Cavities are an all-too-common concern for parents and children alike, with data showing that more than half of children have had at least one cavity in their primary teeth by age eight. While many cavities can be treated with simple dental treatments like fluoridation and dental fillings, some progress to more severe stages — potentially affecting the tooth's pulp and root. 

When tooth decay reaches this critical point, it can lead to infection and pose significant risks to a child's oral health. Traditionally, such cases often resulted in tooth extraction or extensive root canal treatments. However, thanks to recent advancements in modern endodontics, innovative techniques now offer a chance to save your child's affected tooth and promote its continued development.

Read on to learn more about the pulp revascularization process and where to find the best endodontist in Los Altos. 

What is Pulp Revascularization?

Pulp revascularization is a dental procedure that aims to save a tooth with a dying root, often called a necrotic pulp. The pulp is the innermost part of the tooth, containing nerves and blood vessels — once a tooth's pulp has died, tooth extraction is necessary. 

The pulp revascularization procedure involves removing the infected or damaged tissue from the pulp chamber, disinfecting the area, and allowing the remaining healthy tissue to regenerate. This process can help preserve the tooth and promote continued root development in young patients. Pulp revascularization is often used as an alternative to traditional root canal therapy in certain cases — most often in young children.

How is a Pulp Revascularization Performed?

Pulp revascularization is typically performed in several steps: First, an endodontist, a dental professional specializing in periodontal diseases, will assess your dental problems through an examination and dental X-rays. They will also discuss any other medical conditions you or your child have. This history is important to reduce the risk of complications during and after the procedure. If a pulp revascularization is necessary, a dental hygienist will prepare the mouth for the procedure. 

Next, the endodontist will access the pulp chamber of the tooth and remove any necrotic or infected tissue. Next, the area is thoroughly disinfected to remove any bacteria. A special type of medication may be placed in the pulp chamber to help encourage the regeneration of new tissue. 

Lastly, the tooth is sealed to prevent reinfection and promote the growth of new blood vessels and nerves in the pulp chamber. Over time, the tooth may regain vitality and continue to develop. This procedure will help save the natural tooth and avoid the need for extraction or traditional root canal therapy.

When Should a Pulp Revascularization Be Done?

Pulp revascularization is typically considered in cases where a tooth has necrotic pulp, particularly in young patients whose teeth are still developing. It may be recommended when traditional root canal therapy is not feasible or when preserving the natural tooth is a priority. 

Additionally, pulp revascularization may be considered when a desire to promote continued root development in immature permanent teeth is present. However, the decision to perform pulp revascularization is ultimately based on the specific circumstances of the individual patient and should be determined in consultation with a dental professional.

Can a Pulp Revascularization be Done on an Adult?

Pulp revascularization is typically more suitable for young patients with developing teeth. However, there are instances where it may be performed on adults in certain circumstances. The decision to pursue pulp revascularization in adults would depend on various factors, such as:

  • Condition of the natural tooth and adjacent teeth
  • Patient's overall oral health and physical health 
  • The likelihood of treatment success
  • Other treatment options, such as a root canal or an extraction followed by a dental implant or dental bridge

Only an endodontist who is highly skilled in performing and monitoring pulp revascularization treatment can determine the most appropriate treatment option for individual cases.

What to Expect After a Pulp Revascularization Procedure

After a pulp revascularization procedure, the treated tooth may be sensitive or slightly uncomfortable for a few days. This is typically manageable with over-the-counter pain medications. However, your endodontist will also have stronger pain control methods available if necessary. 

Maintaining excellent oral hygiene after this procedure is important — this includes following the endodontist’s specific instructions for gentle brushing and rinsing. Patients are also usually advised to avoid chewing on the treated side for a few days to allow for proper healing. 

There will be follow-up appointments after the procedure. These dental check-ups allow the endodontist to assess the formation of new pulp-like tissue and the continued development of the root. 

Although some tooth sensitivity is normal and should gradually improve, parents and patients should remain vigilant for any signs of persistent tooth pain, swelling of the gum tissue, or other unusual symptoms.

Where to Find the Best Pulp Revascularization Specialist in Los Altos

Dr. Beddawi and her team at The Modern Endodontist are known for being at the forefront of innovative dental procedures, specializing in advanced treatments like pulp revascularization. Their expertise in cutting-edge endodontic techniques sets them apart, offering patients the best chance to save and rejuvenate compromised teeth and achieve optimal dental health. 

Choosing The Modern Endodontist means opting for a practice that excels in clinical expertise and prioritizes environmental stewardship. The practice's state-of-the-art, carbon-neutral clinic reflects its dedication to sustainable dentistry, demonstrating that top-tier endodontic care can go hand-in-hand with ecological responsibility. 

Dr. Beddawi's commitment to a patient-centered approach ensures that each treatment plan is tailored to the individual, focusing on pain-controlled procedures that promote natural tooth preservation and long-term oral health.

Ready to get your pulp revascularization procedure from the top pulp revascularization specialist in Los Altos?