Indications for vital pulp therapy include: crown reduction for orthodontic abnormalities; canine tooth disarming; crown fractures of immature permanent teeth; pulp exposure during debridement of deep carious lesions; and, recent crown fractures of mature permanent teeth. Vital pulp therapy for these conditions or procedures includes direct pulp capping after partial coronal pulpectomy is performed to excise inflamed pulp, if present, and provide space for the restoration. Appropriate tissue handling and a meticulous restoration providing a bacteria-tight marginal seal are critical components of vital pulp therapy 1 , which is described step-by-step.
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Niemiec et al. (2001) studied this question.
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