Jasper Endodontics

08/07/2026

Let's talk about regenerative endodontics!

The American Association of Endodontists’ Glossary of Endodontic Terms defines regenerative endodontics as “biologically-based procedures designed to physiologically replace damaged tooth structures, including dentin and root structures, as well as cells of the pulp-dentin complex.”

In the case shown here we had a young patient with tooth #30 causing pain. Tooth #30 was officially diagnosed with pulpal necrosis with symptomatic apical periodontitis. A predictable outcome utilizing traditional non-surgical root canal treatment would be difficult given that the apices of the roots were immature and wide open. Regenerative endodontics was selected as an appropriate treatment option. The patient and parents were ideal for this case as they showed up to all treatment appointments and recommended follow up appointments to monitor the case.

During the initial visit access was made into the pulp chamber and the tooth was irrigated extensively with dilute irrigation solutions and then the canals were dried and calcium hydroxide was placed in the root canal system for 1 month.

During the second visit the tooth was irrigated extensively with 17% EDTA to open dentin tubules and release growth factors to help with intended root development. Bleeding was initiated from the periapical tissues until all canals were filled with blood. The goal of this step is to allow stem cells from the apical papilla to travel into the canals. The access was closed permanently with a collaplug over the blood filled canals followed by MTA, BC Liner, and a resin restoration.

At subsequent 6 month, 1 year and 2 year post-operative appointments all goals have been achieved:

Resolution of periapical infection✅
Resolution of symptoms ✅
Continued root development ✅

This patient and parents are pleased with the result, as are we! Hopefully no further treatment will be needed in the future, but if it is then non-surgical root canal treatment could be carried out predictably due to proper maturation of the root canal system.

08/06/2026

This tooth #31 was treated 4 years ago! We had the opportunity to take a post-op x-ray of this tooth during an evaluation for a different tooth needing endodontic treatment. At the time of treatment, tooth #31 was diagnosed with symptomatic irreversible pulpits with symptomatic apical periodontitis. 4 years later the patient is symptom free, the periapical bone has healed, and the tooth has been properly restored with a crown. Another natural tooth doing well after proper endodontic and restorative care!

08/05/2026

Tooth #3 was diagnosed with pulpal necrosis with symptomatic apical periodontitis. Non-surgical root canal treatment was recommended in a multi-visit approach. At the first visit pulpal debridement was complete and calcium hydroxide was placed in the canals. The patient returned 8 weeks later for completion of the root canal and really nice healing is underway!

All canals located ✅
All canals properly disinfected ✅
Patient is pain free and healing ✅

Love a result like that!

08/01/2026

Wishing a very happy birthday to one of our assistants/marketing coordinator/patient coordinator, Kloe!🎉😁

07/31/2026

This tooth #5 was being prepared for a new crown and the depth of the cavity was concerning to the referring dentist. Clinical testing at our office revealed a diagnosis of symptomatic irreversible pulpitis with a normal apex. Non-surgical root canal treatment was recommended prior to placement of the permanent crown. Access was made through the temporary crown and the root canal was complete. Happy to help keep another tooth in service!

07/28/2026

Wishing our dental assistant, Paige, a very happy (belated) birthday! 🎉😁

07/28/2026

This tooth #15 had an MO carious lesion that was approximating the pulp chamber. Clinical testing revealed a lingering cold response without pain on percussion. Tooth #15 was diagnosed with symptomatic irreversible pulpits with a normal apex. Non-surgical root canal treatment was recommended and completed. Limited access and visibility made the case challenging, but we are pleased with the result. This patient was happy to be toothache free and keep their tooth in service!

07/27/2026

Sometimes non-surgical root canal treatment is performed or requested by the referring doctor for restorative purposes. In this case tooth #3 had a normal response to cold and percussion, but the referring doctor reported a pulp exposure while excavating the cavity and placing the core build up. The treatment plan by the referring doctor called for placement of a new crown. It was agreed that in this case it was the most predictable option to perform the root canal prior to placement of the new crown to avoid any potential flare up after the crown had been placed. Treatment went smoothly and tooth #3 is ready for a crown!

07/15/2026

Addressing a dental infection with a root canal will help your overall health!

Thanks to new research out of King's College London, the evidence showing that root canal treatment can improve your overall health is growing. ❤️‍🩹

Researchers studied patients with common tooth infection who received root canal treatment and found measurable whole-body benefits: improved glucose metabolism, healthier lipid profiles linked to heart health, and reduced inflammation. 🦷

🔗 Learn more: https://hubs.li/Q04nVb6h0

07/14/2026

We’re proud to be providing excellent endodontic care to patients in Jasper and all of the great communities in southwest Indiana!