Selective caries removal on two stage indirect pulp capping in mandibular permanent molar- A case report

Deep carious lesions are always a topic of discussion in the field of dental conservation. Preserving pulp tissue in cases of deep carious lesions is the main challenge for maintaining pulp vitality. Making a diagnosis of the clinical condition of pulp with deep caries is quite difficult. Indirect pulp capping (IPC) is one of essential management treatment to prevent pulp exposure. This case report reports the treatment management of indirect pulp capping on permanent mandibular molars using a two stage technique. The patient complained of moderate pain when eating, no persistent pain, no periapical lesions from radiological images. Caries excavation is carried out selectively by leaving a thin layer of affected dentin for remineralization. An application of calcium hydroxide liner material was placed for approximately 9 weeks, and at the follow-up visit the temporary filling was removed and a composite resin fixed restoration was applied. The patient did not complain of any complaints and was satisfied with the treatment. Indirect pulp capping treatment can be an option for cases of deep carious lesions. Selective caries excavation can reduce the possibility of pulp exposure and eliminate the possibility of further treatment in the form of root canal treatment (RCT).