The Impact of Vital Pulp Therapy on Normal Root Development in Immature Teeth: A Case Report

Vital pulp therapy is one of the least invasive and simplest and most economically acceptable treatment alternatives for immature teeth with pulpitis. The success rate of this treatment, with calcium silicate-based cements, ranges from 85% to 100%. Vital pulp therapy prevents the development of apical periodontitis and promotes normal root development, allowing the tooth to remain in the dentition and perform its functions. The patient was a nine-year-old boy with pain on chewing and a positive response to cold. The panoramic radiograph showed an immature permanent lower molar with deep caries. Partial pulpectomy and root pulp sealing with pre-mixed calcium silicate-based cement were performed under aseptic conditions. The absence of symptoms and the formation of roots with apical sealing were successfully achieved and observed by follow-up and radiographic control, making this treatment a viable option for immature teeth with pulpitis.