Vital Pulp Therapy

The determination of which therapy to employ is a decision that must be made by the clinician at the time of treatment. One must distinguish between pulp cap failure and failure of the restoration subsequently placed over the pulp capping agent that leads to recurrent pulpitis, the scenario of bacterial infection reinforces the clinical importance of a biologic or mechanical ¿hermetic seal¿ at the restoration tooth interface. Advances in material and biological sciences offer us explosion of knowledge about aspects that induce dentin formation, but theses still old standbys of pulp therapy are likely to be superceded by biologic materials like bone morphogenic proteins which may completely transform our whole philosophy of treatment in near future. If the operator properly selects the case, obtains hemostasis, disinfects the vital pulp exposure and the cavity preparation, success can be obtained.