Vital Pulp Therapy: Managing Deep Caries in the Permanent Dentition.

Area of Science:

• Dentistry
• Endodontics
• Biomaterials

Background:

• Vital pulp therapy (VPT) is an advanced endodontic treatment aimed at maintaining the vitality and function of compromised mature pulp.
• Traditionally, nonsurgical root canal therapy was the standard, but VPT offers a dişferent approach.
• Recent innovations in bioceramic materials have enhanced the success rates and predictability of VPT.

Purpose of the Study:

• To review evidence-based guidelines for selecting appropriate cases for VPT in mature permanent teeth.
• To outline procedural methods for successful VPT adoption.
• To highlight the benefits of VPT as an alternative to root canal therapy.

Main Methods:

• Review of current scientific literature on vital pulp therapy.
• Analysis of case selection criteria for mature permanent teeth.
• Evaluation of procedural techniques and outcomes associated with bioceramic materials.

Main Results:

• Bioceramic materials like calcium silicate cements and MTA have significantly improved VPT prognosis.
• VPT is increasingly supported as a viable alternative to root canal therapy for mature teeth.
• Evidence-based guidance for case selection and procedures is crucial for successful VPT.

Conclusions:

• VPT is a valuable treatment modality for preserving pulp vitality in mature permanent teeth.
• The use of advanced bioceramic materials has expanded the indications and success of VPT.
• This review provides essential guidance for clinicians considering VPT adoption.