneration?
At 3D MicroEndo, our endodontists are at the forefront of regenerative procedures, using state-of-the-art diagnostics and biologically guided materials to deliver cutting-edge care. We are one of the few practices in Manhattan offering endodontic regeneration for pediatric and adolescent patients. With advanced training, CBCT imaging, and a focus on preserving natural teeth, our team serves families across the Upper East Side, Gramercy Park, and Tribeca with a high standard of care.
Frequently Asked Questions
No. Regeneration stimulates healing and tissue regrowth, while a root canal removes all pulp tissue and fills the canal permanently.
Yes. It is specifically designed for immature teeth in children and teens and follows protocols recommended by major dental associations.
In some cases, the tooth may regain sensitivity and partial nerve function, though the primary goal is continued root development and stability.
It usually requires two or more visits, with healing and root development monitored over several months.
Disinfectants, platelet-rich plasma or blood clots (as scaffolds), and sealing materials like MTA are commonly used.