Vital pulp therapy: Consideration for immature teeth

Vital pulp therapy is a treatment procedure that has been applied to immature permanent teeth since pulp capping material made of calcium hydroxide was used. However, interest has decreased due to limitations in long-term prognosis, but it has recently come into the spotlight again with the use of microscopes, disinfectants, and biocompatible materials. As the high success rate was reported, its application could also be considered for even mature permanent teeth. Immature permanent teeth have good blood flow and healing ability, so the prognosis for vital pulp therapy is good. However, the rapid rate of caries and the partial eruption state bring about various difficulties in the treatment process and can lead to failure. In this article, we will look at the characteristics of immature permanent teeth and share tips for actual clinical practice through clinical cases.