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Vital pulp therapy using Biodentine XP and adhesive restorations: a three-year case series
Vincenzo Tosco1, Riccardo Monterubbianesi2, Francesco Puleio3
1Department of Life Sciences, Health and Health Professions, Link Campus University, Rome, Italy.
Frontiers in Dental Medicine
|August 13, 2026
Summary
Vital pulp therapy (VPT) using Biodentine XP shows promising 3-year results for deep cavities and pulp exposures in posterior teeth. This bioactive approach preserves pulp vitality, offering a minimally invasive alternative to root canal treatment.
Area of Science:
- Dentistry
- Endodontics
- Biomaterials
Background:
- Vital pulp therapy (VPT) is a biologically driven alternative to root canal treatment for managing deep carious lesions and pulp exposures.
- Hydraulic calcium silicate cements (hCSCs) have advanced VPT predictability.
- Biodentine XP offers a bioactive dentin substitute for restorative dental procedures.

