Successful partial pulpotomy of a permanent mandibular molar: a two-year case report

Emerging evidence reveals vital pulp therapy to be an alternative treatment modality for teeth that may have been considered candidates for root canal treatment or extraction. The aim of the procedure is to maintain the vitality of the tooth thus providing minimally invasive treatment. The procedure can be implemented in appropriate cases following clinical and radiographic examination. Direct examination of the exposed pulp tissue under magnification and strict aseptic conditions have been recommended for a successful outcome. This case report describes management of a patient with a deep caries lesion, involving the mesial pulp horn, using a vital pulp therapy procedure. The treatment options and discussions with the patient are highlighted together with the stages of the procedure carried out. A successful outcome of the partial pulpotomy is evidenced by clinical and radiographic examination two years post-treatment.