Conservative Management of Pulpitis in a Mature Permanent Molar Using Partial Pulpotomy: A Case Report.

Vital pulp therapy (VPT) has emerged as a conservative alternative to conventional root canal therapy (RCT) for the management of teeth with pulp exposure. Advances in bioactive materials have expanded its indications, allowing its application in mature permanent teeth presenting with symptoms traditionally associated with irreversible pulpitis. A 36-year-old female presented with severe pain in the right mandibular first molar. A partial pulpotomy using a bioceramic material was performed, followed by composite restoration. The patient became asymptomatic shortly after treatment. At 11 months, clinical and radiographic outcomes were favourable, and minor occlusal discomfort was resolved following occlusal adjustment. Partial pulpotomy using bioceramic materials may represent a predictable and minimally invasive treatment option for mature permanent teeth diagnosed with symptomatic pulpitis. Proper case selection, strict isolation, effective coronal sealing, and occlusal evaluation are essential for favourable outcomes.