Modern Pulpotomies for Pediatric Patients: Rationale, Diagnosis, and Technique Using a Novel Simplified Calcium Silicate.

Contemporary pulpotomy in primary molars reflects a shift from the use of devitalizing agents toward biologically driven vital pulp therapy. Advances in pulpal biology and biomaterials, particularly calcium silicate-based medicaments, support healing and preservation of radicular pulp vitality, leading to improved clinical outcomes. Current recommendations emphasize accurate diagnosis through integration of patient history, clinical findings, and radiographic evaluation, along with careful case selection. Achievement of a durable coronal seal remains essential and is most predictably attained with full-coverage restorations. As described in this case report, when modern bioactive materials are combined with appropriate restorative protocols, pulpotomy is a reliable and effective treatment for primary teeth with deep carious lesions.