The ache behind a brave face
An 11-year-old arrived chewing on one side, worried about a dark spot on a back tooth. Testing suggested the nerve was compromised in an immature permanent molar with an open apex—tricky territory. The family needed a Shrewsbury child case dentist who could save the tooth now and keep future choices open.
Imaging and decision points
CBCT wasn’t necessary; digital periapicals showed thin root walls and a wide canal. Traditional root canal therapy can be risky in immature teeth (fragile roots). Dr. Rizwan Baig discussed apexogenesis and regenerative endodontics—modern options that encourage the root to keep developing.
The plan: disinfect, rejuvenate, protect
- Visit 1: Profound anesthesia, rubber dam, gentle canal disinfection with low-concentration irrigants; medicament placed to reduce bacteria; temporary seal.
- Visit 2 (2–3 weeks): Signs of healing → initiate a regenerative protocol; induce bleeding to create a scaffold; place a bioceramic seal to protect the developing tissue; restore with a bonded onlay to guard thin cusps.
Why regeneration matters
As roots continue to thicken and elongate, the tooth gets stronger and less fracture-prone—preserving function through adolescence and beyond.
Follow-up that proves the point
At 3 months, symptoms resolved; at 9–12 months, X-rays showed apical closure and thickening root walls. Chewing felt normal; sports and snacks were back.
Parent education that prevents repeats
- Nightly brushing with a mild, high-fluoride paste
- Sticky-snack timing (with water chase)
- Regular reviews to ensure the restored tooth stays stable
Takeaway
For searchers exploring Dentist case Shrewsbury or “regenerative root canal for kids,” this case shows how Dr. Rizwan Baig keeps a vulnerable young tooth alive, strong, and useful—without over-treating. If you’re wondering who is one big dentist Shrewsbury for complex pediatric endo, this is that pathway.
