Abstract
Abstract Dental caries being the most prevalent disease worldwide usually ends in pulpitis due to negligence of the patient and the caretaker. The major diagnostic factor followed in deciding the status of pulpitis as, reversible or irreversible, is the severity and intensity of the pain. Traditionally, a tooth diagnosed as irreversible pulpitis results in the removal of coronal and radicular pulp resulting in the non-vitality of the tooth. This case report describes the use of vital pulp therapy (VPT) in three paediatric patients with primary teeth showing signs and symptoms suggestive of irreversible pulpitis. Calcium silicate cement (Biodentine) was used to preserve the radicular pulp, demonstrating favourable clinical and radiographic outcomes over a 1-year follow-up. The findings support the potential of VPT as an alternative to traditional pulpectomy in cases where radicular pulp tissue remains healthy, despite a history of severe pain.
Published Version
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