Abstract
Even though root canal therapy is the preferred modality of treatment in symptomatic irreversible pulpitis, a combination of vital pulp therapy and non-surgical endodontic for the management of mature permanent teeth with apical periodontitis was done with a success rate of 93.3% and found that this modality can be a minimally invasive treatment option. This case report highlights on the selective vital pulp therapy treatment of the vital distal canal of a permanent mandibular molar and non-surgical root canal treatment of the necrotic mesial canals with a follow up of one year.
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