Predictable outcomes with vital pulp therapy in deep caries management of mature teeth

Preserving pulp vitality is paramount in endodontics, necessitating a conservative and systematic approach. In the first case, a 48-year-old woman complained of pain on cold stimuli and food lodgement in the upper left posterior tooth region. Following thorough clinical and radiographic examination, the UL7 was diagnosed with reversible pulpitis and normal peri-apical tissues. Upon caries removal, pulp exposure occurred and was treated with direct pulp capping with Biodentine. A successful outcome was observed at 12-month follow-up. In the second case, a 26-year-old woman complained of food lodgement in a upper left posterior tooth region for 2 months. Subsequent clinical and radiographic examination confirmed deep caries in the UL4 with normal peri-apical tissues. Indirect pulp capping was performed, followed by 12-month follow-up. CPD/Clinical Relevance: This case report underscores the management of deep caries, emphasizing the importance of following correct protocols, including isolation, use of bioceramic materials and adhering to proper bonding protocols to ensure maximum success.