Vital pulp treatment modalities: pulpotomy- partial and complete

The ability of the dental pulp to heal following injury is well documented in studies that laid the scientific foundation for pulp preservation therapies. Vital pulp treatments such as partial and complete pulpotomy have emerged as viable treatment options for mature teeth with exposed pulp and symptomatic pulpitis. The adoption, however, of these treatments in routine clinical practice is still controversial, with many questionnaire-based studies demonstrating a lack of consensus on the best approach to manage deep caries and exposed pulp. This chapter will demonstrate using an evidence-based approach appropriate case selection for partial and complete pulpotomy as well as detailed procedural and contemporary clinical protocols. An overview of treatment outcomes and factors that influence the outcomes is provided to help with treatment decisions and informed consent.