Analysis of affecting factors for deciding treatment modality for exposed pulp during caries removal

Managements of exposed pulp during caries removal are major concerns of dentists. Vital pulp therapy for exposed pulp is associated with the recognition for the prognosis of pulp preserving procedures. With advancements in vital pulp therapy, successful results of vital pulp therapy, especially for the teeth with irreversible pulpitis, conflict with treatment guidelines based on the current pulpal diagnosis system. Confusions regarding indications for vital pulp therapy under current pulpal diagnosis system and treatment guidelines attenuate wide spread applications of vital pulp therapy. Analyzing the requirements for improving pulpal diagnosis systems and treatment guidelines, as well as the factors influencing the selection of treatment modalities for exposed pulp, is essential for establishing strategies in studies of vital pulp therapy.